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Comparison of Different Presbyopia Treatments: Refractive Lens Exchange with Multifocal Intraocular Lens Implantation Versus LASIK Monovision

Ante Barišić ; Eye Clinic »Svjetlost«, Zagreb, Croatia
Nikica Gabrić ; Eye Clinic »Svjetlost«, Zagreb, Croatia
Iva Dekaris ; Eye Clinic »Svjetlost«, Zagreb, Croatia
Ivana Romac ; Eye Clinic »Svjetlost«, Zagreb, Croatia
Maja Bohač ; Eye Clinic »Svjetlost«, Zagreb, Croatia
Branka Jurić ; Eye Clinic »Svjetlost«, Zagreb, Croatia


Puni tekst: engleski pdf 181 Kb

str. 95-98

preuzimanja: 820

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Sažetak

There are several methods for presbyopia treatment. Refractive lens exchange (RLE) followed by multifocal intraocular lens (MFIOL) implantation enables high rate of spectacle independance but have some visual disturbances. Laser in Situ Keratomileusis (LASIK) monovision gives patient ability to have good distant vision with dominant eye and good near vision with nondominant eye. In this prospective randomized study we wanted to compare clinical outcomes in patients who underwent either of the mentioned procedures. The first group included 50 patients (N=100 eyes) who underwent RLE with MFIOL implantation and the second group included 50 patients (N=100 eyes) who underwent LASIK monovision as presbyopia treatment. Uncorrected distant, near and intermediate visual acuity, patient’s subjective satisfaction and visual disturbances were measured. Follow up was 6 months. Patients in RLE group had better near uncorrected visual acuity (UCVA) and patients in LASIK monovision group had better distant and intermediate vision. Patients in RLE group reported visual disturbances (halo, glare). Patients satisfaction and spectacle independance was high in both groups. Refractive lens exchange with multifocal intraocular lens implantation and LASIK monovision are effective methods for presbyopia treatment. LASIK monovision with –0.50D – 1.25D of residual dioptry at nondominant eye in patients under 50 years enables good vision at all distances without affecting stereovision. Patient selection and preoperative counseling are key to success.
Abbreviations: RLE – refractive lens exchange, MFIOL – multifocal intraocular lens, LASIK – laser in situ keratomileusis, UCVA – uncorrected visual acuity, IOL – intraocular lens.

Ključne riječi

presbyopia; multifocal lenses; LASIK; monovision

Hrčak ID:

51637

URI

https://hrcak.srce.hr/51637

Datum izdavanja:

20.4.2010.

Posjeta: 1.619 *