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The Best Candidates for SMILE Eye Surgery — Are You One of Them?

Published: November 20, 2025 By: Dr. Rajesh Khanna

If you've ever imagined waking up and seeing clearly without reaching for your glasses or contact lenses, SMILE Eye Surgery might sound like the perfect solution.

SMILE — which stands for Small Incision Lenticule Extraction — is one of the most advanced and minimally invasive laser vision correction options available today. It's quick, flap-free, and offers fast recovery with long-lasting results.

But is SMILE the right procedure for you?

At Khanna Vision Institute, Dr. Rajesh Khanna evaluates each patient carefully to determine if SMILE is the best match for their eyes and lifestyle. In this article, we'll explore what makes someone an ideal candidate for SMILE and how it differs from other vision correction procedures.

SMILE Eye Surgery Candidate Consultation

1. What Is SMILE Eye Surgery? (A Quick Refresher)

SMILE is a next-generation laser eye surgery that corrects nearsightedness (myopia) and astigmatism using a tiny laser incision, instead of creating a large flap like in LASIK.

A femtosecond laser creates a small, disc-shaped piece of tissue (called a lenticule) inside the cornea. This lenticule is then gently removed through a small opening — about the width of a pen tip.

This reshaping allows light to focus correctly on your retina, restoring clear vision.

The result?

Sharper vision, minimal discomfort, and quick healing — all achieved with a smaller incision and no flap.

2. SMILE vs. LASIK — What's the Difference?

While both SMILE and LASIK are laser-based procedures, they have key differences:

Feature SMILE LASIK
Incision Size Tiny (2–3 mm) Larger (20 mm flap)
Flap Creation No flap Creates a corneal flap
Corneal Strength Better preserved Slightly reduced
Dry Eye Risk Lower Slightly higher
Recovery Time Fast Fast
Ideal for Active lifestyle, moderate to high myopia Broad vision correction needs

For many people — especially those who play sports or have dry eyes — SMILE offers a safer and gentler option.

3. Who Is an Ideal Candidate for SMILE Eye Surgery?

At Khanna Vision Institute, Dr. Khanna uses advanced diagnostic tools to determine candidacy. But in general, you may be a great candidate for SMILE if:

You Are 18 Years or Older

Your eyes should be fully developed before laser vision correction.

You Have Stable Vision

Your prescription should not have changed significantly (more than ±0.5 diopters) for at least one year.

You Are Nearsighted or Have Astigmatism

SMILE is FDA-approved to correct up to:

  • -10.00 diopters of myopia (nearsightedness)
  • -3.00 diopters of astigmatism

If you have farsightedness (hyperopia), LASIK or EVO ICL may be better options.

You Have Healthy Eyes

Conditions like cataracts, glaucoma, keratoconus, or corneal scarring can affect eligibility.

You Want a Flap-Free Procedure

If you prefer a laser correction without the flap creation used in LASIK, SMILE is ideal.

You Have an Active Lifestyle

Athletes, military personnel, and people who do outdoor or contact sports benefit from SMILE's added corneal strength and low risk of flap complications.

Athlete Smiling After SMILE Eye Surgery

4. Who Might Not Be a Good Candidate for SMILE?

Even though SMILE is safe for most adults, it's not right for everyone. You may not be an ideal candidate if:

  • Your corneas are too thin
  • You have severe dry eyes or eye infections
  • You're pregnant or breastfeeding (temporary vision changes)
  • You have autoimmune conditions affecting healing
  • You have extreme prescriptions beyond SMILE's approved range

In such cases, Dr. Khanna may suggest alternatives like EVO ICL, PRK, or Presby-LASIK, based on your vision goals and eye health.

5. What Are the Benefits of Choosing SMILE Eye Surgery?

Patients choose SMILE for its comfort, precision, and rapid recovery. Some of its major benefits include:

No Flap, Less Dryness

Since SMILE doesn't involve cutting a corneal flap, it leaves most surface nerves untouched — reducing dry eye symptoms.

Fast and Gentle Recovery

Most people return to work and normal activities in 1–2 days.

Excellent Visual Outcomes

Clinical studies show over 98% of SMILE patients achieve 20/25 vision or better.

Long-Term Corneal Stability

SMILE preserves more of the eye's natural structure, maintaining strength even years later.

Less Risk of Dislodgment

No flap means fewer risks for people with active or outdoor lifestyles.

6. A Real Example — How SMILE Helped Jessica Schmidt

Professional softball player Jessica Schmidt wanted to improve her performance on the field but struggled with glasses. After consulting with Dr. Khanna, she was found to be a perfect candidate for SMILE.

Just days after her procedure, Jessica reported sharper vision, better reaction time, and new confidence — all without worrying about contacts during games.

Her experience shows how SMILE not only improves vision but can also enhance everyday life and performance.

7. The Khanna Vision Institute Advantage

At Khanna Vision Institute, every SMILE procedure is guided by advanced diagnostic imaging, top-tier ZEISS VisuMax laser technology, and years of surgical experience.

What sets Dr. Khanna apart:

  • Over two decades of refractive surgery experience
  • Personalized care and precise screening
  • Transparent consultation — every option clearly explained
  • Post-surgery monitoring for long-term safety

The institute's mission is simple: to deliver safe, comfortable, and life-changing vision correction tailored to each patient.

8. What Happens During Your Consultation?

Your SMILE evaluation includes:

  • Vision measurement and prescription stability check
  • Corneal topography and thickness mapping
  • Tear film and eye health assessment
  • Personalized vision plan discussion

If you qualify for SMILE, Dr. Khanna will guide you through the entire process — from preparation to post-operative care — so you know exactly what to expect.

SMILE laser eye surgery is one of the most advanced and comfortable ways to correct vision today. If you're nearsighted, have astigmatism, or lead an active lifestyle, SMILE could be your path to clear, confident vision.

The best way to find out is through a detailed evaluation with Dr. Rajesh Khanna at Khanna Vision Institute.
With personalized care and world-class technology, you can trust your eyes are in expert hands.

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