Eyeworld

EW FEATURE 76 Intracorneal inlays • March 2016 AT A GLANCE • The KAMRA inlay has been successful in its first year after gaining FDA approval. • The inlay's "sweet spot" is patients who are slightly myopic. • Be sure that patients have realistic expectations about the time it takes for their pocket to heal and for neuroadaptation. by Lauren Lipuma EyeWorld Contributing Writer reversibility," said Martin Fox, MD, the Cornea and Refractive Surgery Practice of New York, and Clarity Re- fractive Services, West Orange, N.J. Drs. Fox and Pepose have each implanted roughly 35 inlays, and so far, the results have been positive. "It's not unusual to hear people say, 'This is a fountain of youth. I can see like I did 20 years ago,'" Dr. Fox said. "I've been happy with the KAMRA inlay for the right patients," said Robert Maloney, MD, Malo- ney Vision Institute, Los Angeles. "I Positive reviews for the KAMRA corneal inlay According to experts, the inlay is a good alternative to monovision for presbyopia correction S ince the KAMRA corneal inlay (AcuFocus, Irvine, Calif.) entered the U.S. market in 2015, ophthal- mologists can now offer patients a surgical solution for presbyopia. By enhancing depth of field through its small aperture, the KAMRA inlay restores near and in- termediate vision without sacrificing distance vision. So far, around 100 physicians have been trained to implant the device, and the initial reviews from both doctors and patients have been positive: The inlay is well-tolerated in the cornea, the procedure is safe, and patients are achieving good visual outcomes. For patients who have tried and don't like monovision, the inlay is a good option, said Jay Pepose, MD, PhD, Pepose Vision Institute, St. Louis, Mo. "The inlay gives a much more continuous range of vision than we get with monovision," Dr. Pepose said. "Monovision is very abrupt. But with the inlay, interme- diate and near vision are in focus; it's a continuum. So it's a different optical solution than monovision and for many people, that's ap- pealing. In addition, there is no decrease in stereopsis like we have with monovision, and the effect is long-lasting." "The thing that's comforting to me is that it fulfills all of the 4 criteria that we've been looking for in a solution for presbyopia: near vision, all the way up to the tip of your nose; vision in the intermedi- ate range; good distance vision; and A view of the KAMRA corneal inlay in vivo Laser perforations in the KAMRA inlay allow nutrients to flow freely across the device. Source: Martin Fox, MD think the KAMRA inlay has a place in a refractive practice." Points to consider According to Dr. Fox, the best can- didates for the inlay are those over the age of 40 with good binocularity, a demonstrable ocular dominance

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