Clinical outcomes of micro-monovision small incision lenticule extraction (SMILE) for the correction of presbyopia and myopia

Session Details

Session Title: LASIK and Imaging

Session Date/Time: Tuesday 10/10/2017 | 14:00-15:20

Paper Time: 15:01

Venue: Room 4.1

First Author: : J.Kim SOUTH KOREA

Co Author(s): :    N. Lee   C. Rho                 

Abstract Details

Purpose:

To evaluate refractive and visual outcomes after micro-monovision small incision lenticule extraction (SMILE) in patients with presbyopia and myopia.

Setting:

1. B & Viit Eye Center, Seoul, Korea 2. Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

Methods:

A total of 72 patients (144 eyes) with a mean age of 46.0 ± 4.9 years (range: 38 to 57 years ) were included. The dominant eye was treated for distance vision and the nondominant eye for near vision by targeting between -0.50 and -1.75 diopters (D). Refractive error, distance visual acuity and near visual acuity were analyzed preoperatively and 6 months postoperatively.

Results:

After 6 months, binocular uncorrected distance visual acuity (UDVA) was better than or equal to 20/20 in 88% of eyes. The mean spherical equivalent (SE) in the distance eye was -0.18 ± 0.37 D, whereas the attempted and achieved SE in the near eye were -0.90 ± 0.44 and -0.99 ± 0.54 D, respectively. Seventy-nine percent and 98 % of eyes were within ±0.50D and ± 1.00D of the intended refraction. Eighty-four percent of patients attained UDVA 0.0 logMAR (20/20) or better and uncorrected near visual acuity J3(20/32) or better.

Conclusions:

Micro-monovision refractive surgery using SMILE provided enhanced functional near vision in presbyopic patients.

Financial Disclosure:

NONE