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When Lasik and Inlay get married

Poster Details

First Author: I.Delafoy FRANCE

Co Author(s):    B. Cochener              

Abstract Details

Purpose:

Corneal inlays have known a regain of interest in the field of presbyopia correction.Among the 3 current available models,the hydrogel aspherical lenticule works in reshaping the cornea in a profoal profile.It has been demonstrated to be efficient and safe in a monocular implantation on the non dominant eye with a potential independent effect to the age and refraction.Since this inlay is inserted under a flap of 150 microns,the combination to a concurrent lasik appears very attractive.We report one case of this approach in a patient with an early presbyopia and a refraction of +1.25(-1.50)90° and +0.50(-1)90° looking for spectacles independence.

Setting:

University hospital of Brest-France

Methods:

The patient of 47 years old was scheduled for a femtolasik, targeted for emmetropia in the dominant eye (left eye) with a flap of 100 microns and for +0.50D in the non dominant which received the inlay under a flap of 150 microns. The preoperative evaluation eliminated risk factors for ectasia in term of pachymetry, regularity, symmetry and viscoelasticity.

Results:

Satisfaction was reported at already 1 week postop The corneal Inlay is perfectly centered. The uncorrected binocular visual acuity is 20/16 Jaegger 2. In the implanted eye, the uncorrected visual acuity is 20/32 Jaegger 2 and 20/20 Jaegger 4 in the controlateral eye. No glasses are needed in any conditions of life. The patient describes a continuous progress in his visual comfort.

Conclusions:

This case report of concurrent lasik and hydrogel inlay appears very promising and in accord to pilote studies. This combined technique should allow to perform corneal refractive surgery after the age of presbyopia and could be competitive to refractive clear lens exchange with the key interest of its reversibility . Of course, larger study is required to confirm the reproductibility of the procedure as a long term follow up is mandatory to demonstrate corneal biotolerance and stability of outcome.

Financial Disclosure:

NONE

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