A new approach of presbyopia over a myopic population: PresbyLASIK using the myopic SUPRACOR Algorithm (preliminary results about 12 eyes)

Abstract

PurposeThe aim of our study was to analyze refractive outcomes and satisfaction after myopic presbyLASIK with induced micro‐monovision (−0.50 D), a new approach of correcting presbyopia among myopic patients.MethodsThis retrospective consecutive cases study included 12 eyes of 9 patients treated for myopia and presbyopia with central presbyLASIK with micro‐monovision using the Technolas 217P excimer laser (Technolas Perfect Vision GmbH, Munich, Germany) between December 2014 and May 2016. Study parameters included uncorrected distance visual acuity (UDVA) and uncorrected near visual acuity (UNVA), iniitial and final sphere and cylinder, abberrometry, central steep zone, and patient satisfaction.ResultsPatients median age was 50.7 ± 4 years (range: 46–54 years), predominantly females at 78%, with a mean preoperative spherical equivalent of −3.38 [−1.25; −5.25]. Mean postoperative spherical equivalent refraction was 0.18 ± 0.47 diopters (D) for dominant eyes and −0.45 ± 0.46 D for dominated eyes. Mean monocular UDVA was 0.09 ± 0.10 logMAR (Snellen 20/24) at 1 month postoperatively. Mean binocular UDVA was −0.06 ± 0.07 logMAR (Snellen 20/18) at last follow‐up visit. Mean binocular UNVA was 0.18 ± 0.14 logMAR (Parinaud 2). At 1 months, 83.3% of patients achieved 20/20 or better and could read Parinaud 2 binocularly, and 91.6% of patients achieved 20/20 and could read Parinaud 3 binocularly. The mean central steep zone was 1.95 ± 1.00 D. There was no need for retreatment (under/over‐correction) but one eye underwent interface washing with corticoids. Patients were satisfied in 92 and 80% were independent of spectacles at all distances.ConclusionsMyopic PresbyLASIK is safe and efficacious with postoperative improvement in binocular vision at far, intermediate, and near distances vision, being an attractive alternative to monovision.