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      • Record: found
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      Multifocal Corneal Excimer Femtosecond Laser in situ Keratomileusis following Radial Keratotomy: A Case Report with Six Months of Follow-Up

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          Abstract

          We report the case of a 46-year-old female patient who was referred to our clinic (Orasis Eye Clinic, Reinach, Switzerland) seeking improvement of her distance and near visual acuity. Radial keratotomy (RK) was performed at a younger age on both eyes to correct −5 D myopia. The patient underwent a bilateral same-session multifocal corneal excimer femtosecond laser (Supracor) keratomileusis correction. We introduce a new correction approach, possibly suitable for presbyopic patients previously treated with RK, and we present several potential novel advantages such as enhanced near, intermediate vision, and improvement in quality of life. This is the first report of a bilateral excimer laser treatment attempt of presbyopia following RK.

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          Most cited references18

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          Results of the prospective evaluation of radial keratotomy (PERK) study 10 years after surgery.

          Bonnie Waring, Lisa P. McDonnell, M. Lynn (1994)
          To determine the long-term effects and stability of refraction following a standardized technique of radial keratotomy for myopia in the nine-center Prospective Evaluation of Radial Keratotomy (PERK) Study 10 years after surgery. Radial keratotomy using eight centripetal incisions was performed to reduce myopia of -2.00 to -8.75 diopters in 1982 and 1983. A mean of 10 years later, patients underwent a standardized ophthalmic examination similar to previous study examinations. Of 427 patients (793 eyes that underwent radial keratotomy), 374 patients (88%) (693 eyes) returned for the 10-year examination. Of 675 eyes with refractive data, 38% had a refractive error within 0.50 D and 60% within 1.00 D. For 310 first-operated eyes, the mean refractive error was -0.36 D at 6 months and changed in a hyperopic direction to + 0.51 D at 10 years. The average rate of change was +0.21 D/y between 6 months and 2 years and +0.06 D/y between 2 and 10 years. Between 6 months and 10 years, the refractive error of 43% of eyes changed in the hyperopic direction by 1.00 D or more. The hyperopic shift was statistically associated with the diameter of the clear zone. Uncorrected visual acuity was 20/20 or better in 53% of 681 eyes and 20/40 or better in 85%. Loss of spectacle-corrected visual acuity of 2 lines or more on a Snellen chart occurred in 3% of all 793 eyes that underwent surgery. Among 310 patients with bilateral radial keratotomy, 70% reported not wearing spectacles or contact lenses for distance vision at 10 years. The PERK technique of radial keratotomy eliminated distance optical correction in 70% of patients, with a reasonable level of safety. A shift of the refractive error in the hyperopic direction continued during the entire 10 years after surgery.
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            Corneal multifocality with excimer laser for presbyopia correction.

            Jorge Alio, Francisco Amparo, Dolores Carrasco Ortiz … (2009)
            To offer a comprehensive perspective on corneal multifocality created by excimer laser surgery, with the different approaches used for the purpose and its reported outcomes.
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              Corneal approach to hyperopic presbyopia treatment: six-month outcomes of a new multifocal excimer laser in situ keratomileusis procedure.

              Andrea Ryan, Michael O'Keefe (2013)
              To report the safety and efficacy of treatment of hyperopic presbyopia with a new multifocal corneal laser in situ keratomileusis (LASIK) procedure, Supracor.
              Article 0 comments Cited 17 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Case Rep Ophthalmol
                Journal ID (iso-abbrev): Case Rep Ophthalmol
                Journal ID (publisher-id): COP
                Title: Case Reports in Ophthalmology
                Publisher: S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.ch )
                ISSN (Electronic): 1663-2699
                Publication date Collection: Sep-Dec 2014
                Publication date (Electronic): 3 December 2014
                Publication date PMC-release: 3 December 2014
                Volume: 5
                Issue: 3
                Pages: 423-428
                Affiliations
                [1] aSwiss Eye Research Foundation, ORASIS Eye Clinic, Reinach, Switzerland
                [2] bUniversity of Novi Sad, Faculty of Physics, Novi Sad, Serbia
                [3] cMedical Faculty, Military Medical Academy, University of Defense, Belgrade, Serbia
                Author notes
                *Iraklis Vastardis, MD, FEBO, ORASIS Eye Clinic, Titlisstrasse 44, CH-5734 Reinach (Switzerland), E-Mail vastardis.iraklis@ 123456gmail.com
                Article
                Publisher ID: cop-0005-0423
                DOI: 10.1159/000369920
                PMC ID: 4280468
                SO-VID: b74a97cd-08ff-4def-9652-026d29af791c
                Copyright © Copyright © 2014 by S. Karger AG, Basel
                License:

                This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.

                History
                Page count
                Figures: 3, References: 15, Pages: 6
                Categories
                Subject: Published online: December, 2014

                Keywords: radial keratotomy,multifocal corneal excimer femtosecond laser,laser in situ keratomileusis
                Data availability:
                Keywords: radial keratotomy, multifocal corneal excimer femtosecond laser, laser in situ keratomileusis

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