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Revista mexicana de oftalmología

On-line version ISSN 2604-1227Print version ISSN 0187-4519

Abstract

TAMEZ-PENA, Alejandro et al. Efficacy, precision and safety of micro-monovision LASIK as a treatment for presbyopia in hyperopic patients. Rev. mex. oftalmol [online]. 2021, vol.95, n.1, pp.15-19.  Epub June 25, 2021. ISSN 2604-1227.  https://doi.org/10.24875/rmo.m20000129.

Purpose:

To evaluate the outcomes of micro-monovision LASIK in hyperopic patients with presbyopia.

Methods:

Retrospective case series that identified hyperopic patients that underwent micro-monovision LASIK in the Visual Science Institute at hospital Zambrano Hellion from November 2018 to May 2019. A Technolas 217c (Bausch and Lomb) excimer laser was used. The target refraction for the dominant eye was plano and for the non-dominant eye, between −0.75 and −1.50. Patients were followed-up for 6 months.

Results:

Sixty eyes of 30 consecutive patients were evaluated. Mean age was 51.63 years (± 4.55). Average refraction in the non-dominant eye was −1.34 ± 0.3. Eighty-seven percent of the patients achieved a 20/20 uncorrected binocular distance visual acuity and 100% achieved 20/40 or better. Ninety-seven percent achieved an uncorrected binocular near visual acuity of J2 or better and 100% of J4 or better. No eyes showed loss of lines with best spectacle-corrected visual acuity. We performed retreatment in one eye (2.9%).

Conclusions:

Micro-monovision LASIK is an effective, precise and safe treatment option for presbyopia in hyperopic patients.

Keywords : Refractive surgery; Hyperopia; LASIK; Monovision; Presbyopia.

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