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Safety, risks & side effects

What are the risks of SMILE Pro?

Beyond side effects, the recognised risks include residual refractive error, under- or over-correction, the possible need for a further procedure, interface inflammation, and rarely infection or other serious complications. Some risk factors are detectable at assessment and some are not.

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Quick answer

Beyond side effects, the recognised risks include residual refractive error, under- or over-correction, the possible need for a further procedure, interface inflammation, and rarely infection or other serious complications. Some risk factors are detectable at assessment and some are not.

A general answer about SMILE Pro, not advice about your own eyes. Only an ophthalmologist who has examined you can answer it for your case.

Topic
Safety, risks & side effects
Answer length
Quick answer plus detail
Sourced
Yes

In more detail

One risk worth understanding in advance is that if a residual prescription needs treating later, the options are not identical to those after LASIK, because there is no flap to lift. Treatments exist, but they are a different conversation.

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This answer cannot be about you

It describes what is generally true. Whether it applies to your eyes depends on measurements taken during an examination, and two people asking the same question can receive different answers. Read the answer as a starting point for the conversation, not as its conclusion.

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Sources & further reading

We prefer primary sources. Where a claim comes from a manufacturer, a single study or a regulator, it is labelled as such below.

  • Small Incision Lenticule Extraction (SMILE) Clinical reference StatPearls, NCBI Bookshelf

    A continuously updated clinical reference chapter covering SMILE indications, technique, outcomes and complications, written for clinicians.

    Used for How the lenticule is created and removed; Indications and contraindications; Complication categories; Corneal biomechanics compared with flap-based surgery.

    Link checked 22 September 2026