Surgical treatment of presbyopia with central presbyopic keratomileusis: One-year results.

Abstract

PURPOSE:

To assess the effectiveness, refractive outcomes, and quality of vision of central presbyopic laser in situ keratomileusis (LASIK) performed with the Custom Q algorithm (Wavelight EX500).

SETTING:

Ophthalmology Department, Hôpital de la Timone, Marseille, France.

DESIGN:

Prospective cohort study.

METHODS:

This study was performed between February 2013 and January 2015. Patients with hyperopia were treated with central presbyopic LASIK. Distance, near, and intermediate visual acuities; objective and subjective refractions; Q factor; keratometry (K); corneal aberrations, and a quality-of-vision questionnaire were evaluated preoperatively and postoperatively. The dominant eye was treated with standard LASIK for distance vision and the nondominant eye for near vision using a Q factor modulation.

RESULTS:

The study comprised 138 eyes of 28 men and 41 women. The median age was 53.84 years ± 4.2 (SD). One year after surgery, the mean binocular uncorrected distance visual acuity was -0.04 ± 0.05 logMAR (20/20), the mean binocular uncorrected near visual acuity was 0.10 ± 0.08 logMAR (Jaeger 2), and the mean binocular uncorrected intermediate visual acuity was -0.13 ± 0.14 logMAR (20/20). The mean K in nondominant eyes was statistically higher than the mean K in dominant eyes (43.93 ± 1.77 diopters [D] versus 45.85 ± 1.47 D) (P = .002). More than 95% of patients were satisfied 3 months after surgery, and at 6 months, 100% said they would recommend the surgery.

CONCLUSION:

Central presbyopic LASIK with corneal asphericity modulation using the monovision correction algorithm was effective and safe for presbyopia treatment.

FINANCIAL DISCLOSURE:

None of the authors has a financial or proprietary interest in any material or method mentioned.

• Authors: Gaëlle Ho Wang Yin, Colm McAlinden, Emmanuelle Pieri, Claire Giulardi, Guillaume Holweck, Louis Hoffart
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 42 Issue 10 Pg. 1415-1423 (10 2016) ISSN: 1873-4502 [Electronic] United States
• PMID: 27839595 (Publication Type: Journal Article)
• Copyright: Copyright © 2016 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Topics

• Female
• France
• Humans
• Keratomileusis, Laser In Situ
• Lasers, Excimer
• Male
• Middle Aged
• Presbyopia (surgery)
• Prospective Studies
• Treatment Outcome