Supraciliary contraction segments: A new method for the treatment of presbyopia
Title: | Supraciliary contraction segments: A new method for the treatment of presbyopia |
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Authors: | Zeki Tunc, Firat Helvacioglu, Yesim Ercalik, George Baikoff, Sadik Sencan |
Source: | Indian Journal of Ophthalmology, Vol 62, Iss 2, Pp 116-123 (2014) |
Publisher Information: | Wolters Kluwer Medknow Publications, 2014. |
Publication Year: | 2014 |
Collection: | LCC:Ophthalmology |
Subject Terms: | Blindness, cataract, eye lens, risk factors, treatment of cataract, Low vision care, multiple disabilities and visual impairment, reading performance, Accommodation, presbyopia, supraciliary segment implants, Ophthalmology, RE1-994 |
More Details: | Background and Objective: To evaluate the safety and effectiveness of supraciliary contraction segment implants (SCSIs) for the treatment of presbyopia. Materials and Methods: This prospective, non-comparative study comprised 10 eyes from five phakic and emmetropic 50-year-old subjects. Preoperative and postoperative near and distance visual acuity, topography, axial length, pachymetry, and intraocular pressure were analyzed. A 5.32-mm long and 0.85-mm thick piece of polymethyl methacrylat (PMMA) and a 5.32-mm long or 0.55-mm thick dried hydrophilic SCSI were placed within the scleral tunnels that were created 2 mm away from the limbus. The 500-550 ΅m deep tunnels were parallel to the limbus and four segments were implanted per eye. The SCSIs were entirely placed at a depth of approximately 85% in the sclera. Results: The uncorrected distance visual acuity was similar before and after the surgery (0.00 logMAR). The monocular mean uncorrected near visual acuity (UNVA) was 0.5 ± 0.0 before surgery, 0.12 ± 0.10 logMAR at 1 month after surgery, 0.16 ± 0.18 logMAR at 3 months after surgery, and 0.29 ± 0.16 logMAR at the 18-month follow-up. Conclusion: Despite obtaining satisfactory results at 6 months after the surgery, a follow-up of the SCSI intervention at 18 months revealed a regression of the early post-op UNVA improvement caused by a progressive outward movement of SCSIs. |
Document Type: | article |
File Description: | electronic resource |
Language: | English |
ISSN: | 0301-4738 1998-3689 |
Relation: | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=2;spage=116;epage=123;aulast=Tunc; https://doaj.org/toc/0301-4738; https://doaj.org/toc/1998-3689 |
DOI: | 10.4103/0301-4738.97554 |
Access URL: | https://doaj.org/article/db36e90739fd425fa45a85e7c8d69336 |
Accession Number: | edsdoj.b36e90739fd425fa45a85e7c8d69336 |
Database: | Directory of Open Access Journals |
ISSN: | 03014738 19983689 |
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DOI: | 10.4103/0301-4738.97554 |
Published in: | Indian Journal of Ophthalmology |
Language: | English |