March 2016




Filling a void in the spectrum of options for presbyopia correction


Steven Schallhorn, MD

Steven Schallhorn, MD, refractive editor


Intracorneal inlays are a recent addition to the U.S.-based ophthalmologists toolkit for presbyopia solutions. While available internationally for several years, weve seen a refinement of this technology and advances in available options. Usage reflects the preliminary adoption of this new category: According to the 2015 ASCRS Clinical Survey of members, 7% of international and 4% of U.S. surgeons routinely implant intracorneal inlays. These numbers are expected to grow significantly in the coming years.

As discussed in this months feature articles, there are significant advantages of inlay technology in presbyobes in addition to improving unaided near vision. These include retaining functional distance vision and improving intermediate vision, as well as the ability to remove the inlay if needed. Maintaining functional distance vision in the inlay eye represents an important advantage over traditional monovision, which is commonly used to address presbyopia. Who is the ideal candidate for an intracorneal inlay? There are many factors to consider, such as patient expectations, near vision requirements, a crystalline lens that is not impairing vision, and of course, a healthy ocular surface. There is no one size fits all technology for patients seeking presbyopia correction, and we must adapt to this new category with the same diligence as alternative options that have been available in years past. Another exciting potential use of inlay technology is in pseudophakic patients with monofocal intraocular lenses who desire improved unaided near vision. There is a growing demand for vision improvement in this population. Results from the 2015 ASCRS Clinical Survey show that 31% of all cataract patients are targeted for monovision. These articles discuss not only the new options available, but also key considerations for determining treatment pathways and providing holistic care to ensure the best possible outcomes. Without a doubt, intracorneal inlays will fill a void in the current spectrum of options, and with proper clinical and patient expectation management, will lead to excellent results.

Related articles:

Presbyopia treatment Poll size: 198

Presbyopia: How to treat the near emmetrope by Michelle Dalton EyeWorld Contributing Editor

Monovision revisited by Erin L. Boyle EyeWorld Senior Staff Writer

Corneal approaches to presbyopia: Creating multifocal corneas by Enette Ngoei EyeWorld Contributing Editor

The pioneer spirit: Unmapped presbyopia correction territories by Maxine Lipner Senior EyeWorld Contributing Editor

Optimizing refractive outcomes in presbyopia patients by Enette Ngoei EyeWorld Contributing Editor

Filling a void in the spectrum of options for presbyopia correction Filling a void in the spectrum of options for presbyopia correction
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