Johnson & Johnson Vision's ELITA SiLK: how it differs from other lenticule procedures

A second lenticule platform under one roof

SiLK (Smooth Incision Lenticular Keratomileusis) is performed with Johnson & Johnson Vision's ELITA femtosecond laser. Like SMILE, it removes a lenticule through a small incision without creating a flap, but the laser energy profile and lenticule shape differ.

Our centre has both the ZEISS VISUMAX 800 for SMILE Pro and Johnson & Johnson Vision's ELITA SiLK installed, which means the platform can be matched to your measurements rather than to whatever machine is available.

What the evaluation looks at

Corneal tomography, pachymetry, refractive stability, tear film assessment and pupil measurement guide whether a lenticule procedure is appropriate at all, and if so which platform is discussed for your eye.

Recovery pattern

As with other flapless procedures, the corneal surface is minimally disturbed. Most patients resume desk work within a few days, following the drop schedule and activity restrictions advised at discharge.

Where SiLK is not the answer

Thin or irregular corneas, unstable refraction, significant dry eye, keratoconus or suspicious topography, and certain high powers may make a lenticule procedure inadvisable. In those situations surface ablation, an Implantable Collamer Lens (ICL) or refractive lens exchange may be discussed instead.