Post-approval Study of New Enrolment Patients Undergoing Bilateral Treatment With the VisuMax SMILE Procedure

Inclusion Criteria: * Eligible for the approved VisuMax SMILE procedure according to the Professional Use Information, i.e. * Spherical refractive error (in minus cylinder format) from -1.00 D through -10.00 D; * Refraction spherical equivalent not greater in magnitude than 10.00 D; * Minimum age of 22 years; * Documentation of stable manifest refraction over the past year as demonstrated by a change in sphere and cylinder of ≤ 0.50 D in magnitude. * Good candidate for SMILE based on the surgeon's assessment of medical and ophthalmic health, cognitive function, and physical and social limitations * Intended bilateral SMILE treatment for the correction of myopia with astigmatism (-0.75 to -3.00 D) * Both eyes targeted for the full distance manifest spherocylindrical refraction * Fluent English in speaking and reading * Willingness and ability to return for 6-month postoperative examination * Signed informed consent Exclusion Criteria: * Presence of any of the contraindications of the approved SMILE procedure for the reduction or elimination of myopia with astigmatism, i.e. * a residual stromal bed thickness that is less than 250 microns from the corneal endothelium; * abnormal corneal topographic findings, e.g. keratoconus, pellucid marginal degeneration; * ophthalmoscopic signs of progressive or unstable myopia or keratoconus (or keratoconus suspect); * irregular or unstable (distorted/not clear) corneal mires on central keratometry images; * severe dry eye; * active eye infection or inflammation; * recent herpes eye infection or problems resulting from past infection; * active autoimmune disease or connective tissue disease; * uncontrolled diabetes; * uncontrolled glaucoma. * Previous treatment with any form of refractive surgery