J Korean Ophthalmol Soc.  2013 Dec;54(12):1893-1901.

Long-Term Results of LASIK for Presbyopia Correction in Myopic Patients Using Aspheric Micro-Monovision

Affiliations
  • 1Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Korea. okeye@hanmir.com
  • 2Naancho Eye Clinic, Daegu, Korea.

Abstract

PURPOSE
To evaluate the efficacy, safety, and satisfaction of patients who underwent LASIK for presbyopia correction in myopic patients using aspheric micro-monovision.
METHODS
LASIK for presbyopic correction using aspheric micro-monovision was performed in 18 patients between December 2010 and December 2011. Distance, intermediate, and near visual acuity, refractive change, and patient's satisfaction were evaluated for at least 12 months after the surgery.
RESULTS
Among dominant eyes, 100% achieved uncorrected distance and intermediate visual acuity of 0.8 or better and 100% of the eyes achieved 0.8 or better binocularly. In the non-dominant eyes, 83% achieved uncorrected near visual acuity of J3 or better, and 94% of the eyes achieved J3 or better binocularly. Postoperatively, the mean manifest refraction spherical equivalent (MRSE) of the dominant eyes were -0.09 +/- 0.35D, -0.17 +/- 0.42D, and -0.17 +/- 0.47D at 1, 6 and 12 months, respectively. The MRSE of the non-dominant eyes were -0.94 +/- 0.53D, -1.03 +/- 0.56D, and -1.02 +/- 0.50D at postoperative 1, 6, and 12 months, respectively, without significant regression. After surgery, the patient's overall satisfaction score was good (4.2 out of 5).
CONCLUSIONS
The aspheric micro-monovision protocol showed good distance, intermediate, and near visual outcomes, and was a well-tolerated, stable, and effective procedure for treating patients with myopic presbyopia.

Keyword

LASIK; Micro-monovision; Myopia; Presbyopia

MeSH Terms

Humans
Keratomileusis, Laser In Situ*
Myopia
Presbyopia*
Visual Acuity

Figure

  • Figure 1. Cumulative histogram for uncorrected distance visual acuity 12 months after treatment.

  • Figure 2. Cumulative histogram for uncorrected near visual acuity 12 months after treatment.

  • Figure 3. Cumulative histogram for uncorrected intermediate visual acuity 12 months after treatment.

  • Figure 4. Histogram showing the accuracy to the intended spherical equivalent refraction 12 months after treatment.

  • Figure 5. Cumulative histogram for the distribution of the de-focus equivalent 12 months after treatment.

  • Figure 6. Perioperative changes in mean spherical equivalent refraction over 12 months after treatment.

  • Figure 7. Patient’s satisfaction after treatment.


Reference

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