Evaluation of the Outcome of Refractive Error Treatment in Elderly Patients Using the PresbyMAX Method at Sai Gon Can Tho Eye Hospital
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Abstract
Purpose: To evaluate the safety, efficacy, and patient satisfaction following PresbyMAX surgery for presbyopia correction.
Methods: A case series study was conducted in a private clinical setting on 25 presbyopic patients (72% females, 28% males; average age: 40.72 ± 3.14 years). The dominant eye underwent standard LASIK for distance correction, while the non-dominant eye received a central PresbyMAX monocular correction. Binocular uncorrected distance visual acuity (BUDVA), near visual acuity (BUNVA), and intermediate visual acuity (BUIVA) were assessed at intervals of 1 week, 1 month, and 3 months post-surgery.
Results: Preoperative spherical equivalent was -3.27 ± 1.16, with an average preoperative visual acuity of 1 ± 0.02. At 1 month postoperatively, mean BUDVA was 0.11 ± 0.09, and BUNVA was 1.96 ± 0.35. BUDVA was at or better than 20/25 and 20/32 in all patients (64% and 96%, respectively). Near vision at J2 or better was achieved by 96% of patients. Post-surgery, 92% expressed satisfaction, although 8% reported mild symptoms such as blurred vision and glare.
Conclusion: The PresbyMAX monocular correction in combination with standard LASIK in the fellow eye offers a safe and effective solution for elderly patients with presbyopia, yielding high patient satisfaction.
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References
2. Bourne, R., Steinmetz, J. D., Flaxman, S., Briant, P. S., Taylor, H. R., Resnikoff, S., ... & Tareque, M. I. (2021). Trends in prevalence of blindness and distance and near vision impairment over 30 years: an analysis for the Global Burden of Disease Study. The Lancet global health, 9(2), e130-e143.
3. He, M., Abdou, A., Ellwein, L. B., Naidoo, K. S., Sapkota, Y. D., Thulasiraj, R. D., ... & Congdon, N. G. (2014). Age-related prevalence and met need for correctable and uncorrectable near vision impairment in a multi-country study. Ophthalmology, 121(1), 417-422.
4. Mai, E. L., Lin, C. C., Lian, I., Liao, R., Chen, M., & Chang, C. (2019). Population-based study on the epidemiology of dry eye disease and its association with presbyopia and other risk factors. International Ophthalmology, 39, 2731-2739.
5. Kaido, M., Kawashima, M., Shigeno, Y., Yamada, Y., & Tsubota, K. (2017). Relation of accommodative microfluctuation with dry eye symptoms in short tear break-up time dry eye. PLoS One, 12(9), e0184296.
6. Ayaki, M., & Negishi, K. (2022). Short tear breakup time could exacerbate the progression of presbyopia in women. BioMed Research International, 2022(1), 8159669.
7. Srinivasan, R., Paramasivan, G., Sharma, A., Surya, J., Sharma, T., & Raman, R. (2021). Prevalence, risk factors and association with glycemic levels of presbyopia in South Indian population. Indian Journal of Ophthalmology, 69(11), 3173-3178.
8. Andualem, H. B., Assefa, N. L., Weldemichael, D. Z., & Tefera, T. K. (2017). Prevalence and associated factors of presbyopia among school teachers in Gondar city, Northwest Ethiopia, 2016. Clinical optometry, 85-90.
9. Yildirim, Y., Olcucu, O., Alagoz, C., Basci, A., Agca, A., Yasa, D., ... & Demirok, A. (2016). Visual and refractive outcomes of photorefractive keratectomy and small incision lenticule extraction (SMILE) for myopia. Journal of Refractive Surgery, 32(9), 604-610.
10. Fu, D., Aruma, A., Xu, Y., Han, T., Xia, F., & Zhou, X. T. (2022). Refractive outcomes and optical quality of PRESBYOND laser-blended vision for presbyopia correction. International Journal of Ophthalmology, 15(10), 1671.
11. Fu, D., Zhao, J., Zeng, L., & Zhou, X. (2020). One year outcome and satisfaction of presbyopia correction using the PresbyMAX® monocular ablation profile. Frontiers in Medicine, 7, 589275.
12. Baudu, P., Penin, F., & Mosquera, S. A. (2013). Uncorrected binocular performance after biaspheric ablation profile for presbyopic corneal treatment using AMARIS with the PresbyMAX module. American journal of ophthalmology, 155(4), 636-647.
13. Chan, T. C., Kwok, P. S., Jhanji, V., Woo, V. C., & Ng, A. L. (2017). Presbyopic correction using monocular bi-aspheric ablation profile (PresbyMAX) in hyperopic eyes: 1-year outcomes. Journal of Refractive Surgery, 33(1), 37-43.
14. Baudu, P., Penin, F., & Mosquera, S. A. (2013). Uncorrected binocular performance after biaspheric ablation profile for presbyopic corneal treatment using AMARIS with the PresbyMAX module. American journal of ophthalmology, 155(4), 636-647.