Monovision Laser in situ Keratomileusis for Pre-presbyopic and Presbyopic Patients

Journal of Refractive Surgery - Tập 20 Số 4 - Trang 325-328 - 2004
Danielle Miranda1, Ronald R. Krueger2
1Department of Refractive Surgery, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
2[Cleveland Clinic Foundation]

Tóm tắt

ABSTRACT PURPOSE: To evaluate the outcome and success of refractive surgery in pre-presbyopic and presbyopic patients with monovision after laser in situ keratomileusis (LASIK). METHODS: We performed a retrospective analysis of 748 eyes of 374 patients over 35 years of age treated in one or both eyes for a monovision outcome using the Alcon LADARVision 4000 laser. Analysis of age at the time of surgery, gender, bilateral versus unilateral treatment, targeted outcome, and patient acceptance are reported. RESULTS: The success rate of monovision patients in this study was 92.5%. Acceptance rate was higher in older patients, although there was no significantly greater acceptance of monovision for any of the variables studied (P values >.26). CONCLUSIONS: Monovision is a valuable option for pre-presbyopic and presbyopic patients considering refractive surgery. [J Refract Surg 2004;20: 325-328]

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Tài liệu tham khảo

1. Jain S Aurora I Azar DT. Success of monovision in presbyopes: review of literature and potential applications to refractive surgery. Surv Ophthalmol 1996;40:491-499.

2. Erickson P McGiIl EC. Role of visual acuity stereoacuity and ocular dominance in monovision patient success. Optom Vis Sci 1992;69:761-764.

3. Kenneth WW Guemes A Kapadia MS Wilson SE. Binocular function and patient satisfaction after monovision induced by myopic phootorefractive keratectomy. J Cataract Refract Surg 1999;25:177-182.

4. Jain S Ou R Azar DT. Monovision outcomes in presbyopic individuals after refractive surgery. Ophthalmology 2001; 108:1430-1433.

5. Moreira H Garbus JG Fasano A Lee M Clapham TN McDonnell PJ. Multifocal corneal topographic changes with excimer laser photorefractive keratectomy. Arch Ophthalmol 1992;110:994-999.

6. Packer M Fine H Hoffman RS. Refractive lens exchange with the array multifocal intraocular lens. J Cataract Refract Surg 2002;28:421-424.

7. Jacobi PC Dietlein TS Luke C Jacobi FK. Multifocal intraocular lens implantation in pre-presbyopic patients with unilateral cataract. Ophthalmology 2002;109:680-686.

8. Jacobi P Dietlein TS Konen W. Multifocal intraocular lens implantation in pediatric cataract surgery. Ophthalmology 2001;108:1375-1380.

9. Cumming JS Slade SG Chayet A. Clinical evaluation of the model AT -45 silicone accommodating intraocular lens. Ophthalmology 2001;108:2005-2010.

10. Parel JM Gelender H Trefers WF Norton EW. Phacoersatz: cataract surgery designed to preserve accommodation. Graefes Arch Clin Exp Ophthalmol. 1986;224:165-173.

11. Koopmans SA TerweeT Barkhof J Haitjema HJ Kooijman AC. Polymer refilling of presbyopic human lenses in vitro restores the ability to undergo accommodative changes. Invest Ophthalmol Vis Sci. 2003;44:250-257.

12. Schachar RA Cudmore DP Black TD et al. Paradoxalical optical power increase of a deformable lens by equatorial stretching. Ann Ophthalmol 1998;30:10-18.

13. Malecaze FJ Gazagne CS Tarroux MC Gorrand J-M. Scleral expansion bands for presbyopia. Ophthalmology 2001;108:2165-2171.

14. Mathews S. Scleral expansion surgery does not restore accommodation in human presbyopia. Ophthalmology 1999;106:873-877.

15. Kaufman PL. Scleral expansion surgery for presbyopia. Ophthalmology 2001;108:2161-2162.

16. Myers RI Krueger RR. Novel approaches to correction of presbyopia with laser modification of the crystalline lens. J Refract Surg. 1998;14:136-139.

17. Krueger RR Sun XK Stroh J Myers R. Experimental increase in accommodative potential after neodymium: Yttrium- Aluminum-Garnet Laser photo disruption of paired cadaver lenses. Ophthalmology 2001;108:2122-2129.

18. Epstein D Vinciguerra P Frueh BE. Correction of presbyopia with the excimer laser. Int Ophthalmol Clin 2001; 41:103-111.

19. Sippel KC Jain S Azar DT. Mono vision achieved with excimer laser refractive surgery. Int Ophthalmol Clin 2001;40:91-101.

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Thông tin xuất bản

Journal of Refractive Surgery

Tập 20 Số 4

325-328

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