Eyeworld

89 EW FEATURE March 2016 • Intracorneal inlays by EyeWorld staff Correcting presbyopia with corneal inlays Figure 1. Ophthalmologists were asked, "Overall, how satisfied are your corneal inlay patients with their outcomes at near at 1-year postop?" Figure 2. Ophthalmologists were asked, "Overall, how satisfied are your corneal inlay patients with their outcomes at intermediate at 1-year postop?" Figure 3. Ophthalmologists were asked, "Overall, how satisfied are your corneal inlay patients with their outcomes at distance at 1-year postop?" ASCRS members weigh in C orneal inlays are one of the newest options for correct- ing presbyopia. Their main advantage is that they are additive and do not require the removal of any tissue, so the effects are reversible. There are currently three corneal inlays in various stages of development: the Flexivue Microlens (Presbia, Dublin), the Raindrop (ReVision Optics, Lake Forest, Calif.), and the KAMRA (AcuFocus, Irvine, Calif.), which was recently approved by the FDA. All are implanted in the nondominant eye. In the 2015 ASCRS Clinical Sur- vey, ASCRS members were surveyed about their experience with corneal inlays. Here are the results. Ophthalmologists were asked, "Overall, how satisfied are your corneal inlay patients with their outcomes at near, intermediate, and distance at 1-year postop?" Approximately two-thirds of surgeons reported that their pa- tients are very or somewhat satisfied with their near (67%), intermediate (65%), and distance (67%) vision. At all distances, non-U.S. ophthalmolo- gists were more likely to believe that corneal inlay patients are very or somewhat satisfied with their vision (8% to 20% higher than U.S. physi- cians). See Figures 1, 2, and 3. According to Richard Lindstrom, MD, Minneapolis, the patient satisfaction rates in the clinical trials were similar to those reported for LASIK, refractive lens exchange, and phakic IOLs. The sat- isfaction rate shown in this survey is similar to the level of satisfac- tion reported in the literature with monovision. "Approximately 2% of patients will request a corneal inlay removal, and a few require a recen- tration procedure or a PRK enhance- ment to achieve the best outcome," he said. continued on page 90 Very Satisfied Somewhat Satisfied Neither Satisfied or Unsatisfied Somewhat Unsatisfied Very Unsatisfied 60% 50% 40% 30% 20% 10% 0% Near Very Satisfied Somewhat Satisfied Neither Satisfied or Unsatisfied Somewhat Unsatisfied Very Unsatisfied 60% 50% 40% 30% 20% 10% 0% Intermediate Very Satisfied Somewhat Satisfied Neither Satisfied or Unsatisfied Somewhat Unsatisfied Very Unsatisfied 60% 50% 40% 30% 20% 10% 0% Distance All U.S. Non-U.S. All U.S. Non-U.S. All U.S. Non-U.S.

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