This video shows complications recorded during small incision lenticular extraction (SMILE), rapidly growing in popularity as the next generation of laser vision corrective surgery. Despite the perceived benefits, SMILE requires a greater level of surgical skill and potential complications include

• Suction loss
• Obstructive opaque bubble layer
• Incomplete lenticular dissection
• Torn lenticule during extraction

The risk and management of these complications must be understood for the new refractive surgeon to be fully equipped in selecting and performing SMILE.