Comparative analysis of 70 SMILE and 70 toric ICL eyes for myopic oblique astigmatism: a matched cohort study from an initial pool of 11,929 eyes

Both SMILE and toric ICL are effective and safe for correcting myopic oblique astigmatism. However, toric ICL demonstrated slightly greater precision in axis alignment and refractive predictability, supporting its use in cases of high oblique astigmatism where rotational accuracy is critical.