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Clinical outcomes in hyperopic presbyopes bilaterally implanted with transparent hydrogel corneal inlays

Poster Details

First Author: E.Barragan MEXICO

Co Author(s):    A. Chayet              

Abstract Details


To evaluate the feasibility of bilaterally implanting hydrogel corneal inlay (Raindrop Near Vision Inlay, ReVision Optics, Inc., Lake Forest, CA, USA) in low hyperopic presbyopes.


Laser Ocular Hidalgo, Monterrey Mexico, CODET Vision Institute, Tijuana Mexico


All inlays were implanted under a femtosecond flap (1/3 CCT) onto the stromal bed, centered on the light constricted pupil. Twenty-three hyperopic (+1.00 to +1.75 D Sph, -0.75 D of cyl or less), presbyopes were implanted with Raindrop in the non-dominant eye, followed for 3 to 6 months, and then implanted with a second inlay in the dominant eye. ETDRS visual acuity, task performances, visual symptoms and patient satisfaction were evaluated. The non-dominant and dominant eyes in the same subject responded similarly to the corneal inlay and therefore results are presented for binocular vision.


Uncorrected binocular visual acuity for near (UNVA) improved from (mean) preop 0.54 logMAR to -0.04 logMAR at 3 months, and remained stable over time (p > 0.05). Intermediate and Distance binocular VA followed similar patterns to near (3 month visit, 0.02 logMAR UIVA, and 0.01 logMAR UDVA), all were stable over the follow-up periods. Photopic and mesopic task performance improved postoperatively at all distances. Mild halos were seen at 3 months in 10% of patients, but disappeared at later visits. At 9 months, all patients were Satisfied or Very Satisfied with the procedure according to self-reported questionnaire.


In low hyperopic presbyopes, bilateral implantation of the Raindrop Near Vision Inlay appears to be an effective alternative to correct presbyopia. It improves near and intermediate vision without compromising distance VA; task performance improves significantly at all distances for both good and dim lighting conditions. FINANCIAL INTEREST: One of more of the authors... receives consulting fees, retainer, or contract payments from a competing company, One of more of the authors... travel has been funded, fully or partially, by a competing company, One of more of the authors... research is funded, fully or partially, by a competing company

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