Of course, “we cannot do it ourselves” —the surgery requires another surgeon whom you trust 100%. Answering the question of who the relatives trust — I use mine myself. I did the operation to my mother, aunt, daughter, husband — who needed something “to fix”. Walter operated on his wife and father-in-law.

当然，“我们不能自己做” –手术需要您100％信任的另一位外科医生。 回答亲戚信任谁的问题-我自己使用我的。 我对我的母亲，阿姨，女儿，丈夫进行了手术-他们需要“修理”一些东西。 沃尔特为妻子和岳父经营手术。

We can usually do this while shooting or tell how it happens, with the consent of loved ones. We do this when we need to “sacrifice” someone for the sake of science. In our clinic already 6 people after laser vision correction. In the network of clinics SMILE EYES also a few people. The last case — we have 7 years of work in the position of operating nurse-administrator girl Anya, she meets and escorts patients for refractive operations. She is experienced with experience: by the age of 35, fifteen she wore soft contact lenses, sometimes she used glasses. The idea of ​​correction lived in her for all 7 years — as it happens, she saw many times in the form of records from the operating rooms. She saw both Lasik and femtoLasik, and only the operation of vision correction ReLEX SMILE (minimally invasive lenticle extraction) instilled in her confidence in safety and painlessness.

在亲人同意的情况下，我们通常可以在拍摄时或告诉它如何发生。 当我们需要为了科学而“牺牲”某人时，我们会这样做。 激光视力矫正后，在我们的诊所中已有6人。 在诊所网络中，SMILE EYES也有少数人。 最后一个案例-我们有7年的护士护士女孩Anya的工作经历，她会见并护送患者进行屈光手术。 她经验丰富：35岁那年，她十五岁戴了软性隐形眼镜，有时还戴眼镜。 矫正的想法已经存在了整整7年-碰巧的是，她在手术室中以记录的形式看到了很多次。 她看到了Lasik和femtoLasik，并且只有视力矫正ReLEX SMILE(微创双凸透镜摘除术)的操作使她对安全性和无痛感充满了信心。

About Anya: I was preparing for the operation as it should be — for a week I honestly took off contact lenses and used glasses. The patients of the clinic were surprised and asked why she was wearing glasses, explaining that she was preparing for a correction. The day was chosen so that she spent the morning in the clinic; in the afternoon, a correction could be made. On this day, I had several SMILE, several SMILE operations — with Walter, who came from Germany. We agreed that Anya will be operated by Professor Sekundo, and I will help camera operators with shooting.

关于安雅(Anya)：我正在为应该做的手术做准备—老实说，我已经摘下隐形眼镜和旧眼镜了一个星期。 诊所的病人很惊讶，问她为什么戴眼镜，并解释说她正在准备矫正。 选择了一天，以便她在诊所度过了早晨。 下午可以进行更正。 在这一天，我和来自德国的Walter进行了几次SMILE和几次SMILE手术。 我们同意将由Sekundo教授操作Anya，我将帮助相机操作员进行拍摄。

So, Walter performed the operation, and our surgeons and engineer filmed it from three cameras. More importantly, the operation was easy, there were almost no tears, and Anya was later able to tell a lot of new and interesting things. After that, she came under the supervision of one of our surgeons, and every hour we received new statuses.

因此，沃尔特进行了手术，我们的外科医生和工程师从三台摄像机拍摄了影片。 更重要的是，操作很容易，几乎没有泪水，后来安雅(Anya)能够讲述很多新奇有趣的事情。 此后，她受到我们一位外科医师的监督，我们每小时都获得新的身份。

First movie, as it happens:

发生的第一部电影：

Operates professor Walter Sekundo (Marburg, SMILE EYES Marburg), assisted by Olga Maximova (Moscow, SMILE EYES Augenklinik Moskau).在奥尔加·马克西莫娃(奥尔加·马克西莫娃)(莫斯科，奥古斯林克·莫斯考奥)的协助下，经营沃尔特·塞昆多教授(马尔堡，马西双眼)。

About what is happening at the micro level, you can seehere .

关于微观层面上正在发生的事情，您可以在这里看到。

But the story from the words of Ani (with my comments):

但是这个故事来自阿妮(我的评论)的话：

In general, everything like Tatiana Yurievna tells patients before the operation SMILE: no surprises. I have listened to this story hundreds of times, sometimes I explain something myself. And then I felt right on myself. It was very unexpected when the water began to pour, tickling.

总的来说，像塔蒂亚娜·尤里耶夫娜(Tatiana Yurievna)这样的事情都会在手术前告诉患者：没有惊喜。 我已经听了数百遍这个故事，有时我自己解释一下。 然后我对自己感觉很好。 当水开始倾泻，发痒时，这是非常出乎意料的。

Speech about the initial and final stages of the operation, when the surface of the cornea and the «pocket» in the cornea is washed with a solution. In order not to make a second “tunnel” incision deep into the cornea, the solution is directed so that it pours out in the same place where it is accessed, it really stretches and “tickles” the eye. Far from all patients feel this, most often it goes away painlessly, but discomfort at this stage is the norm.

关于角膜表面和角膜表面“口袋”用溶液清洗的手术初始阶段和最终阶段的演讲。 为了避免在角膜深处形成第二个“隧道”切口，必须对溶液进行定向，以便将其倒在可接触到的位置，从而使眼睛真正伸展并“ tic痒”。 并非所有患者都感觉到这一点，大多数情况下它会无痛消失，但在此阶段不适是常态。

The operation generally proceeds nicely and calmly. I ordered a personal “play list” of background music. The surgeon speaks, and you intonation feel that everything is ok. The laser is not felt at all, even the squeezing is not felt. The second eye is covered, so when a lenticular is cut through in the operated eye, a white shroud appears, like crumpled chewing paper in front of the eye. Through some slits you see what is happening. Then you feel that this paper is smoothed. And here this veil gradually leaves.

操作通常会顺利进行。 我订购了背景音乐的个人“播放列表”。 外科医生讲话，您的语调感觉一切正常。 根本没有感觉到激光，甚至没有感觉到挤压。 第二只眼睛被遮盖，因此当在手术的眼睛中切入双凸透镜时，会出现白色的护罩，就像在眼前的皱巴巴的咀嚼纸一样。 通过一些缝隙，您可以看到发生了什么。 然后，您会觉得这张纸很平整。 这面纱在这里逐渐离开。

Speech about the stage where you need to separate and remove lenticular. The patient can pan up a little when the vision is “blocked” by gas bubbles formed as a result of cavitational expansion of the tissues after laser operation. We always warn about it several times, and at this stage we always explain to the patient what he should see now. At this operation, we also wrote the sound of the equipment (part of the display goes sound), so we said less.

关于需要分离和去除双凸透镜的阶段的演讲。 当由于激光手术后组织的空化膨胀而形成的气泡“阻碍”视力时，患者会稍微抬起头。 我们总是对其进行多次警告，在此阶段，我们总是向患者解释他现在应该看到的内容。 在此操作中，我们还编写了设备的声音(部分显示变为声音)，因此我们少说了。

Walter said that the first day or two after the operation can not wash my hair, girls are always quite difficult. And, here's another thing: it was strongly tingling from premedication, the first few seconds, and then everything was completely imperceptible, even when you were held on the cornea with a wet sponge. While you are going to the laser, Walter once again goes through a wet swab, it is not felt at all. What did I feel after the operation? After anesthesia, my eyes were watering, Tatyana Yurievna and Walter put on me soft lenses — for comfort. We don’t do this for patients, we just advise you not to read or use the phone-computer for a couple of hours. The lenses were removed after half an hour — it seemed to me that they interfered; without them, it became clearly cool and nothing bothered. The operation ended at 13:07.

How did the vision change? First, somewhere in half the effect — in two hours, and at seven in the evening I already saw the unit. I had been sitting at the monitor for five o'clock and was busy with patients — no one noticed.

沃尔特说，手术后的第一天或第二天不能洗头，女生总是比较困难。 而且，这是另一回事：在开始的几秒钟内，它在用药前就非常刺痛，然后，即使用湿海绵将角膜固定在眼角膜上，一切也完全看不到。 当您要使用激光时，沃尔特再次通过湿棉签，根本感觉不到。 手术后我感觉如何？ 麻醉后，我的眼睛流水了，Tatyana Yurievna和Walter戴上了柔软的镜片，以保持舒适。 我们不对患者这样做，我们只是建议您不要在几个小时内阅读或使用电话计算机。 半小时后取下了镜片–在我看来，它们干涉了； 没有它们，天气变得很酷，什么也没有打扰。 手术于13:07结束。

视野如何改变？ 首先，在一半的时间里-在两个小时内，到晚上七点，我已经看到了该装置。 我已经坐在监视器上五点了，忙着病人-没有人注意到。

The unit is one hundred percent sight. The lenses we used to reduce photophobia after surgery. Although the usual reaction of the eye is a sensation, as if the smoke from the fire tingles.

单位视线百分百。 我们用来减少术后恐惧症的镜片。 尽管通常的眼睛React是一种感觉，但好像来自火的烟雾刺痛。

And before that, the second line was dull, only W and B, with the second eye I did not even see it. Vision was minus 3.25, astigmatism is a unit… Patients often say that the subjects became more voluminous. I rode home on the bus, I looked: no, I still saw the same form, like before. Maybe because my glasses had aspheric lenses. The screen of the house is of the same form, I remember that for sure.

在此之前，第二行很暗淡，只有W和B，而第二只眼睛我什至看不到它。 视力为负3.25，散光是一个单位……患者常说受试者变得更加庞大。 我坐公车回家，看着：不，我仍然看到和以前一样的表格。 可能是因为我的眼镜有非球面镜片。 房子的屏幕是相同的形式，我肯定记得。

That evening, Walter flew off to Marburg, and the next was followed by a postoperative traditional examination. Everything went perfectly.

那天晚上，沃尔特(Walter)飞往马尔堡(Marburg)，第二天进行了术后传统检查。 一切顺利。

What is interesting in this story is how quickly rehabilitation takes place after SMILE. Two hours later, Anya read the 6th line, and by the end of the day she left with 100 percent vision. By the way, for comfort we put on her contact lenses-nulls, and after half an hour they took off — her eyes and appearance were so indistinguishable from the usual state. She even decided to stay until the end of the working day and by evening she used the computer calmly. I must say, this story about the girl Ana from Russia, who made SMILE and almost immediately continued her normal life, Walter now tells colleagues and patients.

这个故事中有趣的是SMILE之后康复的速度有多快。 两个小时后，安雅(Anya)阅读了第六行，到了一天结束时，她以100％的视力离开了。 顺便说一下，为了舒适起见，我们戴上了她的隐形眼镜，并在半小时后脱下了眼镜-她的眼睛和外表与通常的状态很难区分开。 她甚至决定待到工作日结束，直到晚上，她才平静地使用电脑。 我必须说，这个关于俄罗斯姑娘安娜的故事，她制作了SMILE，几乎立即过了正常的生活，Walter现在告诉同事和患者。

This case as a whole is rather a fun illustration for doctors and patients. Well, the video for you, from which it is clear who, how and where it lies, how everything looks, and what the patient feels, otherwise we usually remove the eye itself under a microscope.

整个案例对于医生和患者来说都是一个有趣的例证。 好了，这是为您准备的视频，从中可以清楚地看到谁，如何躺在哪里，一切看起来如何以及患者感觉如何，否则我们通常会在显微镜下摘下眼睛。

A month has passed — Anya has 1.2 vision with each eye, two 1.5. According to the statistics of our clinic, the average visual acuity after 1 month after the correction of SMILE on VisuMax of the 6th generation (300 eyes after SMILE in 5 months) is more than 100%. The average is 1.15. Why it happens and why not every patient happens in the following posts. Later I will tell you how I restored sight to our IT specialist. By the way, she only had -1.0 diopter.

一个月过去了-Anya的每只眼睛的视力为1.2，两只为1.5。 根据我们诊所的统计，第六代VisuMax矫正SMILE后1个月(5个月内SMILE后300眼)的平均视力超过100％。 平均值是1.15。 为什么会发生，为什么不是每个病人都会在以下帖子中发生。 稍后，我将告诉您如何恢复我们的IT专家的视野。 顺便说一句，她只有-1.0屈光度。

翻译自: https://habr.com/en/company/klinika_shilovoy/blog/502952/