Small-incision lenticule extraction (SMILE) is generally considered a safe procedure, with a low incidence of intraoperative complications in the hands of expert surgeons. Of the potential complications of SMILE, failure to extract the lenticule or a part of it presents as a unique complication known as "stuck/retained lenticule." This challenging situation can be a nightmare for even the most experienced surgeons, wherein both the lenticule and surgeon are stuck and need help. This video discusses the various strategies for managing retained lenticules or their fragments to manage the irregular astigmatism and induce the desired effect of SMILE. This may be a useful teaching video for beginners in SMILE surgery as well as advanced surgeons, as it shows a step-by-step algorithm to manage this unique complication.

Financial Disclosures: Dr. Sri Ganesh discloses financial relationships with Biotech Visioncare Pvt Ltd (Consultant/Advisor) and Carl Zeiss Meditec (Consultant/Advisor).

Dr. Sheetal Brar discloses financial relationships with Biotech Healthcare (Consultant/Advisor) and Carl Zeiss Meditec (Consultant/Advisor).