COMMENTARY

Presbyopia Correction: LASIK vs Inlays

The International Society of Presbyopia 5th Conference -- Presbyopia 2013

Roger F. Steinert, MD

Disclosures

October 28, 2013

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Laser Correction

Hi. I'm Dr. Roger Steinert, Chair of Ophthalmology at the University of California, Irvine, and Director of the Gavin Herbert Eye Institute.

I am in Amsterdam, and I have just come back from Presbyopia 2013, an all-day conference that explored virtually every aspect of presbyopia correction. I was involved in a debate-style presentation for which Dr. Robert Ang from the Philippines argued in favor of a LASIK approach to correcting presbyopia,[1] and I was given the assignment of arguing in favor of corneal inlays for the correction of presbyopia.[2]

Dr. Ang's presentation largely centered on the SUPRACOR technique, but he did point out that there were close to 10 variations of using LASIK to create a multifocal cornea with a plus central power. Of course, LASIK is well known, so that is a plus. It does involve tissue removal, but the questions that the audience asked were related to whether there were issues with reversing or at least reducing the amount of correction if the patient was unhappy. Dr. Ang had only had to do that once and it was done successfully, but the audience clearly had some questions in their minds about how reversible it was and what technology would be used to drive the reversal of that plus power in the center, which both topography and wavefront may not be up to the task of doing.

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