SMILE Eye Surgery in Northwest Ohio

What Is SMILE Eye Surgery?

SMILE Eye Surgery

ReLEx (Refractive Lenticule Extraction) SMILE (Small Incision Lenticule Extraction) eye surgery is a relatively new development in vision correction procedures. SMILE eye surgery is a solution for patients with some refractive errors and often serves as an alternative to patients who cannot undergo LASIK eye surgery

Only a few laser eye clinics in the United States offer SMILE eye surgery—Toledo LASIK is one of them.

Learn More About ReLEx SMILE

Download Our SMILE Laser Eye Surgery Brochure

SMILE Eye Surgery vs. LASIK: Benefits & Limitations

SMILE Eye Surgery Benefits

SMILE laser eye surgery takes about 15 minutes for both eyes and produces similar results to LASIK, except it’s less invasive. The incision made with SMILE is less than 4 mm. SMILE also uses a single laser (LASIK uses two) and there is no flap created during surgery. You can expect a quick, comfortable recovery period following SMILE eye surgery. And if you enjoy an active lifestyle and are not a candidate for LASIK—SMILE may be your solution. 

SMILE Eye Surgery Limitations

Every surgical procedure has some limitations. Since it is a relatively new procedure, SMILE is approved for myopia and astigmatism. A surgery like LASIK is approved to correct all types of refractive errors. 

LASIK Benefits

LASIK eye surgery has a long history of successfully correcting refractive issues. Surgery only takes about 15 minutes or less to complete, and most patients notice results almost immediately. Most patients also report a quick and comfortable recovery period.

LASIK Limitations

Although over 14 million Americans have undergone LASIK, it’s not a solution for everyone. If you’ve had a recent change to your eye prescription, have thin corneas, or are nursing or pregnant, LASIK may not be right for you. Some eye conditions or diseases like cataracts, glaucoma, or chronic dry eye may exclude you from being a LASIK candidate as well.

Schedule A Free Consultation

Who Is Eligible for SMILE Eye Surgery?

Unfortunately, not all patients can undergo SMILE Eye Surgery. However, through a consultation, our doctors can tell whether or not you are eligible. Here are some of the factors taken into account. 

  • You must be at least 22 years old
  • No recent changes in your eye prescription 
  • You should have healthy eyes and corneas 
  • Your myopia between -1 and  -10 
  • Your astigmatism should be less than 3 diopters 

Is SMILE Laser Eye Surgery Right For Me?

Some patients are not candidates for LASIK eye surgery because of thin corneas, high prescriptions, dry eye, etc. Traditionally, a surgeon would use PRK/ASA surgery for these types of eyes, which is a great procedure, but it takes longer to heal. SMILE vision correction is a good alternative allowing for the safety profile that PRK surgery provides for certain eyes, but with quick healing similar to LASIK.

Schedule A Free Consultation

The SMILE Surgery Procedure

Step 1: Lenticule Creation

Your surgeon will begin by creating a thin lenticule and small incision inside the cornea.

Step 2: Lenticule Extraction

Your surgeon will remove the lenticule through the incision with minimal disruption to the cornea.

Step 3: Impairment Is Corrected

After removing the lenticule, the shape of the cornea changes. The result is refractive correction and clear vision.

What Happens During and After the Procedure?

Your eye is anesthetized with eye drops and a lid speculum is gently positioned to prevent you from accidentally blinking. The whole treatment process is then undertaken using the Zeiss Femtosecond Laser as a single step. The treatment usually takes between 10 and 15 minutes. The actual laser is in operation for only a tiny fraction of this time, and after a quick post-operative check by your surgeon, you are free to go.

The recovery from the procedure is generally quite comfortable (similar to LASIK) and the visual recovery is reasonably quick. You should have hazy but navigational vision after a nap. Most patients will need three days of recovery before driving and using a computer. Visual recovery with this procedure is generally a little slower than LASIK eye surgery, but quicker than with PRK or LASEK.

Is SMILE Right For You? Find Out During Your Free Consultation

The prospect of having clear vision is enough to excite any patient suffering a refractive error. But at Toledo LASIK, we hold ourselves to a high standard when it comes to performing any corrective procedure. We want the best outcome for our patients, which means thoroughly evaluating eyes to ensure we provide the right solution.

Toledo LASIK surgeon Dr. William Wiley is part of an elite group of surgeons who offer SMILE vision correction to their patients. Schedule a consultation to see if it’s the solution you’ve been looking for.

Make an appointment today!

While SMILE is a newer procedure, by no means is it rare. Millions of people around the world have had SMILE performed on their eyes. Toledo LASIK and our doctors are proud to be part of an organization that is in the top three SMILE eye surgery providers in the United States in terms of number of surgeries performed. Below is a chart showing how many SMILE procedures have been performed worldwide.

ZEISS SMILE does 8 million procedures through 2023

*en-INT_34_065_0062II CZ-XII/2022 The contents may differ from the current status of approval of the product or service offering in your country. Please contact our regional representatives for more information. Subject to changes in design and scope of delivery and as a result of ongoing technical development. SMILE is either a trademark or registered trademark of Carl Zeiss Meditec AG or other companies of the ZEISS Group in Germany and/or other countries. © Carl Zeiss Meditec AG, 2022. All rights reserved.

Frequently Asked Questions

Who should consider SMILE Eye Surgery?

SMILE eye surgery is effective on patients with moderate to high levels of nearsightedness and astigmatism who are over the age of 22.

How long does the SMILE eye procedure take?

The procedure takes 15-20 minutes for each eye.

Is the SMILE eye procedure painful?

SMILE eye surgery is not painful. There may be some discomfort during the procedure, akin to light pressure on the eyes, but it is minimal.

When was SMILE approved by the FDA?

SMILE Laser Eye Surgery was approved in September 2016.

What are the benefits of SMILE Eye Surgery?

The procedure is performed using the VisuMax femtosecond laser, which is one of the most precise lasers on the market. The procedure is a huge advance due to its minimal invasiveness and use of just a single laser.

What are the risks or complications of the SMILE procedure?

Complications with the procedure have been reported infrequently, as it is a relatively safe procedure. Risks include epithelial abrasions, small tears at the incision, and loss of suction of the eye during the use of the laser. However, these risks are very small and do not prohibit the vision benefits from taking effect.


Based on 116 reviews
Erin Riley
Erin Riley
September 3, 2023
From the very first consultation appointment, all the way to surgery day, I felt complete confidence in the team at Toledo Lasik. Ray is so friendly, kind, and explained everything on the financial side in detail so I knew exactly what to expect. Dr. Jee performed the SMILE procedure on my eyes, and was also very personable and competent. She really made me feel at ease, and I did not feel nervous at all during the procedure. Not even 24 hours post op, I was seeing 20/20, after 33 years of wearing glasses/lenses at a very high prescription (my eye doctor explained that my vision was previously 20/900!) A week post op, I am seeing 20/15…even my eye doctor is dumbfounded at the results I am experiencing, and kept repeating how “truly remarkable” my results are! I am healing well, and I could not be happier!
Brett Adkins
Brett Adkins
August 14, 2023
This was a very good experience. Everyone was very friendly and helpful and most importantly I broke up with my glasses. I havent experienced any pain or anything and about after 2 days of rest i was ready to function again.
Kirk Mortemore
Kirk Mortemore
July 18, 2023
I was in and out in less than 45 minutes. It is insane thats all it takes to fix eyesight. Less than 10 minutes in the operating room. Feels weird but mostly painless. About 3 minutes for each eye.
April 15, 2023
Did an amazing job. I got the SMILE lasiks procedure. Staff was nice. Dr. Wiley did an exceptional job. My only complaint is that I wish they would have given me a prescription for the one Valium pill BEFORE the day of my surgery so I could take it before I arrived because it definitely did not kick in until the ride home so I was super anxious during the procedure.
Haley Wolfe
Haley Wolfe
December 16, 2022
I am SO happy that I chose Toledo LASIK Center to conduct my surgery. First off, the staff is extremely nice and knowledgeable, they listen to concerns and questions about the surgery while reassuring you throughout the process. Secondly, the surgeon and tech that conducted my surgery were absolutely amazing. I was really nervous initially but they were there explaining the entire process to me and making sure I was okay/comfortable the entire time. From the initial consolation to my post-op check up, I have never once regretted my decision to come here. A special shout-out to Ray for being really kind and understanding, and for reassuring me the day of surgery. He is wonderful and Toledo LASIK Center is lucky to have him.
Slee Biscuit
Slee Biscuit
November 10, 2022
I was once told many years ago because of my significant astigmatism, Lasik was not in the cards. 20 years later I finally had enough of these glasses and having "underwater vision" when off. I consulted with them and was reassured advances in the technique. Going in, of course I was nervous, and the staff was very professional. The procedure took less than 15min. I'm now 3 months post op and have 20/15 vision. Best money I've ever spent. Thank you so much!

Back To Top

Schedule my free consultation
Take Our LASIK Self Test
Take Our LASIK Self-Test
Call Us
We Are A Proud Partner Of
MVP Logo White