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Six month results of a clinical evaluation of pseudophakic presbyopes treated with a presbyopic LASIK algorithm

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Session Details

Session Title: Presented Poster Session 09: Keratorefractive Surgery Outcomes - Presbyopia

Session Date/Time: Sunday 14/09/2014 | 09:30-11:00

Paper Time: 10:15

Venue: Pod 3 (Poster Village)

First Author: : R.Ang PHILIPPINES

Co Author(s): :                  

Abstract Details


A prospective clinical study to evaluate the safety and efficacy of the Supracor presbyopic LASIK algorithm in pseudophakic patients implanted with monofocal intraocular lenses.


Asian Eye Institute, Philippines


In this single centre, prospective study, 30 pseudophakic patients implanted with monofocal IOLs underwent a unilateral LASIK procedure for the treatment of presbyopia (Supracor, Bausch + Lomb Technolas). Following 120┬Ám microkeratome flap creation, all Supracor procedures were performed with the Technolas 217P Excimer laser. All patients were 45 years and over, had a refractive error between -2.0D and +2.0D, cylinder up to 2.0D and best corrected distance visual acuity of at least 20/25. Safety, efficacy, uncorrected distance, intermediate and near visual acuity (UDVA, UIVA, UNVA), best correct distance visual acuity (BSCVA), patient questionnaire and retreatment rates over a 6 month follow-up period were assessed. Target refraction was -0.5D.


Mean patient age was 68.7 years. Pre-operative mean refractive spherical equivalent (MRSE) was 0.28D and cylinder was -0.85D. At 6 months follow-up, MRSE was -0.54D and cylinder was -0.71D. Monocular UDVA remained stable at 6 months post-op with 66% at 20/25 compared to 63% at 20/25 pre-operatively. Binocular UDVA improved from 77% at 20/20 pre-operatively to 97% at 6 months post-op. Monocular and binocular UIVA improved with 59% at 20/20 binocular UIVA at 6 months post-op versus 33% pre-operatively. Likewise, improvements in UNVA were observed, with 48% at binocular UNVA of 20/20 compared with 7% pre-operatively. Patients lost an average of -0.22 lines of monocular CDVA and 1 patient received YAG treatment during the follow-up period. 96.6% patients report being able to read the menu and 93.1% can read text messages without glasses. 79.3% report improved night vision, 17.2% report it as being the same and 3.4% consider it to be worse at 6 months post-op. Only one patient required a retreatment procedure, which was successfully performed.


The 6 months data indicates the Supracor LASIK algorithm is safe and effective in pseudophakic patients implanted with a monofocal IOL. Uncorrected near and intermediate vision are improved, whilst maintaining or improving uncorrected distance vision. The procedure also allows the possibility for a retreatment.

Financial Interest:

One or more of the authors... receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, One or more of the authors... travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, One or more of the authors... research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

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