June 2013




Presbyopia solutions on the horizon

by Kerry D. Solomon, MD, refractive editor


Kerry Solomon, MD

Kerry D. Solomon, MD, refractive editor


Presbyopia: the final frontier. It's a topic that's of great interest to our patients, to industry and entrepreneurs. It's a topic that's never been hotter, yet the ideal solution (vision at all distances replicating the accommodation of a 20-year-old) continues to elude us. Our current solutions require compromises, which vary depending on the technology and mode of action. In 2013, Baby Boomers have just begun to enter the Medicare population. These folks have disposable income, they lead active lives, and they are into "consumerism"they are actively pursuing technologies that will improve their quality of life. Presbyopic correction at the time of cataract surgery is a prime example of technologies that, with the right patient selection, can improve the quality of patients' lives. Our role, which is becoming more commonplace in daily practice, is to provide enough education to our consumerism-based presbyopes so they can make good decisions about their presbyopic options at the time of cataract surgery.

This issue of EyeWorld focuses on presbyopia, from a domestic and global perspective. We have excellent presbyopia-correcting IOLs in the U.S. Yet, it's always important to have an understanding about what technologies our international colleagues have access to. We have also reviewed a few of the technologies that are still in development. Monovision continues to be an important presbyopic solution. It works quite well in a large percentage of patients, and many people have already adapted to monovision through contact lens wear. Monovision is a viable solution for both LASIK/PRK surgical candidates as well as those people seeking distance and near vision at the time of cataract surgery. In this issue, we are fortunate to have John Hovanesian, MD, Ralph Chu, MD, and Vance Thompson, MD, share pearls on their success with monovision.

Multifocal IOLs continue to be a successful solution for presbyopia worldwide. These technologies provide excellent distance and near vision. We are pleased to provide some insight into patient selection and management of co-morbidities from a global perspective from a group of real experts in the field. John Berdahl, MD, Richard Mackool Sr., MD, and Richard Mackool Jr., MD, and Rick Wolfe, FRACS, share their thoughts and expertise in this incredibly important area. Ocular surface rehabilitation is key for success of any refractive procedure, including presbyopic correction IOLs. In this issue, we have the distinct pleasure of learning from a team of ocular surface disease experts, Gary Foulks, MD, Robert Latkany, MD, Esen K. Akpek, MD, and Alan Carlson, MD. They share what they are currently doing for their patients to rehabilitate the ocular surface. We also learn about technologies not available in the United States from Michael Lawless, MD, David Kent, MD, and Marc E. Wei, MBBS, FRANZCO.

Finally, Louis "Skip" Nichamin, MD, and Eric Donnenfeld, MD, present insight into exciting new technologies on the horizon that show great promise to advance the field of presbyopic correction. Presbyopia has never been hotter, and the future looks incredibly bright for our patients looking for solutions today and tomorrow.

Kerry D. Solomon, MD, refractive editor

Related articles:

New generation of IOLs to correct presbyopia by Louise Gagnon EyeWorld Contributing Writer

Correcting presbyopia with corneal inlays by EyeWorld staff

Presbyopia inlays at the outset: Getting the near view by Maxine Lipner EyeWorld Senior Contributing Writer

PresbyLASIK for presbyopia correction by Matt Young and Gloria D. Gamat EyeWorld Contributing Writers

Options for presbyopia correction by Ellen Stodola EyeWorld Staff Writer

Presbyopia: the final frontier Presbyopia: the final frontier
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