Abstract
Purpose To study the safety and efficacy of refractive lens exchange as a refractive surgery modality in the presbyopic population. Setting Oregon Eye Institute, Eugene, Oregon, USA. Methods This retrospective review of patient charts included patient selection, preoperative evaluation, management of astigmatism, surgical technique, postoperative visual outcome, and complications. The study included 68 eyes comprising 32 bilateral and 4 unilateral refractive lens exchanges. Results All patients having bilateral refractive lens exchange achieved an uncorrected binocular visual acuity of 20/40 and J5 or better 1 to 3 months postoperatively. More than 90% achieved an uncorrected binocular visual acuity of 20/30 and J4 and nearly 60%, of 20/25 and J3. Conclusion Refractive lens exchange was a safe and effective refractive surgery modality in presbyopic patients.
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