Presbyopia and surgery

How should optometrists tackle presbyopia solutions with patients, ask Georgina Wintersgill and Kieran Loft MCOptom.

Share options

Surgery to correct ametropia has traditionally been performed in three ways: on the cornea, within the cornea, or in the lens capsule. For presbyopic patients aiming for spectacle independence, there are three main options: (modified) monovision, multifocal (MF) or accommodation-restoring techniques.

Conductive keratoplasty and laser eye surgery are performed on the cornea. Laser eye surgery includes laser-assisted in situ keratomileusis (Lasik), small incision lenticule extraction (SMILE), and surface laser treatments such as laser-assisted subepithelial keratectomy (Lasek) and photorefractive keratectomy (PRK). Using laser to create an ‘MF corneal profile’ is a possible treatment paradigm for presbyopia, sometimes referred to as PresbyLasik. Different versions of this treatment show different levels of success, and long-term outcomes are still being collated (Vargas-Fragoso and Alio, 2017; Gil-Cazorla et al, 2016).

 

Login Required

Not yet a member of the College?

Start enjoying the benefits of College membership today. Take a look at what the College can offer you and view our membership categories and rates.

More on

OK
Loading...
Loading...
Loading...