Monovision Surgery in Myopic Presbyopes

Levinger, Eliya; Trivizki, Omer; Pokroy, Russell; Levartovsky, Shmuel; Sholohov, Galina; Levinger, Samuel

doi:10.1097/opx.0000000000000002

Cited by 37 publications

(25 citation statements)

References 12 publications

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“… 4 Monovision with LASIK has been shown to be a safe and effective means of treating presbyopia with high patient satisfaction. 5 – 7 …”

Section: Introductionmentioning

confidence: 99%

“…A few studies have been performed regarding the use of LASIK monovision in emmetropes; however, they indicate promising results with regard to effectiveness and patient satisfaction. 3 , 7 – 9 In this study, we assess the visual and patient-reported outcomes of emmetropic patients who underwent LASIK specifically for monovision to treat presbyopia.…”

Section: Introductionmentioning

confidence: 99%

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Monovision LASIK in emmetropic presbyopic patients

Peng

Hannan²,

Teenan³

et al. 2018

OPTH

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BackgroundTo evaluate the efficacy and patient satisfaction of laser in situ keratomileusis (LASIK) monovision correction in presbyopic emmetropic patients.MethodsA retrospective review of 294 patients who underwent LASIK for monovision was conducted. All patients had preoperative uncorrected distance visual acuity in each eye of 20/25 or better in both eyes and underwent primary LASIK treatment in one eye with a near target; 82 patients underwent surgery in the distant eye for hypermetropia. Patients completed a patient-reported-outcome questionnaire at their one-month postoperative visit. Analysis was performed on a per patient basis with a logistic regression model.ResultsPatients achieved a postoperative mean spherical equivalent of −0.05 diopters (D) in the distant eye and −1.92 D in the near eye. Prior to surgery, 64.7% (n=178) of patients reported they were satisfied or very satisfied with their vision; postoperatively, this increased to 85.4% (n=251). The greatest predictor of dissatisfaction after surgery was severe patient-reported visual phenomena (glare, halos, starbursts, ghosting) (odds ratio 1.18, P=0.001).ConclusionsLASIK monovision for presbyopic patients with low refractive error and good preoperative uncorrected distance visual acuity is both safe and effective with high patient satisfaction. Patients who were dissatisfied in the postoperative period tended to be those with postoperative visual symptoms.

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“… 4 Monovision with LASIK has been shown to be a safe and effective means of treating presbyopia with high patient satisfaction. 5 – 7 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Monovision LASIK in emmetropic presbyopic patients

Peng

Hannan²,

Teenan³

et al. 2018

OPTH

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“…Larger clinical trials are mandatory to confirm the long-term safety and effectiveness of trifocals and extended depth of focus IOLs. [ 5 45 46 47 ]…”

Section: Discussionmentioning

confidence: 99%

“…Induction of monovision using laser vision correction (LVC) is the simplest approach to laser presbyopia correction; it has a 90% success rate, although there are disadvantages, including reduced visual acuity in darkness, loss of contrast sensitivity, reduction of stereopsis, and intermediate vision reduction. [ 4 5 ]…”

Section: Corneal Presbyopia Surgerymentioning

confidence: 99%

Review of static approaches to surgical correction of presbyopia

Mehrjerdi

Mohebbi

Zandian

2017

J Ophthalmic Vis Res

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Presbyopia is the primary cause of reduction in the quality of life of people in their 40s, due to dependence on spectacles. Therefore, presbyopia correction has become an evolving and rapidly progressive field in refractive surgery. There are two primary options for presbyopia correction: the dynamic approach uses the residual accommodative capacity of the eye, and the static approach attempts to enhance the depth of focus of the optical system. The dynamic approach attempts to reverse suspected pathophysiologic changes. Dynamic approaches such as accommodative intraocular lenses (IOLs), scleral expansion techniques, refilling, and photodisruption of the crystalline lens have attracted less clinical interest due to inconsistent results and the complexity of the techniques. We have reviewed the most popular static techniques in presbyopia surgery, including multifocal IOLs, PresbyLASIK, and corneal inlays, but we should emphasize that these techniques are very different from the physiologic status of an untouched eye. A systematic PubMed search for the keywords “presbylasik”, “multifocal IOL”, and “presbyopic corneal inlay” revealed 634 articles; 124 were controlled clinical trials, 95 were published in the previous 10 years, and 78 were English with available full text. We reviewed the abstracts and rejected the unrelated articles; other references were included as needed. This narrative review compares different treatments according to available information on the optical basis of each treatment modality, including the clinical outcomes such as near, intermediate, and far visual acuity, spectacles independence, quality of vision, and dysphotopic phenomena.

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“… 1 – 3 Change in stereoacuity has previously been investigated for treatments of presbyopia, such as monovision laser in situ keratomileusis (LASIK) and monovision contact lenses. 4 , 5 However, in this work, we compare the stereoacuity of patients before and after KAMRA inlay implantation.…”

Section: Introductionmentioning

confidence: 99%

Stereoacuity after small aperture corneal inlay implantation

Linn¹,

Skanchy²,

Quist³

et al. 2017

OPTH

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PurposeThe aim of this study was to compare stereoacuity before and after KAMRA corneal inlay implantation for the correction of presbyopia.Patients and methodsThis is a prospective study of 60 patients who underwent KAMRA inlay implantation. Patients were examined before and 6 months after surgery for stereoacuity, uncorrected distance visual acuity (UDVA), and uncorrected near visual acuity (UNVA).ResultsThe mean stereoacuity before surgery was 29.5±28.1 arcsec (range: 20–200) and at 6 months was 29.8±26.4 arcsec (range: 20–200). The decline in stereoacuity was not statistically significant. At 6 months follow-up, UDVA was 20/25 or better in all 60 patients and UNVA was J2 (20/25) or better in 51 (85%) patients.ConclusionThere is no significant change in stereoacuity following KAMRA inlay implantation. The KAMRA inlay is a good treatment option for improving near vision in presbyopic patients while preserving stereoacuity and distance vision.

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Monovision Surgery in Myopic Presbyopes

Abstract: Monovision excimer laser correction provides both effective and satisfactory results and should be considered as an option for individuals with myopic presbyopia suitable for, and interested in, refractive surgery.

Cited by 37 publications

References 12 publications

Monovision LASIK in emmetropic presbyopic patients

Monovision LASIK in emmetropic presbyopic patients

Review of static approaches to surgical correction of presbyopia

Stereoacuity after small aperture corneal inlay implantation

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