gms | German Medical Science

26th International Congress of German Ophthalmic Surgeons

13. to 15.06.2013, Nürnberg

Controversy: Corneal laser treatment for presbyopia – DISCUSSION

Meeting Abstract

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  • Mike Holzer - Univ.-Augenklinik, IVCRC, Heidelberg
  • Michael C. Knorz - Universität Heidelberg, Klinikum Mannheim GmbH, Augen-Klinik der Stadt Mannheim, Mannheim

26. Internationaler Kongress der Deutschen Ophthalmochirurgen. Nürnberg, 13.-15.06.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. DocH 4.5d

doi: 10.3205/13doc016, urn:nbn:de:0183-13doc0166

Published: October 18, 2013

© 2013 Holzer et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

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Purpose: Besides the traditional monovision corneal ablation technique there are several new methods of corneal laser surgery on the market to correct presbyopia, which already proved their effectiveness in near vision restoration. The purpose of the treatment is to create a multifocal cornea with increased depth of focus and a change of aberrations.

Methods: The different methods with their characteristics, outcomes and side effects will be explained and discussed.

Results: Excimer laser ablation is used in methods like SUPRACOR, PresbyMAX or Blended Vision. A purely intrastromal and minmal invasive femtosecond laser treatment would be INTRACOR.

These techniques provide a significant improvement of near vision. All methods differ slightly in their treatment ranges and outcomes and have limitations and advantages.

Conclusion: There is a great progress in developing and improving new treatment options in the field of corneal laser surgery for presbyopia correction. However, careful patient selection as well as informed consent about pros and cons is very crucial.