Femtosecond laser in situ keratomileusis versus conductive keratoplasty to obtain monovision in patients with emmetropic presbyopia

Ayoubi, Mohammad Ghassan; Leccisotti, Antonio; Goodall, E. A.; McGilligan, Victoria; Moore, Tara

doi:10.1016/j.jcrs.2009.12.035

Cited by 25 publications

(13 citation statements)

References 26 publications

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“…Correction by monovision with contact lenses has been successful. 1,2 In the past few years, LASIK has been used to achieve monovision, [3][4][5][6][7]27 providing good visual acuity at near and distance without the need for contact lenses or glasses.…”

Section: Discussionmentioning

confidence: 99%

Visual quality after monovision correction by laser in situ keratomileusis in presbyopic patients

Alarcón¹,

Anera²,

Villa³

et al. 2011

Journal of Cataract and Refractive Surgery

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Section: Discussionmentioning

confidence: 99%

Visual quality after monovision correction by laser in situ keratomileusis in presbyopic patients

Alarcón¹,

Anera²,

Villa³

et al. 2011

Journal of Cataract and Refractive Surgery

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“…Another recent corneal approach is the insertion of inlays 6. Conductive keratoplasty was popular procedure for a brief period of time, however, it has seen limited use due to high regression rate in comparison to other techniques 78. Lens extraction with implantation of multifocal, monofocal (monovision) or accommodative intraocular lenses is another method for correction of presbyopia 910.…”

Section: Introductionmentioning

confidence: 99%

“…Various studies evaluated the safety and efficacy of CK 4142. Although satisfactory NUCVA was reported initially, significant regression of refractive and keratometric effects of CK has been observed over short-, mid- and long-term follow up period,784344 limiting the usage of this procedure.…”

Section: Introductionmentioning

confidence: 99%

Current management of presbyopia

Papadopoulos¹,

Papadopoulos²

2014

Middle East Afr J Ophthalmol

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Presbyopia is a physiologic inevitability that causes gradual loss of accommodation during the fifth decade of life. The correction of presbyopia and the restoration of accommodation are considered the final frontier of refractive surgery. Different approaches on the cornea, the crystalline lens and the sclera are being pursued to achieve surgical correction of this disability. There are however, a number of limitations and considerations that have prevented widespread acceptance of surgical correction for presbyopia. The quality of vision, optical and visual distortions, regression of effect, complications such as corneal ectasia and haze, anisometropia after monovision correction, impaired distance vision and the invasive nature of the currently techniques have limited the utilization of presbyopia surgery. The purpose of this paper is to provide an update of current procedures available for presbyopia correction and their limitations.

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“…While this may be due in part to the slow hyperopic drift in refraction that occurs with age which is caused largely by lenticular change, the main cause is regression in the corneal power. The latter occurs with both CK and LTK and there are also doubts about their predictability …”

Section: Static (Passive) Methods: Increasing Binocular Depth‐of‐focusmentioning

confidence: 99%

Developments in the correction of presbyopia II: surgical approaches

Charman

2014

Ophthalmic Physiologic Optic

113

109

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Purpose: To discuss the various static and dynamic surgical approaches which attempt to give presbyopes good vision at far, intermediate and near viewing distances. Content: Static methods broadly adopt the same optical techniques as those used in presbyopic contact lens correction and aim to satisfy the needs of the presbyope by increasing binocular depth-of-focus, often using monovision as well as simultaneous-imagery. Dynamic methods generally attempt to make use of at least some of the still-active elements of the accommodation system. They include procedures which are supposed to modify the relative geometry of the ciliary muscle and lens, or which reduce the stiffness of the presbyopic lens either by replacing it with other natural or man-made material or by subjecting it to femtosecond laser treatment. Alternatively the natural lens may be replaced by some form of intraocular lens which changes power as a result of forces derived from the still-active ciliary muscle, zonule and capsule, or other sources. Conclusions: At present, multifocal intraocular lenses appear to offer the most consistent and reliable surgical approach to surgical presbyopic correction. They have obvious advantages in convenience and stability over optically-similar, simultaneous-image presbyopic contact lenses but this must be balanced against their relative inflexibility in cases of patient dissatisfaction. Dynamic methods remain largely experimental. Although some approaches show promise, as yet no method has demonstrated a reliable, long-term ability to correct distance refractive error and to appropriately change ocular power in response to changes in viewing distance over the normal range of interest.

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Femtosecond laser in situ keratomileusis versus conductive keratoplasty to obtain monovision in patients with emmetropic presbyopia

Abstract: In emmetropic presbyopic cases, femtosecond LASIK monovision provided stable correction with less induced astigmatism and HOA. Eyes with CK monovision had regression and induced astigmatism.

Cited by 25 publications

References 26 publications

Visual quality after monovision correction by laser in situ keratomileusis in presbyopic patients

Visual quality after monovision correction by laser in situ keratomileusis in presbyopic patients

Current management of presbyopia

Developments in the correction of presbyopia II: surgical approaches

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