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Chapter-099 Intrastromal Corneal Implants for the Treatment of Presbyopia

BOOK TITLE: Copeland and Afshari's Principles and Practice of Cornea (2 Volumes)

Author
1. Klyce Stephen D
2. Waring George O
ISBN
9789350901724
DOI
10.5005/jp/books/11777_99
Edition
1/e
Publishing Year
2013
Pages
6
Author Affiliations
1. Mt Sinai School of Medicine, New York, NY, USA, Mount Sinai School of Medicine, Port Washington, New York, USA
2. Storm Eye Institute; Medical University of South Carolina, Charleston, SC; Magill Vision Center, Mt. Pleasant, South Carolina, United States, Medical University of South Carolina; Storm Eye Institute; Magill Vision Center, Charleston, South Carolina, USA, Magill Vision Center, Charleston, South Carolina, USA
Chapter keywords
KAMRA™, Vue+ corneal inlay, ametropia, presbyopia, corneal inlays, femtosecond lasers

Abstract

Presbyopia is a condition where eye loses its ability to accommodate. Corneal surgeries to treat presbyopia, such as presbyopic laser-assisted in situ keratomileusis (LASIK), monovision LASIK or monovision conductive keratoplasty (CK), requires permanent changes in corneal structure and are risky, thus corneal inlays are gaining importance. Corneal inlays are biocompatible and allow adequate molecular flow across the cornea and are removable, repositionable and reversible and hence make attractive treatment option for presbyopic population. This chapter explains different procedures and techniques involved in corneal inlays with representative pictures. Currently, a combined LASIK and KAMRA™ procedure are used to treat correct ametropia and presbyopia. Surgeons are now looking to expand the range of procedures to include implantation in postrefractive patients, including pseudophakic, postlaser vision correction and post-thermal keratoplastic presbyopes.

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