
This study aimed to determine risk factors affecting changes in posterior corneal elevation (PCE) and predict the 5‐year stability after small incision lenticule extraction (SMILE). Eyes with thinner corneas, higher myopia requiring greater MLT and lower RBT exhibited greater predispositions towards posterior protrusion. The thresholds for preventing forward posterior corneal displacement were 26.9–28.3% for PAD and 48.9–52.6% for PSBT. Prediction of posterior corneal stability is useful for assessing surgical risks post‐SMILE.
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