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Small aperture inlay for treating emmetropic presbyopes: three year results

Poster Details

First Author: J.Vukich USA

Co Author(s):                  

Abstract Details


To evaluate the safety and efficacy of a small aperture corneal inlay for the treatment of presbyopia.


24 sites (US, Europe, and Asia-Pacific)


Prospective, non-randomized clinical trial of 154 naturally occurring emmetropic presbyopes treated with a small aperture corneal inlay. Patients were between the ages of 45 and 60. Additional inclusion criteria were uncorrected near visual acuity (UCNVA) of worse than 20/40 and better than 20/100 and a best-corrected distance visual acuity (BCDVA) ≥ 20/20 in both eyes, with a spherical equivalent between +0.50 D to -0.75 D. The inlay was implanted monocularly in the non-dominant eye into a femtosecond laser created pocket using laser settings equivalent to or less than of 6X6 spot/line. Visual acuity, refractive stability and satisfaction were evaluated.


Mean UCNVA improved 5 lines from J8 at pre-op to J2 at 3 years post-op. 73% of the patients achieved UCNVA of J3 or better and 53% were J2 or better. Mean uncorrected distance visual acuity was virtually unchanged from 20/18.5 to 20/20. 92% of patients were 20/25 or better at 3-years post-op. Mean MRSE changed from +0.02 ± 0.28D to +0.14 ± 0.72D. 96% were within ± 1.00D of intended target. No patient sustained a loss of 2 or more lines of BCDVA at 3 years. 97% of patients would elect to have this procedure again.


Implantation of a small aperture inlay into a lamellar pocket improves near visual acuity while retaining good distance vision over the long-term. Results are stable and patient satisfaction is high. FINANCIAL INTEREST: One of more of the authors... travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

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