LASIK, corneal inlay provide good vision at all distances in hyperopic presbyopic eyes

Alaa El-Danasoury

ABU DHABI — A combination of femtosecond laser LASIK and an AcuFocus Kamra inlay provides effective, simultaneous correction of hyperopia and presbyopia, according to one surgeon speaking here.

"I tried this combination in 12 patients with a low amount of hyperopia that I addressed with LASIK, and then I implanted the Kamra inlay under the femto-LASIK flap in the nondominant eye," Alaa El-Danasoury, MD, said at the World Ophthalmology Congress.

At 6 months, more than 80% of patients could see 20/20 or better binocularly at distance. At 40 cm, which is the regular distance for reading, 67% could see 20/30 or better with the Kamra eye. Binocularly, 70% were able to see 20/30 or better and 90% were 20/40 or better.

"At 1 year, we had no haze, no corneal melt, no flap complications. I feel confident now that this is a safe procedure," Dr. El-Danasoury said.

The only problem he found was centration. Dr. El-Danasoury thought all of the Kamra inlays would be centered easily, but in two eyes they were within 100 ?m, in eight eyes they were within 100 ?m to 200 ?m, and in two eyes they were significantly decentered. Two patients were unhappy.

"The good thing is that you can always recenter the inlay. After recentration, those two patients were happy from day 1," he said. "We are looking forward to an intraoperative centration device that will make the procedure more reproducible."

Disclosure: Dr. El-Danasoury has no relevant financial disclosures.