ReLEx SMILE: A Breakthrough in Laser Vision Correction
Meet Dr. Randa M. Garrana, Our LASIK Specialist
When it comes to LASIK surgery, experience matters. Dr. Randa M. Garrana has performed more than 41,000 LASIK procedures and completed a prestigious Fellowship from Harvard in Cornea, External Disease, and Refractive Surgery.
As one of the leading authorities in refractive and corneal surgery, Dr. Garrana brings unparalleled expertise to every procedure at Associated Eye Physicians & Surgeons of New Jersey. Her advanced training and extensive surgical experience ensure that you receive the highest standard of care as you take the first step toward clearer vision.
Overview of ReLEx SMILE
This section explains what ReLEx SMILE is, how it works, and why it is different from traditional laser eye surgery.
The name stands for Refractive Lenticule Extraction – Small Incision Lenticule Extraction. It corrects vision by removing a precise lenticule of corneal tissue.
A femtosecond laser creates and removes the lenticule through a tiny 4 mm incision, changing the cornea’s curvature to improve focus.
The laser portion takes about 20 seconds per eye, and the full procedure is usually finished in 10 minutes per eye with minimal pressure felt by the patient.
The Science Behind ReLEx SMILE
ReLEx SMILE relies on accurate laser energy and careful tissue handling to deliver clear vision.
The laser forms a disc-shaped lenticule inside the deeper corneal layers in about 20 seconds.
Through the small incision, the surgeon gently removes the lenticule, reshaping the cornea.
Removing the lenticule refocuses light on the retina, sharpening eyesight for myopia and astigmatism.
The flapless method disturbs fewer corneal nerves, leading to less dryness after surgery.
Aftercare and Long-Term Follow-Up
Proper aftercare helps secure long-lasting, stable results.
Prescribed eye drops control inflammation and prevent infection during healing.
Eye shields worn during sleep protect the eyes from accidental rubbing in the first days.
For 10 to 15 days avoid heavy exercise, dusty areas, and eye strain to promote safe healing.
Follow-up visits are set for 1 day, 1 week, 1 month, and 6 months to track progress.
Benefits of ReLEx SMILE
Patients choose ReLEx SMILE for several key advantages.
No corneal flap is created, so corneal strength is preserved.
The small incision heals quickly, and many patients see 75 percent of their corrected vision by the next day.
Because corneal nerves are less disturbed, the chance of severe dry eye is lower.
More than 95 percent of patients enjoy stable, long-term vision with a low need for enhancements.
Most people feel only mild pressure, not pain, while the laser is active.
Comparison with Traditional Laser Procedures
This section highlights how ReLEx SMILE differs from LASIK and other methods.
Eliminating the flap removes risks of flap displacement and related infections.
The femtosecond laser performs every step, so no move between laser stations is needed.
Keeping more natural tissue benefits patients who play contact sports or face possible eye impacts.
Fewer nerves are cut, which helps maintain natural tear production.
Candidacy for ReLEx SMILE
A detailed eye exam determines if you meet the criteria for this surgery.
Candidates should be at least 18 years old; those under 21 need parental consent.
Your glasses or contact lens prescription must be unchanged for at least one year.
The procedure treats myopia from –1 to –10 diopters and certain levels of astigmatism.
Normal corneal thickness and shape are required; very thin or irregular corneas may not qualify.
Eyes should be free of diseases such as glaucoma, cataracts, and severe dry eye.
The ReLEx SMILE Procedure Step-by-Step
Knowing each step can help you feel prepared and confident.
Tests include corneal mapping, visual acuity checks, and pupil dilation. Contact lenses are stopped several days prior.
Numbing drops keep the eyes comfortable; general anesthesia is not needed.
A gentle suction ring stabilizes the eye for exact laser placement.
The laser forms a thin disc of tissue inside the cornea in about 20 seconds.
A 4 mm incision allows access to the lenticule.
The surgeon removes the lenticule, instantly changing corneal shape.
The incision self-seals without stitches, and detailed care instructions are provided before heading home.
Recovery Expectations
Most patients return to everyday tasks quickly when they follow the guidelines.
Vision may be blurry at first but usually improves within hours.
About 75 percent of vision often returns by the next day, with complete stability over the next weeks.
Appointments at 1 day, 1 week, 1 month, and 6 months confirm proper healing.
Avoid rubbing the eyes, splashing water directly on them, and using eye makeup for around two weeks.
You may resume normal meals immediately after surgery.
Safety and Effectiveness
ReLEx SMILE delivers reliable outcomes with a low complication rate.
The laser minimizes excess energy to surrounding tissue, reducing discomfort.
Without a flap, issues like dislodgment or epithelial ingrowth are nearly eliminated.
Preserved tissue layers lead to lasting results with little regression.
Limited nerve disruption means fewer and shorter dry eye episodes.
Preparing for Your Consultation
A thorough evaluation helps decide if ReLEx SMILE fits your vision goals.
Testing includes corneal mapping, visual acuity, intraocular pressure, and a dilated retinal check.
Your overall health and previous eye conditions are discussed to confirm suitability.
Work, hobbies, and exposure to potential eye injuries guide the best treatment choice.
You may be asked to stop contact lens wear a few days before testing and surgery for accurate readings.
Key Considerations and Precautions
Understanding limitations and responsibilities ensures the best outcome.
Stable vision and controlled medical conditions are important for safe surgery.
The procedure treats myopia and astigmatism but not farsightedness or presbyopia.
A small number of patients may need an enhancement if under- or over-correction occurs.
Avoid smoking, vigorous eye rubbing, and irritants to support smooth healing.
Why Choose ReLEx SMILE
Many patients select this technique for its unique mix of comfort and results.
A single laser handles every step, reducing risk from equipment changes.
The surgery lasts minutes per eye, and you go home the same day.
More than 95 percent of patients maintain clear vision for years.
No flap means no danger of flap displacement during sports or physical jobs.
Lower rates of dry eye and nerve issues create a smoother recovery.
Frequently Asked Questions
The answers below address common concerns about ReLEx SMILE.
It primarily treats myopia and can also reduce astigmatism. It is not designed for farsightedness alone.
The laser treatment takes about 20 seconds per eye, and the full visit lasts roughly two hours, including preparation and post-procedure checks.
Local anesthetic drops prevent pain. Most patients feel only mild pressure during the laser portion.
Vision is blurry at first but improves quickly. Most people see well the next day, and vision stabilizes over three months.
You will be asked to use prescribed drops, avoid rubbing your eyes, and skip eye makeup for about two weeks.
Adults over 18 with a stable prescription, healthy corneas, and treatable refractive errors usually qualify after a comprehensive exam.
ReLEx SMILE is flapless, causes less dryness, and avoids flap-related risks while offering similar or better long-term vision results.
Pricing depends on pre-operative testing, follow-up care, and regional factors. Exact costs are discussed during the consultation.
Partner With Our Eye Care Team
ReLEx SMILE offers a modern path to clear vision, and our experienced surgeons are ready to guide you through each step. We look forward to helping you enjoy life with sharper sight and greater freedom from glasses or contact lenses.
My experience at Re Focus was great . Waiting time was short, staff was also professional . They have optical shop as well. Highly recommend
Marianne
Staff nice and friendly. Dr. Liva is a great doctor. Always pleased with visits.
David Lima
Friendly and caring retina surgeon, I highly recommend Dr. Arnett.
Shirly
Dr. Liva takes the time to thoroughly explain his findings and answer all my questions. Covid 19 protocols are followed and the office is clean; I feel safe going there. There is convenient parking
Ann Marie
I absolutely loved working with Dr. Garrana she was incredibly personable and made me feel confident every step of the way. Plus, I have 20/15 vision now! Highly recommend.
Molly F.