Zusammenfassung
Trotz verschiedener Behandlungsansätze der Presbyopiebehandlung bleibt dieser Teil
der refraktiven Chirurgie eine Herausforderung. Die multifokale Intraokularlinse zeigt
befriedigende physikalische Eigenschaften, allerdings bleibt die postoperative Zielrefraktion
komplex im Sinne einer nicht immer ganz präzisen postoperativen Zielrefraktion mit
Rest- oder induziertem Astigmatismus, unkorrigierter Asphärizität und Aberration.
Als weitere Presbyopieverfahren werden heute die Monovision, korneale Inlays und die
PresbyLASIK angewendet.
Abstract
Today there are different options for correcting presbyopia by corneal laser procedure,
but all of them have their benefits and compromises. The Monovision is a pseudoaccommodation
procedure which works with an anisometropy of up to 2 D. The smaller the anisometropy
is the faster a neuroadaptation will be achieved. There could be a decrease of binocularity.
The monovision is not well supported by all patients, thus it is important to simulate
this correction by contact lenses before surgery. The PresbyLASIK is a corneal multifocal
solution for presbyopia correction for emmetropic, myopic and hyperopic eyes. It is
a true presbyopia procedure where both eyes will be treated for far, intermediate
and near. The disadvantage and compromise is that in some cases there could be a loss
of uncorrected visual acuity. The corneal inlay is a solution for emmetropic, presbyopic
patients who have a strong intention to read without glasses. The disadvantages could
be some side effects as halo, glare, decrease of contrast and far vision. All procedures
are potentially reversible in case the patient does not support the correction. An
enhancement is possible for Monovision and PresbyLASIK.
Schlüsselwörter
korneale Presbyopiebehandlung - Laserbehandlung - Monovision - PresbyLASIK - korneales
Inlay
Key words
corneal PresbyLASIK treatment - excimer laser correction - monovision - PresbyLASIK
- corneal inlays
