ORLANDO, Fla. — Simultaneous treatment of presbyopia and refractive error with LASIK and corneal inlay implantation improved vision, particularly in older patients, according to a large study presented here.
"At 6 months, close to 90% of patients reported being satisfied or highly satisfied with their outcomes," Minoru Tomita, MD, PhD, said at the American Academy of Ophthalmology meeting. "After 6 months, about 95% of patients reported decreased dependence on their glasses."
The study included 2,000 patients who underwent simultaneous LASIK and implantation of the Kamra intracorneal inlay (AcuFocus) between 2009 and 2011. The inlay was implanted in only the non-dominant eye.
Patients were classified into age group by decade: 40s, 50s and 60s.
Study results at 6 months postop showed that mean uncorrected near visual acuity at 30 cm was J2 in the 40s and 50s age group and J3 in the 60s age group.
Patients in their 40s gained three lines of vision, those in their 50s gained four lines, and those in their 60s gained five lines, Dr. Tomita said.
Mean uncorrected distance visual acuity was 20/20 or better in all age groups, he said.
Concurrent centration of the LASIK flap, ablation zone and inlay implantation site was not particularly problematic, Dr. Tomita said in response to a question from an audience member.
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