Evaluating lenticule sizes for correcting myopic astigmatism with SMILE

Evaluation of Different Lenticule Diameters in Myopic Astigmatism Correction With SMILE Procedures

Not applicable Interventional Al Watany Eye Hospital · NCT06062004

This study is testing whether using different sizes of lenses during the SMILE procedure can improve vision and safety for people with myopic astigmatism.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment50 (estimated)
Ages18 Years to 50 Years
SexAll
SponsorAl Watany Eye Hospital Academic / other
Locations1 site (Cairo)
Trial IDNCT06062004 on ClinicalTrials.gov

What this trial studies

This study investigates the impact of different lenticule diameters on the safety and effectiveness of the SMILE procedure for correcting myopic astigmatism. Participants will undergo the SMILE procedure on both eyes, with one eye receiving a standard 6.5 mm lenticule diameter and the other a larger 7.0 mm diameter. The study aims to assess visual outcomes, including immediate visual acuity and contrast sensitivity, while also monitoring for any intra-operative or post-operative complications. A total of 50 participants aged 18 to 50 with specific criteria will be enrolled in this comparative, prospective study.

Who should consider this trial

Good fit: Ideal candidates are individuals aged 18 to 50 with myopic astigmatism ranging from -1.0 D to -10.00 D spherical equivalent.

Not a fit: Patients with thin corneas, previous ocular surgeries, or certain ocular pathologies may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance the effectiveness of SMILE procedures for patients with myopic astigmatism, leading to better visual outcomes.

How similar studies have performed: While there have been studies on SMILE procedures, this specific approach of varying lenticule diameters is novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age groups between 18 and 50 years
* Myopic astigmatism with up to -10.00 D spherical equivalent (SE) and a minimum astigmatism of -1.0 D and a maximum of -5 D. The astigmatism will be divided into low astigmatism (\<0.75 D), moderate astigmatism (1.5- 3 D) and high astigmatism (\>3 D).
* Corrected distance visual acuity (CDVA) of 0.7 or better (decimal)

Exclusion Criteria:

* Thin corneas (\< 490 μm)
* Proven or suspicious cases of corneal ectatic conditions by corneal tomography
* Previous ocular surgeries
* Patients taking systemic steroids, immunosuppressants, oral contraceptives, or antidepressants
* Pregnant females
* Corneal scars or any ocular pathology likely to affect visual outcomes

Where this trial is running

Cairo

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Refractive ErrorsMyopic AstigmatismSMILEMyopiaRefractive SurgeryAstigmatismSmall Incision Lenticule Extraction
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.