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Five-year results of combined small-aperture corneal inlay implantation and LASIK for the treatment of hyperopic presbyopic eyes

Journal of Refractive Surgery Aug 14, 2020

Fattah MA, Mehanna CJ, Antonios R, et al. - Researchers conducted this retrospective single-center study to assess the effectiveness of simultaneous laser in situ keratomileusis (LASIK) and small-aperture corneal inlay (KAMRA; AcuFocus, Inc) implantation in hyperopic presbyopic eyes at 5 years postoperatively. Participants in the study were 24 patients (24 eyes), mean age 53.63 ± 4.11 years and mean preoperative MRSE +1.52 ± 0.64 diopters, with hyperopia and presbyopia who underwent simultaneous LASIK and corneal inlay implantation by two experienced refractive surgeons. Simultaneous implantation of LASIK and KAMRA inlay, assessed for 5 years postoperatively, demonstrates some effectiveness and predictability in improving UDVA and UNVA in hyperopic presbyopic eyes. Late-onset regression with hyperopic shift, possible loss of CDVA, and occasional haze, however, remain challenges.

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