Recommendation of presbyopic surgery?

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Recommendation of presbyopic surgery?

Postby estubbee » Tue Aug 14, 2007 7:01 pm

I am considering a couple different types of presbyopic surgery's and wanted an opinion on the following types:

* Monovision LASIK
* Monovision and Conductive Keratoplasty
* Laser Thermal Keratoplasty
* Surgical Reversal of Presbyopia
* Laser Presbyopia Reversal
* Artificial Lenses
* Multifocal LASIK
* Corneal Inlays

Anyone have a recommendation or pricing on the above?

Thanks!
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Re: Recommendation of presbyopic surgery?

Postby LasikExpert » Fri Aug 24, 2007 6:55 pm

estubbee wrote:* Monovision LASIK


Try monovision with contacts first. If tolerant and target is reached, this is a reasonable long-term method for the right patient. See our Lasik monovision article.

estubbee wrote:* Monovision and Conductive Keratoplasty


Try contacts first. There are reports that vision near and distant is good with NearVision CK, however that kind of effect is not exactly predictable. CK regresses at about 0.35 diopters per year.

estubbee wrote:* Laser Thermal Keratoplasty


For the most part, no longer exists.

estubbee wrote:* Surgical Reversal of Presbyopia


If you mean SRP implants, this technique had some interesting results, but is generally not considered reliable and predictable.

estubbee wrote:* Laser Presbyopia Reversal


This is a scleral relaxation incision technique. Based on the same theory as SRP. Just about as reliable and predictable, but less invasive.

estubbee wrote:* Artificial Lenses


I assume you mean Refractive Lens Exchange (RLE) with a multifocal intraocular lens (IOL) or an accommodating Crystalens IOL. All have their advantages and drawbacks. The most reported problem with multifocals is halos. Crystalens seems fine when it works, but does not always work.

estubbee wrote:* Multifocal LASIK


Not available, but in trials. Serious concerns with halos. Pretty much cannot be removed without very invasive surgery.

estubbee wrote:* Corneal Inlays


Not available, but in trials. Serious concerns with halos.
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