SMILE MODULE FOR THE TREATMENT OF HYPEROPIC REFRACTIVE AND PRESBYOPIA

To show that both hyperopia and presbyopia can be treated by implanting the intrastromal myopic lenticule with the Smile Module in a patient with hyperopia.

Eye Hospital,pristina,Kosovo

After the age of 40, hyperopia patients need near eyeglasses when using a computer, the phone, and reading a book.  A 48-year-old male patient with hyperopia has been using glasses for both distance and near vision for eight years. The right cornea is transparent, CCT,502 μm and UDVA,0.1, CDVA,1.0 with +2,0 diopters and to:14 mm Hg, UNVA, J 7, CNVA, J 2 with +3,75. The left cornea is transparent, CCT,512 μm, and UDVA,0.2, CDVA,1.0 with +1,75 diopters,to:16 mmHg, UNVA, J7, CNVA, J2 with +3,50 diopters. A 2mm incision in the right cornea, an intrastromal pocket of 7.60 mm in diameter was prepared with the Smile Module and a -2.0 myopic fresh lenticule was implanted. A 2mm incision and 7.60 intrastromal pockets were prepared in the left cornea and a -1.75 myopic lenticule was implanted. The patient was followed for one year.

Postop one year, the cornea was transparent, right and left UDVA,1.0.Right and left UNVA had an increase in J 2 one year after preop J 7.The patient did not need glasses for distance and near vision after the operation.