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Session Title: Presbyopia Correction
Session Date/Time: Monday 07/10/2013 | 16:30-18:15
Paper Time: 17:36
Venue: Emerald (First Floor)
First Author: : S.Goker TURKEY
Co Author(s): : B. Ayoglu B. Toksu M. Saylik
The SUPRACOR presbyopic LASIK algorithm has been specifically developed for presbyopia correction in eyes with or without astigmatism. The treatment algorithm is designed to provide a varifocal ablation with a center near addition, thereby allowing good focus over a range of object distances. This study evaluated the safety and efficacy of the treatment in myopic eyes
Istanbul Surgery Hospital, Turkey
Seventeen myopic patients between 40 and 55 years old were treated bilaterally with the SUPRACOR presbyopic algorithm using the Technolas 217P excimer laser (Bausch + Lomb Technolas)and followed up to 6 months. All surgeries were performed with a post-operative target of 0 to -0.50 Dpt for the sphere, with both eyes having the same target or with the non-dominant eye being more negatively targeted.
The mean patient age was 45.4 years. Mean MRSE decreased from -3.36 Dpt pre-operatively to -0.22 Dpt at 1 month, -0.41 Dpt at 3 months and -0.24 Dpt at 6 months after the surgery. The mean sphere decreased from -2.92 Dpt pre-operatively to -0.01 Dpt at 1 month, -0.25 Dpt at 3 months and -0.03 Dpt at 6 months posteroperatively. The mean cylinder was -0.89 Dpt pre-operatively, -0.42 Dpt at 1 month, -0.31 Dpt at 3 months and -0.39 Dpt at 6 months after the surgery. Binocular uncorrected distance visual acuity (UDVA) increased significantly after the surgery, with binocularly 100% of the patients seeing 0.8 postoperatively compared with only 6% at 0.63 pre-operatively. Binocular uncorrected near visual acuity (UNVA) remained stable or increased post-operatively with 75% of the patients reaching 0.8or better . In addition, a marked improvement in binocular uncorrected intermediate visual acuity (UIVA) was recorded with 100% of the patients achieving 0.8 post-operatively. Regarding the safety of the treatment, no patient lost 2 or more lines of BCDVA after the surgery. Both distance corrected VA for near and intermediate vision increased postoperatively.
T he SUPRACOR presbyopic LASIK algorithm is a safe and effective method of correcting vision in myopic eyes and enables binovision through the varifocal ablation with the center near addition.
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