Monovision LASIK in emmetropic presbyopic patients

Michelle Y Peng,1 Stephen Hannan,2 David Teenan,2 Steven J Schallhorn,1,3 Julie M Schallhorn1,4 1Department of Ophthalmology, University of California, San Francisco, CA, USA; 2Optical Express, Glasgow, UK; 3Carl Zeiss Meditec, CA, USA; 4F.I. Proctor Foundation, University of California, San Franci...

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Autores principales: Peng MY, Hannan S, Teenan D, Schallhorn SJ, Schallhorn JM
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Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:2acb0ac059944eb8a12ccd03c4ce007d2021-12-02T06:01:45ZMonovision LASIK in emmetropic presbyopic patients1177-5483https://doaj.org/article/2acb0ac059944eb8a12ccd03c4ce007d2018-09-01T00:00:00Zhttps://www.dovepress.com/monovision-lasik-in-emmetropic-presbyopic-patients-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Michelle Y Peng,1 Stephen Hannan,2 David Teenan,2 Steven J Schallhorn,1,3 Julie M Schallhorn1,4 1Department of Ophthalmology, University of California, San Francisco, CA, USA; 2Optical Express, Glasgow, UK; 3Carl Zeiss Meditec, CA, USA; 4F.I. Proctor Foundation, University of California, San Francisco, CA, USA Background: To evaluate the efficacy and patient satisfaction of laser in situ keratomileusis (LASIK) monovision correction in presbyopic emmetropic patients.Methods: A retrospective review of 294 patients who underwent LASIK for monovision was conducted. All patients had preoperative uncorrected distance visual acuity in each eye of 20/25 or better in both eyes and underwent primary LASIK treatment in one eye with a near target; 82 patients underwent surgery in the distant eye for hypermetropia. Patients completed a patient-reported-outcome questionnaire at their one-month postoperative visit. Analysis was performed on a per patient basis with a logistic regression model.Results: Patients achieved a postoperative mean spherical equivalent of -0.05 diopters (D) in the distant eye and -1.92 D in the near eye. Prior to surgery, 64.7% (n=178) of patients reported they were satisfied or very satisfied with their vision; postoperatively, this increased to 85.4% (n=251). The greatest predictor of dissatisfaction after surgery was severe patient-reported visual phenomena (glare, halos, starbursts, ghosting) (odds ratio 1.18, P=0.001).Conclusions: LASIK monovision for presbyopic patients with low refractive error and good preoperative uncorrected distance visual acuity is both safe and effective with high patient satisfaction. Patients who were dissatisfied in the postoperative period tended to be those with postoperative visual symptoms. Keywords: monovision, LASIK, presbyopia, refractive surgeryPeng MYHannan STeenan DSchallhorn SJSchallhorn JMDove Medical PressarticleLASIKmonovisionrefractive surgeryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 1665-1671 (2018)
institution DOAJ
collection DOAJ
language EN
topic LASIK
monovision
refractive surgery
Ophthalmology
RE1-994
spellingShingle LASIK
monovision
refractive surgery
Ophthalmology
RE1-994
Peng MY
Hannan S
Teenan D
Schallhorn SJ
Schallhorn JM
Monovision LASIK in emmetropic presbyopic patients
description Michelle Y Peng,1 Stephen Hannan,2 David Teenan,2 Steven J Schallhorn,1,3 Julie M Schallhorn1,4 1Department of Ophthalmology, University of California, San Francisco, CA, USA; 2Optical Express, Glasgow, UK; 3Carl Zeiss Meditec, CA, USA; 4F.I. Proctor Foundation, University of California, San Francisco, CA, USA Background: To evaluate the efficacy and patient satisfaction of laser in situ keratomileusis (LASIK) monovision correction in presbyopic emmetropic patients.Methods: A retrospective review of 294 patients who underwent LASIK for monovision was conducted. All patients had preoperative uncorrected distance visual acuity in each eye of 20/25 or better in both eyes and underwent primary LASIK treatment in one eye with a near target; 82 patients underwent surgery in the distant eye for hypermetropia. Patients completed a patient-reported-outcome questionnaire at their one-month postoperative visit. Analysis was performed on a per patient basis with a logistic regression model.Results: Patients achieved a postoperative mean spherical equivalent of -0.05 diopters (D) in the distant eye and -1.92 D in the near eye. Prior to surgery, 64.7% (n=178) of patients reported they were satisfied or very satisfied with their vision; postoperatively, this increased to 85.4% (n=251). The greatest predictor of dissatisfaction after surgery was severe patient-reported visual phenomena (glare, halos, starbursts, ghosting) (odds ratio 1.18, P=0.001).Conclusions: LASIK monovision for presbyopic patients with low refractive error and good preoperative uncorrected distance visual acuity is both safe and effective with high patient satisfaction. Patients who were dissatisfied in the postoperative period tended to be those with postoperative visual symptoms. Keywords: monovision, LASIK, presbyopia, refractive surgery
format article
author Peng MY
Hannan S
Teenan D
Schallhorn SJ
Schallhorn JM
author_facet Peng MY
Hannan S
Teenan D
Schallhorn SJ
Schallhorn JM
author_sort Peng MY
title Monovision LASIK in emmetropic presbyopic patients
title_short Monovision LASIK in emmetropic presbyopic patients
title_full Monovision LASIK in emmetropic presbyopic patients
title_fullStr Monovision LASIK in emmetropic presbyopic patients
title_full_unstemmed Monovision LASIK in emmetropic presbyopic patients
title_sort monovision lasik in emmetropic presbyopic patients
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/2acb0ac059944eb8a12ccd03c4ce007d
work_keys_str_mv AT pengmy monovisionlasikinemmetropicpresbyopicpatients
AT hannans monovisionlasikinemmetropicpresbyopicpatients
AT teenand monovisionlasikinemmetropicpresbyopicpatients
AT schallhornsj monovisionlasikinemmetropicpresbyopicpatients
AT schallhornjm monovisionlasikinemmetropicpresbyopicpatients
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