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Correction of ametropic presbyopia with combined LASIK and corneal inlay implantation

Session Details

Session Title: Intracorneal inlays for correction of presbyopia

Session Date/Time: Tuesday 08/10/2013 | 08:00-10:30

Paper Time: 08:36

Venue: Main Lecture Hall (Ground Floor)

First Author: : A.Saad FRANCE

Co Author(s): :    D. Gatinel              

Abstract Details

Purpose:

To evaluate visual performance of ametropic presbyopes after LASIK to treat refractive error and a corneal inlay to address presbyopia

Setting:

11 Sites Worldwide

Methods:

Analysis of a series of 3,896 ametropic presbyopes (-5.0D to +3.0D and ?3.0D of cylinder) between 45-65 years of age. A 200 micron flap was created in the non-dominant eye using a femtosecond laser, and an excimer ablation was performed, targeting a post-operative refraction of -0.75D. A small aperture corneal inlay was then placed on the stromal bed, positioned over the 1st Purkinje image, and the flap was repositioned. The fellow eye was treated with a traditional LASIK procedure, targeting a plano refraction, when necessary. Spherical equivalent refraction (MRSE), uncorrected distance visual acuity (UCDVA), and uncorrected near visual acuity (UCNVA) in the inlay eye were measured at 12 months post-operatively.

Results:

At 12 months post-op, mean MRSE was -1.1D ± 0.9 D. Mean UCDVA in the inlay eye improved from 0.5 ± 0.4 LogMar preoperatively to 0.05 ± 0.15 LogMar, and mean UCNVA was 0.1 ± 0.1 LogMar at 12 months post-op.

Conclusions:

At 1 year, a combination of small aperture inlay implantation and LASIK improves near and distance visual acuities in ametropic presbyopes.

Financial Interest:

... receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented