![]() ![]() Other procedures described in the management of presbyopia include scleral expansion and anterior sclerotomy techniques. 1–3 Conductive keratoplasty, a technique in which the cornea is moulded into a new shape using radiofrequency waves, has also been studied as an option for presbyopia treatment, with patients usually experiencing a large overcorrection followed by a significant regression of their refractive outcome overtime. Monovision gives the patient near vision on the expense of far and binocular vision while presbyLASIK requires further development in its nomogram in order to achieve consistent postoperative results. Corneal monovision and presbyopic laser-assisted in situ keratomileusis (presbyLASIK) procedures give conflicting results. Corneal, lenticular and even scleral approaches have been previously explored in an attempt to reverse this age-related phenomenon. The complexity and illusiveness of presbyopia necessitates the ophthalmologist to tackle its pathology in different ways. Presbyopia, defined as the age-related loss of the ability to clearly accommodate onto near objects, has become the last frontier for refractive vision correction. The advances in laser and non-laser technology have allowed ophthalmologists to offer their patients the freedom to choose between depending on their glasses, or to go spectacle free. Patient demand for spectacle independence is growing. KeywordsĬorneal inlays, presbyopia, Raindrop, review Article: The decreased incidence of complications, ease of insertion, reversibility and potential applicability to patients with various refractive statuses make inlays a powerful addition to the armamentarium in the management of presbyopia. The RaindropĬhanges the curvature of the anterior cornea in the plane of the pupil, the Kamra uses the principle of the pinhole to increase depth of focus, while the Flexivue is a refractive annular add lenticule that creates a paracentral zone for near vision. The Raindrop® (ReVision Optics®), KAMRA™ Inlays (AcuFocus™) and the Flexivue Microlens™ (Presbia™) are three very different inlays that attempt to reverse presbyopia through different mechanisms. The idea of adding synthetic material to the cornea for the management of presbyopia has come a long way since its inception. With increased demand for spectacle independence at all ages, ophthalmologists are exploring different approaches for presbyopia correction. ![]() Presbyopia remains the last frontier for refractive surgeons. ![]()
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