From Precision to Patient Satisfaction: Clinical Outcomes with SCHWIND ATOS SmartSight

梁章敏 Chang-Min LiangTaiwan Speaker From Precision to Patient Satisfaction: Clinical Outcomes with SCHWIND ATOS SmartSightThe SCHWIND ATOS femtosecond laser system, incorporating SmartSight technology, represents a new generation of minimally invasive refractive surgery designed to enhance both surgical precision and patient satisfaction. Unlike traditional lenticule extraction platforms, ATOS combines a fast scanning speed with advanced eye-tracking, centration control, and energy modulation algorithms, enabling smoother lenticule interfaces and improved corneal biomechanical preservation. This prospective study evaluated the visual and refractive outcomes of myopia and myopic astigmatism correction performed with the SCHWIND ATOS. A total of 120 eyes from 60 patients were enrolled and followed for 6 months. Postoperative uncorrected distance visual acuity (UDVA) reached 20/20 or better in 94% of eyes, while 98% were within ±0.50 D of the intended correction. Contrast sensitivity and higher-order aberration profiles demonstrated significant improvement compared with preoperative values. No intraoperative complications or visually significant postoperative haze were observed. Beyond optical performance, patient satisfaction was assessed through a standardized questionnaire addressing visual comfort, dryness, and night vision quality. Over 90% of patients reported high satisfaction with visual clarity and minimal postoperative discomfort. In conclusion, SCHWIND ATOS SmartSight achieves predictable refractive outcomes with excellent safety and stability while preserving corneal biomechanics. Its precision, smooth lenticule quality, and optimized patient experience position ATOS as a promising platform in the evolving landscape of lenticule-based refractive surgery.