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Presby-LASIK shows efficacy in hyperopic presbyopic patients

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STOCKHOLM, Sweden — Performing presby-LASIK to treat hyperopic patients results in good near and distant vision, according to a surgeon speaking here at the European Society of Cataract and Refractive Surgeons meeting.

Bruce W. Jackson, MD, and colleagues evaluated the efficacy of the procedure performed on 56 eyes of 28 hyperopic patients. Surgery involved applying bilateral aspheric ablations to treat patients' presbyopia. Surgeons then performed a CustomVue (Advanced Medical Optics) hyperopic treatment with a central presbyopic ablation, creating a central near vision ablation profile, Dr. Jackson said.

The LASIK flaps were created using either the Amadeus microkeratome (AMO) or the IntraLase femtosecond laser (AMO). Patients ranged in age from 45 to 65 years.

At 6 months, 86% of patients had 20/20 binocular distance uncorrected visual acuity, and all patients had 20/40, Dr. Jackson said.

For uncorrected near visual acuity, 90% achieved J1 and all patients achieved J3, which was the target vision.

Also, all patients achieved simultaneous 20/25 distance visual acuity, and about 50% achieved spectacle independence. The remaining patients required some spectacle use at times, such as when using a computer, Dr. Jackson said.

Overall, patients were satisfied with their outcomes, he noted.

"We think this procedure is a good alternative for young presbyopes with low refractive error, especially those who don't want intraocular surgery," he said.