근시 환자에서 노안교정 비구면 미세단안시 라식 수술의 장기적인 임상 결과

Long-Term Results of LASIK for Presbyopia Correction in Myopic Patients Using Aspheric Micro-Monovision

Purpose: To evaluate the efficacy, safety, and satisfaction of patients who underwent LASIK for presbyopia correction in myopic patients using aspheric micro-monovision.<br /> Methods: LASIK for presbyopic correction using aspheric micro-monovision was performed in 18 patients between December 2010 and December 2011. Distance, intermediate, and near visual acuity, refractive change, and patient’s satisfaction were evaluated for at least 12 months after the surgery.<br /> Results: Among dominant eyes, 100% achieved uncorrected distance and intermediate visual acuity of 0.8 or better and 100% of the eyes achieved 0.8 or better binocularly. In the non-dominant eyes, 83% achieved uncorrected near visual acuity of J3 or better, and 94% of the eyes achieved J3 or better binocularly. Postoperatively, the mean manifest refraction spherical equivalent (MRSE) of the dominant eyes were -0.09 ± 0.35D, -0.17 ± 0.42D, and -0.17 ± 0.47D at 1, 6 and 12 months, respectively. The MRSE of the non-dominant eyes were -0.94 ± 0.53D, -1.03 ± 0.56D, and -1.02 ± 0.50D at postoperative 1, 6, and 12 months, respectively, without significant regression. After surgery, the patient’s overall satisfaction score was good (4.2 out of 5).<br /> Conclusions: The aspheric micro-monovision protocol showed good distance, intermediate, and near visual outcomes, and was a well-tolerated, stable, and effective procedure for treating patients with myopic presbyopia.<br /> J Korean Ophthalmol Soc 2013;54(12):1893-1901