Schmelter V, Dirisamer M, Siedlecki J, et al. - In this prospective cross-sectional study involving 197 patients (394 eyes), researchers described the patient-reported long-term quality of vision (QoV) after small-incision lenticule extraction (SMILE) and identified possible clinical parameters that could predispose to worsening visual quality. This investigation was performed at University Eye Hospital, Ludwig-Maximilians-University, Munich, Germany. Data reported that the QoV scores were 34.63 ± 13.69, 29.60 ± 12.38, and 24.56 ± 16.00, respectively, for symptom frequency, severity, and bothersome. After SMILE, the link between objective clinical parameters and patient-reported subjective QoV appears complex. Defined prognostic factors that reflect a higher risk of visual disturbances are evident and should be addressed during preoperative counseling with patients seeking SMILE treatment.