Highlights of Ophthalmology

Register      Login

VOLUME 41 , ISSUE 2ENG ( Apr-2013, 2013 ) > List of Articles

REVIEW ARTICLE

A new Surgical Technique in Treating Presbyopia Associated with Refractive Errors with Simultaneous LASIK and Corneal Inlay Implantation: Three-month results

Waleed Al-Tuwairqi, Mazen M. Sinjab

Citation Information : Al-Tuwairqi W, Sinjab MM. A new Surgical Technique in Treating Presbyopia Associated with Refractive Errors with Simultaneous LASIK and Corneal Inlay Implantation: Three-month results. 2013; 41 (2ENG):11-15.

DOI: 10.5005/hoo-10101-41204

Published Online: 01-10-2020

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Purpose: To introduce a new surgical technique in treating presbyopia associated with refractive errors with simultaneous LASIK and corneal inlay. Methods:The non-dominant eyes of five patients with hyperopia or myopia associated with presbyopia were included in the study. The new surgical technique was performed in a nine-step two-level procedure. Low energy of femtosecond was used in flap and pocket creation. Results:Based on pre-operative and one month post-operative data, significant improvements were noted in uncorrected intermediate visual acuity (UIVA) (0.16 ± 0.09 vs. 0.04 ± 0.05) and uncorrected near visual acuity (NDVA) (0.22 ± 0.11 vs. 0.06 ± 0.05). Pre-operatively, UNVA was J2 in one patient (20%), J4 in three patients (60%) and J6 in one patient (20%). Post-operatively, UNVA was J2 in three patients (60%) and J1 in two patients (40%). All results were similar at 1 month and three months post-operatively. No complications were recorded, none of the inlays were explanted, none of them were necessary to be re-centered intra- or post-operatively


PDF Share
  1. Baumeister M and Kohnen T. Accommodation and presbyopia: part 2: surgical procedures for the correction of presbyopia. Ophthalmology 2008; 105(11):1059-1073
  2. Glasser A. Restoration of accommodation: surgical options for correction of presbyopia. Clin Exp Optom 2008; 91(3):279-295.
  3. Becker KA, Jaksche A and Holz FG. PresbyLASIK; treatment approaches with the excimer laser. Ophthalmology 2006; 103(8):667-672
  4. Telandro AP and Steile J III. Presbyopia: perspective on the reality of pseudo accommodation with LASIK. Ophthalmol Clin North Am 2006; 19(1):45-69, vi
  5. Du TT, Fan VC and Asbell PA. Conductive keratoplasty. Curr Opin Ophthalmol 2007; 18(4):334- 337
  6. Baikoff G, Matach G, Fontaine A, Ferraz C and Spera C. Correction of presbyopia with refractive multifocal phakic intraocular lenses. J Cataract Refract Surg 2004; 30(7):1454-1460
  7. Goldberg DB. Laser in situ keratomileusis monovision. J Cataract Refract Surg 2001; 27(9):1449- 1455
  8. Ehrlich JS and Manche EE. Regression of effect over long-term follow-up of conductive keratoplasty to correct mild to moderate hyperopia. J Cataract Refract Surg 2009; 35(9):1591-1596
  9. Holzer MP, Mannsfeld A, Ehmer A and Auffarth GU. Early outcomes of INTRACOR femtosecond laser treatment for presbyopia. J Refract Surg 2009; 25(10):855-861
  10. Yilmaz OF, Bayraktar S, Agca A, Yilmaz B, McDonald MB and van de Pol C. Intracorneal inlay for the surgical correction of presbyopia. J Corneal Refract Surg 2008; 34(11):1921-1927
  11. Seyeddain O, Riha W, Hohensinn M, Nix G, Dexl AK and Grabner G. Refractive surgical correction of presbyopia with the AcuFocus small aperture corneal inlay: two-year follow-up. J Refract Surg 2010; 26(10):707-715
  12. Dexl AK, Seyeddain O, Riha W, Hohensinn M, Hitzl W and Grabner G. Reading performance after implantation of a small-aperture corneal inlay for the surgical correction of presbyopia: Two-year follow-up. J Cataract Refract Surg 2011; 37(3):525-531
  13. Seyeddain O, Hohensinn M, Riha W, Nix G, Ruckl T, Grabner G, Dexl AK. Small-aperture corneal inlay for the correction of presbyopia: 3-year followup. J Cataract Refract Surg 2012; 38(1):35-45
  14. Seyeddain O, Bachernegg A, Riha W, Ruckl T, Reitsamer H, Gunther G and Dexl AK. Femtosecond laser-assisted small-aperture corneal inlay implantation for corneal compensation of presbyopia: Two-year follow-up. J Cataract Refract Surg 2012; 39(2):234-241
  15. Tomita M, Kanamori T, Waring IV GO, Yukawa S, Yamamoto T, Sekiya K and Tsuru T. Simultaneous corneal inlay implantation and laser in situ keratomileusis for presbyopia in patients with hyperopia, myopia, or emmetropia: Six-month results. J Cataract Refract Surg 2012; 38(3):495-506
  16. Reinstein DZ, Srivannaboon S, Archer TJ, Silverman RH, Sutton H, Coleman DJ. Probability model of the inaccuracy of residual stromal thickness prediction to reduce the risk of ectasia after LASIK. Part I: quantifying individual risk. J Refract Surg 2006; 22(9):851-860
  17. Binder PS, Trattler WB. Evaluation of a risk factor scoring system for corneal ectasia after LASIK in eyes with normal topography. J Refract Surg 2011; 26(4):241-250
  18. Haw WW, Manche EE. Iatrogenic keratectasia after a deep primary keratotomy during laser in situ keratomileusis. Am J Ophthalmol 2001; 132(6):920-921
  19. Spadea L, Palmieri G, Mosca L, Fasciani R, Balestrazzi E. Latrogenic keratectasia following laser in situ keratomileusis. J Refract Surg 2002; 18(4):475-480
  20. Durairaj VD, Balentine J, Kouyoumdjian G, Tooze JA, Young D, Spivack L, Taravella MJ. The predictability of corneal flap thickness and tissue laser ablation in laser in situ keratomileusis. Ophthalmology 2000; 107(12):2140-2143
  21. Flanagan GW, Binder PS. Precision of flap measurements for laser in situ keratomileusis in 4428 eyes. J Refract Surg 2003; 19(2):113-123
  22. Ruth AL, Lynn MJ, Randleman JB, Stulting RD. Blade source effect on laser in situ keratomileusis flap thickness with the Amadeus I microkeratome. J Cataract Refract Surg 2008; 34(3):407-410
  23. Yildirim R, Aras C, Ozdamar A, Bahcecioglu H, Ozkan S. Reproducibility of corneal flap thickness in laser in situ keratomileusis using the Hansatome microkeratome. J Cataract Refract Surg 2000; 26(12):1729-1732
  24. Randleman JB, Hebson CB and Larson PM. Flap thickness in eyes with ectasia after laser in situ keratomileusis. J Cataract Refract Surg 2012; 38(5):752-757
  25. Choe CH, Guss C, Musch DC, Niziol LM, Shtein RM. Incidence of diffuse lamellar keratitis after LASIK with 15 KHz, 30 KHz, and 60 KHz femtosecond laser flap creation. J Cataract Refract Surg. 2010; 36(11):1912-1918
  26. Haft P, Yoo SH, Kymionis GD, Ide T, O'Brien TP, Culbertson WW. Complications of LASIK flaps made by the IntraLase 15- and 30-kHz femtosecond lasers. J Refract Surg. 2009; 25(11):979-984
  27. Binder PS. One thousand consecutive IntraLase laser in situ keratomileusis flaps. J Cataract Refract Surg. 2006; 32(6):962-969
  28. Gil-Cazorla R, Teus MA, de Benito-Llopis L, Fuentes I. Incidence of diffuse lamellar keratitis after laser in situ keratomileusis associated with the IntraLase 15 kHz femtosecond laser and Moria M2 microkeratome. J Cataract Refract Surg. 2008; 34(1):28-31
  29. Moshirfar M, Gardiner JP, Schliesser JA, Espandar L, Feiz V, Mifflin MD, et al. Laser in situ keratomileusis flap complications using mechanical microkeratome versus femtosecond laser: retrospective comparison. J Cataract Refract Surg. 2010; 36(11):1925-1933
  30. Thammano P, Rana AN, Talamo JH. Diffuse lamellar keratitis after laser in situ keratomileusis with the Moria LSK-One and Carriazo-Barraquer microkeratomes. J Cataract Refract Surg. 2003; 29(10):1962-1968
  31. McLeod SD, Tham VM-B, Phan ST, Hwang DG, Rizen M, Abbott RL. Bilateral diffuse lamellar keratitis following bilateral simultaneous versus sequential laser in situ keratomileusis. Br J Ophthalmol. 2003; 87:1086-1087
  32. Hoffman RS, Fine IH, Packer M. Incidence and outcomes of LASIK with diffuse lamellar keratitis treated with topical and oral corticosteroids. J Cataract Refract Surg. 2003; 29:451-456
  33. Johnson JD, Harissi-Dagher M, Pineda R, Yoo S, Azar DT. Diffuse lamellar keratitis: incidence, associations, outcomes, and a new classification system. J Cataract Refract Surg. 2001; 27:1560-1566
  34. Lin RT, Maloney RK. Flap complications associated with lamellar refractive surgery. Am J Ophthalmol. 1999; 127:129-136
  35. Wilson SE, Ambrósio R. Sporadic diffuse lamellar keratitis (DLK) after LASIK. Cornea. 2002; 21:560- 563
  36. Gatinel D, El-Danasoury A, Rajchles S and Saad A. Recentration of small-aperture corneal inlay. J Cataract Refract Surg. 2012; 38:2186-2191
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.