Prise en charge de patients hypermétropes presbytes par chirurgie cornéenne de type presbylasik centré

PresbyPRK vs presbyLASIK using the SUPRACOR algorithm and micromonovision in presbyopic hyperopic patients: visual and refractive results at 12 months

“…Similar results were found in the study by Saib et al and Abrieu-Lacaille et al, who used the same ablation protocol associated with micromonovision in the nondominant eye. 11,13 The advantage of micromonovision was also described by Schlote and Heuberger who used it in their series of 39 eyes a target refraction of À0.25 D on the nondominant eye associated using bilateral SUPRACOR; the monocular UDVA was 20/25 or greater in 77% of eyes and monocular UNVA of Jaeger 2 or greater in 87.2% of eyes after a followup period of 1 year. However, in some cases, presbyLASIK is contraindicated, and only presbyPRK in presbyopic hyperopic eyes can be offered to these patients who do not wish to undergo endoocular surgery.…”

“…The effectiveness of the SU-PRACOR algorithm for the treatment of hyperopic presbyopia has already been described in the literature. [8][9][10][11][12][13][14] Ryan and O'Keefe were the first to report their experience with SUPRACOR in 46 eyes of 23 patients who had undergone bilateral presbyLASIK and a follow-up period of 6 months. 8 At the end of the follow-up, the binocular far visual acuity without correction was 0.07 ± 0.12 logMAR with 78% of patients who had binocular UDVA of 20/25 or greater and 48% of patients with UDVA equal to 20/20; 73.9% of patients had binocular UNVA of Jaeger 2 or greater.…”

“…Similar results were found in the study by Saib et al and Abrieu-Lacaille et al, who used the same ablation protocol associated with micromonovision in the nondominant eye. 11,13…”

Presbyopic LASIK using the Supracor algorithm and micromonovision in presbyopic myopic patients: 12-month visual and refractive outcomes

“…Our data are consistent with studies on the Supracor algorithm in hyperopic populations. [20][21][22][23][24][25][26][27] At 12 months postoperatively, Saib et al observed a binocular UDVA of 20/25 or better in 100% of patients and a binocular UNVA of Jaeger 2 or better in 94.7% of patients. 20 Ang et al found that 93% of patients had a binocular UDVA of 20/25 or better, and 85% of patients had a binocular UNVA of Jaeger 2 or better at 6 months after the procedure.…”

“…Studies in hyperopic populations have confirmed the safety profile of Supracor, with relatively rare serious complications and revision surgeries. 20,21,24 In addition, surgical retreatment appeared to be less frequent than that for monovision. 7 Indeed, in a study of 82 eyes treated with monovision LASIK, 28% required revision surgery to improve a nonoptimal result.…”