
A study explored corneal apex-pupil center distance changes post-SMILE or ICL implantation and their correlation with surgical-induced astigmatism (SIA). Patients (n=112 SMILE, n=110 ICL) were analyzed using a Scheimpflug imaging device. Post-SMILE, chord u magnitude increased significantly, correlating with J0 SIA component. Post-ICL, chord u orientation differed significantly in the right eye, while Y-intercept decreased in both. J0 SIA correlated with chord u change in the right eye, and J45 correlated in the left. The study highlights SMILE's chord u magnitude increase and ICL's Y-intercept decrease, with SIA linked to chord u changes.
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