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A symmetric hypocorrection of myopia by FemtoLASIK in patients with presbyopia

https://doi.org/10.21516/2072-0076-2018-11-4-43-48

Abstract

Purpose: to evaluate the results of symmetric binocular hypocorrection of myopia with FemtoLasik surgery in patients with presbyopia of various age groups.

Material and methods. 33 patients (66 eyes) with myopic refraction, aged 36 to 50, were operated by FemtoLasik. The intended Femto Flap thickness was 100 μm. The patients were divided into three groups depending on age; group 1 included 16 patients (32 eyes) aged 39–44, group 2 had 12 patients (24 eyes) aged 45–50, and group 3 (controls) was composed of 5 patients (10 eyes) of pre-presbyopic age (36–38 years).

Results. The symmetric binocular hypocorrection proved efficient in 35 % of cases in the group 1 and 50 % of cases in group 2. In the control group the intended and obtained values coincided in all 100 % of cases.

Conclusion. A possible cause of the discrepancy between the intended and the obtained hypocorrection effect may be a reduced corneal hydration of patients older than 39 years.

About the Authors

N. V. Khodzhabekyan
Moscow Helmholtz Research Institute of Eye Diseases
Russian Federation

Cand. Med. Sci., leading researcher, department of refraction pathology, binocular vision and ophthalmoergonomics

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062, Russia



A. T. Khandzhyan
Moscow Helmholtz Research Institute of Eye Diseases
Russian Federation

Cand. Med. Sci., deputy director for commerce

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062, Russia



E. P. Tarutta
Moscow Helmholtz Research Institute of Eye Diseases
Russian Federation

Dr. Med. Sci., Professor, head of the department of refraction pathology, binocular vision and ophthalmoergonomics

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062, Russia



References

1. Frick K.D., Joy S.M., Wilson D.A., Naidoo K.S., Holden B.A. The global burden of potential productivity loss from uncorrected presbyopia. Ophthalmology. 2015; 122 (8): 1706–10. doi: 10.1016/j.ophtha.2015.04.014

2. Charman W.N. Developments in the correction of presbyopia: surgical approaches. Ophthalmic Physiol. Opt. 2014; 34 (4): 397–426. doi: 10.1111/opo.12129

3. Wright K.W., Guemes A., Kapadia M.S., Wilson S.E. Binocular function and patient satisfaction after monovision induced by myopic photorefractive keratectomy. J. Cataract Refract. Surg. 1999; 25 (2): 177–82.

4. Goldberg D.B. Laser in situ keratomileusis monovision. J. Cataract Refract. Surg. 2001; 27: 1449–55.

5. Goldberg D.B. Comparison of myopes and hyperopes after laser in situ keratomileusis monovision. J. Cataract Refract. Surg. 2003; 29: 1695–701.

6. Jain S., Ou R., Azar D.T. Monovision outcomes in presbyopic individuals after refractive surgery. Ophthalmology. 2001; 108 (8): 1430–3.

7. Cheng A.C., Lam D.S. Monovision LASIK for pre-presbyopic and presbyopic patients. J. Refract. Surg. 2005; 21: 411–2.

8. Braun E.H., Lee J., Steinert R.F. Monovision in LASIK. Ophthalmol. 2008; 115 (7): 1196–202. doi: 10.1016/j.ophtha.2007.09.018

9. Garcia-Gonzalez M., Teus M.A., Hernandez-Verdejo J.L. Visual outcomes of LASIK-induced monovision in myopic patients with presbyopia. Am. J. Ophthalmol. 2010; 150: 381–6. doi: 10.1016/j.ajo.2010.03.022

10. Artola A., Patel S., Schimchak P., et al. Evidence for delayed presbyopia after photorefractive keratectomy for myopia. Ophthalmology. 2006; 113 (5): 735–41. doi: 10.1016/j.ophtha.2006.01.054

11. El danasoury A.M., Gamaly T.O., Hantera M. Multizone LASIK with peripheral near zone for correction of presbyopia in myopic and hyperopic eyes: 1-year results. J. Refract. Surg. 2009; 25: 296–305.

12. Uthoff D., Polzl M., Hepper D., Holland D. A new method of cornea modulation with excimer laser for simultaneous correction of presbyopia and ametropia. Graefes Arch. Clin. Exp. Opthalmol. 2012; 250 (11): 1649–61. doi: 10.1007/s00417-012-1948-1

13. Luger M.H., McAlinden C., Buckhurst P.J., et al. Presbyopic LASIK using Hybrid Bi-Aspheric micro-monovision ablation profile for presbyopic corneal treatments. AM. J. Ophthalmol. 2015; 160 (3): 493–505. doi: 10.1016/j.ajo.2015.05.021

14. Baudu P., Penin F., Arba Mosquera S. Uncorrected binocular performance after biaspheric ablation profile for presbiopic corneal treatment using AMARIS with the PresbyMAX Module. Am. J. Opthalmol. 2013; 155: 636–47. doi: 10.1016/j.ajo.2012.10.023

15. Эскина Э.Н., Manjago T., Шкуренко И.В. и др. Опыт выполнения операции PRESBY LASIK на эксимерлазерной установке SHWIND AMARIS. Практическая медицина. 2012; 4: 55–8. Eskina E.N., Manjago T., Shkurenko I.V., et al. PRESBYLASIK treatment experience using SCHWIND AMARIS ecximer laser.

16. Prakticheskaja meditsina. 2012; 4:55–8 (in Russian).

17. Румянцева О.А., Спивак И.А. Изменение морфологической структуры роговицы человека с возрастом. РМЖ. Клиническая Офтальмология. 2004; 4: 158. Rumjantseva O.А., Spivak I.A. Aging change of corneal morphological structure. RMZH. Klinicheskaja oftal’mologija. 2004; 4: 158 (in Russian).

18. Fisher B.T., Masiello K.A., Goldstein M.H., Hahn D.W. Assessment of transient changes in corneal hydration using confocal Raman spectroscopy. Cornea. 2003; 22 (4 May): 363–70.


Review

For citations:


Khodzhabekyan N.V., Khandzhyan A.T., Tarutta E.P. A symmetric hypocorrection of myopia by FemtoLASIK in patients with presbyopia. Russian Ophthalmological Journal. 2018;11(4):43-48. (In Russ.) https://doi.org/10.21516/2072-0076-2018-11-4-43-48

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ISSN 2072-0076 (Print)
ISSN 2587-5760 (Online)