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...
Guardado en:
Autores principales: | , , , , |
---|---|
Formato: | article |
Lenguaje: | EN |
Publicado: |
Dove Medical Press
2018
|
Materias: | |
Acceso en línea: | https://doaj.org/article/2acb0ac059944eb8a12ccd03c4ce007d |
Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
id |
oai:doaj.org-article:2acb0ac059944eb8a12ccd03c4ce007d |
---|---|
record_format |
dspace |
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 |
_version_ |
1718400100567351296 |