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Comparison of two different surgical treatments of presbyopia for hyperopic patients over 55 years old: Presbylasik (Supracor) and Prelex (presbyopic lens exchange)
Author(s) -
MOYAL L,
ABRIEU M,
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.s085.x
Subject(s) - presbyopia , medicine , ophthalmology , visual acuity , ocular dominance , patient satisfaction , stereoscopic acuity , binocular vision , multifocal intraocular lens , refractive error , optometry , surgery , optics , phacoemulsification , psychology , physics , visual cortex , neuroscience
Purpose To compare the efficiency and safety of two surgical treatments of presbyopia, Presbylasik and presbyopic lens exchange (Prelex), and to assess patients’ satisfaction with both procedures. Methods It is a retrospective monocentric clinical trial between 06/2011 and 03/2014 comparing implantation of diffractive multifocal intraocular lenses (Finevision Micro F, PhysIOL) and Supracor (Technolas Perfect Vision, GmbH). Results Forty‐two eyes of 21 patients were treated by 3 physicians, with a mean follow‐up of 3 months. Twenty‐six eyes of 13 hyperopic/presbyopic patients were included for Supracor and 16 eyes of 8 patients for Prelex. Patients were aged over 55. Mean uncorrected binocular distance (DV) and near vision (NV) visual acuity (VA) in the Supracor group were respectively 0,03 (‐0,2 – 0,1) LogMar and 0,23 (0,06 – 0,36) one week post‐operatively and 0,031 (‐0,2 – 0,1) and 0,166 (0,06 – 0,36) 3 months post‐operatively. In the Prelex group, the mean uncorrected one week binocular VA was 0,025 (0 – 0,1) for DV and 0,165 (0,06 – 0,18) for NV and the three months VA was 0 (‐0,1 – 0,1) and 0,105 (0,06 – 0,18) for DV and NV. All Prelex patients were spectacle‐free at all distances, whereas 4 Supracor patients required spectacles for NV post‐operatively. Patients’ satisfaction was high in both groups. Patients reported more halos in the Prelex group (75%). One eye required intraocular lens exchange and 4 eyes (16,7%) required a new corneal procedure in the Supracor group. Conclusion Both surgeries have effective and safe modalities in hyperopic and presbyopic patients. Prelex procedure seems to be more appropriate for patients over 55 yo.