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Monocular peripheral PresbyLASIK in amblyopic patients: case series

Poster Details

First Author: S.Garcia SPAIN

Co Author(s):    L. Salva              

Abstract Details

Purpose:

To describe the usefulness and applicability of monocular PresbyLASIK in patients with amblyopia, in order to improve near vision.

Setting:

Oftalmedic - Clínica Salvà Palma de Mallorca, Spain

Methods:

Review of 2 case reports. For surgery, the femtosecond laser VisuMax® (Zeiss) and Hansatome® microkeratome, (Bausch&Lomb) were used for cutting the flap, and the Wavelight®Allegretto Wave® excimer laser (Alcon) was used for ablation.

Results:

In the first case, a 45 year-old female, with severe postraumatic amblyopia (cataract/corectopia) underwent monocular presbyLASIK in the eye with better visual acuity, bringing added value to conventional LASIK. The second patient is a 54 year-old female with a mild anisometropic amblyopia, who had spent years in monovision and with the advancement of presbyopia had decompensated near binocular vision. PresbyLASIK was used to treat the amblyopic eye (hyperopic), which was used by the patient at distance vision. The contralateral eye was not operated because the patient was comfortable at distance monovision and his myopic sphere enhanced the near vision.

Conclusions:

Monocular presbyLASIK is a valid and applicable technique for patients with presbyopia and variable extent amblyopia, when it is sought to correct the spherocylindrical defect and a greater spectacle independence for near vision. The disorder of binocular vision does not exclude the possibility of presbyLASIK in certain cases. Patient selection and management of expectations is essential to achieve patient satisfaction and clinical success.

Financial Disclosure:

NONE

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