Academic Journal

BCLA CLEAR Presbyopia: Management with corneal techniques

التفاصيل البيبلوغرافية
العنوان: BCLA CLEAR Presbyopia: Management with corneal techniques
المؤلفون: Craig, Jennifer P., Barsam, Allon, Chen, Connie, Chukwuemeka, Obinwanne, Ghorbani-Mojarrad, Neema, Kretz, Florian, Michaud, Langis, Moore, Johnny, Pelosini, Lucia, Turnbull, Andrew M.J., Vincent, Stephen J., Wang, Michael T.M., Ziaei, Mohammed, Wolffsohn, James S.
المصدر: Contact Lens and Anterior Eye
بيانات النشر: Elsevier
سنة النشر: 2024
المجموعة: Queensland University of Technology: QUT ePrints
مصطلحات موضوعية: Conductive keratoplasty, Corneal refractive surgery, Intracorneal inlay, KLEx, LASEK, LASIK, Orthokeratology, PRK
الوصف: Corneal techniques for enhancing near and intermediate vision to correct presbyopia include surgical and contact lens treatment modalities. Broad approaches used independently or in combination include correcting one eye for distant and the other for near or intermediate vision, (termed monovision or mini-monovision depending on the degree of anisometropia) and/or extending the eye's depth of focus [1]. This report reviews the evidence for the treatment profile, safety, and efficacy of the current range of corneal techniques for managing presbyopia. The visual needs and expectations of the patient, their ocular characteristics, and prior history of surgery are critical considerations for patient selection and preoperative evaluation. Contraindications to refractive surgery include unstable refraction, corneal abnormalities, inadequate corneal thickness for the proposed ablation depth, ocular and systemic co-morbidities, uncontrolled mental health issues and unrealistic patient expectations. Laser refractive options for monovision include surface/stromal ablation techniques and keratorefractive lenticule extraction. Alteration of spherical aberration and multifocal ablation profiles are the primary means for increasing ocular depth of focus, using surface and non-surface laser refractive techniques. Corneal inlays use either small aperture optics to increase depth of field or modify the anterior corneal curvature to induce corneal multifocality. In presbyopia correction by conductive keratoplasty, radiofrequency energy is applied to the mid-peripheral corneal stroma, leading to mid-peripheral corneal shrinkage and central corneal steepening. Hyperopic orthokeratology lens fitting can induce spherical aberration and correct some level of presbyopia. Postoperative management, and consideration of potential complications, varies according to technique applied and the time to restore corneal stability, but a minimum of 3 months of follow-up is recommended after corneal refractive procedures. Ongoing follow-up is ...
نوع الوثيقة: article in journal/newspaper
اللغة: unknown
Relation: Craig, Jennifer P., Barsam, Allon, Chen, Connie, Chukwuemeka, Obinwanne, Ghorbani-Mojarrad, Neema, Kretz, Florian, Michaud, Langis, Moore, Johnny, Pelosini, Lucia, Turnbull, Andrew M.J., Vincent, Stephen J., Wang, Michael T.M., Ziaei, Mohammed, & Wolffsohn, James S. (2024) BCLA CLEAR Presbyopia: Management with corneal techniques. Contact Lens and Anterior Eye, 47(4), Article number: 102190.; https://eprints.qut.edu.au/249110/; Centre for Vision and Eye Research; Faculty of Health
الاتاحة: https://eprints.qut.edu.au/249110/
رقم الانضمام: edsbas.C80BD1F6
قاعدة البيانات: BASE