Presbyopia Treatment Seems Possible In Patients With High Hyperopia

We aimed to investigate the improvement in visual acuity after myopic lenticule intrastromal keratoplasty in Hyperopia and Presbyopia patients without any complication by changing the shape of the cornea (Q value)to treat both distance and near visual acuity.

Eye Hospital,Pristina,Kosovo

Patient and Surgical Techniques

A 49-year-old female patient with high hyperopia and presbyopia has been using glasses for both distance and near vision for eight years. 

The right cornea is transparent, CCT,498 μm and UDVA,0.1, CDVA,1.0 with +5.0 diopters and to:13 mm Hg, UNVA, J 8, CNVA, J 2 with +7,0. 

The left cornea is transparent, CCT,495 μm, and UDVA,0,1, CDVA,1.0 with +5.50 diopters,to:14 mmHg, UNVA, J 8, CNVA, J2 with +7.50 diopters. The stromal pocket diameter was 8 mm, 2 mm super incision, and 130-μm cap thickness were prepared with the Smile module, and a -5.50 diopter myopic lens was implanted in the right eye and a -6.0 diopter myopic lens in the left eye.

Results

The patient was followed for one year.No complications in the patient, and 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 8. The patient did not need glasses for distance and near vision after the operation. 

Conclusion: Intrastromal myopic lenticular Keratoplasty is a safe and effective treatment method in patients with high hyperopia and presbyopia. With this method, changing the shape (Q value) of the cornea to treat both distance and near visual acuity.•In the future, many corneal diseases will be treated by changing the shape of the cornea with intrastromal lenticule keratoplasty. 

ClinicalTrials.gov Identifier: NCT04616144