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presbyopia and hyperopia treatment by Presbylasik using a central multifocal excimer laser profile with a micromonovision
Author(s) -
SAIB N,
ABRIEU N,
BERGUIGA M,
RAMBAUD C,
FENOLLAND JR,
BONNEL S,
FROUSSARTMAILLE F,
RIGALSASTOURNE JC
Publication year - 2014
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2014.s020.x
Subject(s) - presbyopia , near vision , keratomileusis , lasik , medicine , ophthalmology , optometry , visual acuity , patient satisfaction , refraction , surgery , optics , physics
Purpose To analyze the efficacity and satisfaction of treatment by hyperopic presbyopia with a new in situ keratomileusis (LASIK) procedure, Supracor( Technolas Perfect Vision). Methods This retrospective study included 58 eyes of 29 patients treated with a new central multifocal presbyLASIK with a micromonovision using the Technolas 217P excimer laser between september 2011 to september 2013. Mean patient age was 55 years (range 47 to 62 years). The mean preoperative spherical equivalent refraction was +1.3D. The main outcome measure were uncorrected distance visual acuity (UDVA) and uncorrected reading ability, aberrometry, the bump and the satisfaction of the patients. Results The mean binocular UDVA was 0.09 logMAR‐/+0.15 for distance vision and 0.22 logMAR+/‐0.11 for near vision the day postoperatively , 0.04 logMAR+/‐0.14 for distance vision and 0.17 logMAR+/‐0.12 for near vision at 1 months , 0.15 logMAR+/‐0.23 and 0.19logMAR+/‐0.18 respectively at 3 months and ‐0.02 logMAR+/‐0.06 and 0.18 logMAR +/‐0.11 respectively at 6 months. The mean bump was 2.56+/‐0.9D. The median total RMS increased from 0.30µm +/‐0.07 preoperatively to 0.46µm+/‐0.14 postoperatively (p<0.01). 3 patients had a retreatment : 2 in the dominant eye to improve the UDVA of distance vision and 1 in the nondominant eye to improve near vision. 86% of patients report an independance of glasses for daily activities using near, intermediate and distance vision. 100% of patients would recommend these procedure to their friends. Conclusion Central Presbylasik with micromonovision provided a high level of independance for near, intermediate and far vision.