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      Corneal compensation of presbyopia: PresbyLASIK: an updated review

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          Abstract

          Abstract

          The main purpose of this review is to compare and analyze the results of the main PresbyLASIK approaches; central and peripheral.

          Summary

          A comprehensive research was conducted in PUBMED using keywords like “presbyopia correction”, “PresbyLASIK”, “Corneal multifocality”, “Laser blended vision”. We reviewed the PresbyLASIK technique, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected near visual acuity (UNVA), and corrected near visual acuity (CNVA), and compared the differences between the techniques.

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          Most cited references36

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          The Global Burden of Potential Productivity Loss from Uncorrected Presbyopia.

          The onset of presbyopia in middle adulthood results in potential losses in productivity among otherwise healthy adults if uncorrected or undercorrected. The economic burden could be significant in lower-income countries, where up to 94% of cases may be uncorrected or undercorrected. This study estimates the global burden of potential productivity lost because of uncorrected functional presbyopia.
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            Complications of cataract surgery.

            Modern cataract surgery is safe in more than 95 per cent of patients. In the small number of cases where a serious complication occurs, the most common is an intra-operative posterior capsular rupture. This can lead to vitreous loss or a dropped nucleus and can increase the risk of post-operative cystoid macular oedema or retinal detachment. Post-operatively, posterior capsular opacification is the most common complication and can be readily treated with a YAG capsulotomy. The most devastating complication is endophthalmitis, the rate of which is now significantly decreased through the use of intracameral antibiotics. As a clinician, the most important step is to assess the patient pre-operatively to predict higher risk individuals and to counsel them appropriately. In these patients, various pre- or intra-operative management steps can be taken in addition to routine phacoemulsification to optimise their visual outcome.
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              Developments in the correction of presbyopia II: surgical approaches.

              To discuss the various static and dynamic surgical approaches which attempt to give presbyopes good vision at far, intermediate and near viewing distances.
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                Author and article information

                Contributors
                jlalio@vissum.com
                jlalio@vissum.com
                Journal
                Eye Vis (Lond)
                Eye Vis (Lond)
                Eye and Vision
                BioMed Central (London )
                2326-0254
                13 April 2017
                13 April 2017
                2017
                : 4
                : 11
                Affiliations
                [1 ]GRID grid.419256.d, , Vissum Corporation, ; Edificio Vissum, Calle Cabañal 1, Alicante, Spain
                [2 ]GRID grid.26811.3c, Division of Ophthalmology, , Universidad Miguel Hernández, ; Carretera Alicante-Valencia km 8.7, Alicante, Spain
                Article
                75
                10.1186/s40662-017-0075-9
                5390462
                250db538-a79f-4467-b6ad-e22c166e6a45
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 15 October 2016
                : 28 March 2017
                Categories
                Review
                Custom metadata
                © The Author(s) 2017

                central and peripheral presbylasik,corneal multifocality,presbyopia

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