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Satisfaction following combined small-aperture corneal inlay (KAMRA) implantation and laser in situ keratomileusis for presbyopia correction in an Irish population.

Poster Details

First Author: E.Igras IRELAND

Co Author(s):    P. O'Brien   W. Power           

Abstract Details


Although there is increasing data on visual outcomes using small-aperture corneal inlay insertion for presbyopia correction, little is known about patient satisfaction rates. Given this, we measured patient satisfaction outcomes post intracorneal inlay insertion in a sample of Irish presbyopic patients.


Single Eye Laser Clinic in Dublin, Ireland.


A cross-sectional survey of all patients who underwent combined laser in-situ keratomileusis (LASIK) with monocular implantation (non-dominant eye) of a small-aperture corneal inlay between January 2012 and March 2014 was conducted. Patients were asked to explain reasons for choosing the procedure, describe their visual symptoms and rate their pre-operative, intra-operative, and post-operative satisfaction. Patients also rated distance, intermediate, and near vision performance for daily activities on a five-point Likert scale from 1 (‘much-worse’) to 5 (‘much-better’). Patients rated overall satisfaction on a visual analog scale from 0 (completely dissatisfied) to 10 (completely satisfied).


In total,97/146 patients, median 57 years, (+/-7), returned the questionnaire, response-rate 66%. The most common reason for selecting the procedure was the inconvenience of wearing spectacles (87/97,90%). The majority (72/95,76%) heard about the procedure online or through personal recommendation. Most patients reported improvement (‘much-better’) in distance vision tasks like watching a movie (55/96,57%), intermediate tasks including using a phone (73/96,76%), and near vision tasks like reading a book,(78/96,81%). More patients reported that daily activities were significantly ‘much-better’ in bright light than dim light,(p<0.001). In all, 85/97(88%) scored 8-10/10 for overall satisfaction, while 81/96(84%) would recommend the procedure to another.


Combined insertion of a small-aperture inlay with LASIK for presbyopia correction was well tolerated in Irish patients with most expressing satisfaction with their perioperative care and their current near vision for a range of daily activities, such that the majority would recommend it to a friend or family.

Financial Disclosure:


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