Lenticule Transplantation For Treating Residual Hyperopic Refraction Post-Lasik: 1-Year Follow-Up Results

To assess the long-term clinical outcomes of fresh myopic lenticule transplantation for managing hyperopic residual refraction and presbyopia following LASIK.

Eye Hospital, Prishtina, Kosovo

 

 

 

A retrospective case series was conducted on 64 eyes of 32 post-LASIK patients (age 38–55) with residual hyperopia (+0.75 D to +2.75 D) and astigmatism (+0.75 D to +2.50 D). Fresh donor lenticules (−1.25 D to −3.25 D) exceeded recipient hyperopia by −0.50 D, without cylinders, and were 1 mm larger than the mesopic pupil diameter. The LASIK flap remained intact, and donor lenticules were implanted into a femtosecond laser-created stromal pocket, with transplantation guided by corneal topography.Three-year follow-up included UDVA, CDVA, UNVA (35 cm), CNVA, UIVA (80 cm), slit-lamp biomicroscopy, corneal topography, AS-OCT, and pachymetry.

No intraoperative or postoperative complications were observed throughout the surgical procedures and follow-up period. UDVA significantly improved from 0.67 ± 0.08 LogMAR preoperatively to 0.07 ± 0.05 LogMAR at 36 months (p < 0.001). UNVA improved from J7 to J2 at 40 cm. UIVA improved from J6 to J3 at 80 cm. Q value improved from −0.42 ± 0.06 preoperatively to −0.67 ± 0.06 at 3 years (p < 0.001).

Lenticule transplantation is a safe and reliable technique that increases corneal thickness and improves visual acuity, offering an effective solution for managing hyperopic residual refraction and presbyopia post-LASIK.