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Combining LASIK and small aperture inlay for the correction of myopic and hyperopic presbyopia

Session Details

Session Title: Refractive

Session Date/Time: Sunday 17/02/2013 | 08:30-11:00

Paper Time: 09:12

Venue: Hall 3

First Author: : A.Bereczki HUNGARY

Co Author(s): :    E. Nagy              

Abstract Details


To evaluate the efficacy of combining a laser vision correction procedure with simultaneous corneal inlay implantation for correction of refractive error and presbyopia.


Gyor, Hungary


Retrospective analysis of a series of 57 consecutive ametropic presbyopic patients treated with LASIK and implantation of a Kamra corneal inlay (AcuFocus). The inlay was implanted monocularly in the non-dominant eye under a femtosecond laser created flap and after a LASIK correction. Target refraction in the inlay eye was -0.75D. The dominant eye, when necessary, was treated with a LASIK correction and targeted for plano. Manifest spherical equivalent refraction (MRSE) and uncorrected (UC) near (N) and distance (D) visual acuities (VA) were assessed at pre-op and out to 3 months.


In this series, 50% of patients were female. Mean age at the pre-operative exam was 50.7 +/- 5.2 years old. Pre-operatively, mean MRSE in the inlay eye was +0.79 D +/- 2.02. At the 3-month follow-up exam mean MRSE was -0.88 D +/- 0.57, respectively. Mean UCDVA at the pre-operative visit was 0.58 +/- 0.37 decimal (20/32). Mean UCDVA in the inlay eye improved 1 line by the 3 month visit to 0.81 decimal +/- 0.24 (20/25). UCNVA improved 3 lines from a pre-operative score of 0.40 decimal +/- 0.20 (J6) to 0.82 decimal +/- 0.19 (J2) at the 3-month post-operative exam.


Implantation of a small aperture inlay in combination with LASIK simultaneously improves near and distance visual acuity for ametropic presbyopic patients.

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