J Korean Ophthalmol Soc > Volume 53(11); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(11):1577-1583.
DOI: https://doi.org/10.3341/jkos.2012.53.11.1577    Published online November 15, 2012.
Clinical Outcomes of Monovision Induced by Presbyopic Correcting Conductive Keratoplasty.
Jae Kwang Choi, Seok Won Jung, Hae Young Lee
1Department of Ophthalmology, Sahmyook Medical Center, Seoul, Korea. drhylee@hanmail.net
2Dr Jung's Eye Clinic, Pyeongtaek, Korea.
노안교정 고주파 각막성형술을 이용한 단안시 치료의 임상 결과
최재광1⋅정석원2⋅이해영1
Department of Ophthalmology, Sahmyook Medical Center1, Seoul, Korea Dr Jung’s Eye Clinic2, Pyeongtaek, Korea
Abstract
PURPOSE
To evaluate the efficacy, safety, and satisfaction of patients who underwent conductive keratoplasty (CK). METHODS: CK was performed in 20 patients between April and December 2009. Surgeries were performed on the dominant eye with emmetropia as the postoperative goal and on the non-dominant eye with mild myopia as the postoperative goal. Patients' satisfaction, refractive change, and visual acuity were evaluated for at least 3 months after the surgery. RESULTS: Preoperatively, the mean manifest refraction spherical equivalent (MRSE) of the non-dominant and dominant patient eyes was 0.56 +/- 0.48 D and 0.88 +/- 0.25 D, respectively. Postoperatively, the mean MRSE of the non-dominant and dominant patient eyes was -1.65 +/- 0.56 D and -0.06 +/- 0.36D at 1 month, -1.33 +/- 0.40 D and 0.17 +/- 0.37 D at 3 months, and -1.10 +/- 0.44 D and 0.31 +/- 0.33 D at 6 months, respectively, indicating significant effect regression. Eleven out of 20 patients (55%) were disappointed with the results of CK. CONCLUSIONS: Conductive keratoplasty led to significant regression of refractive effects during follow-up. Monovision with CK is suggested to be a temporary refractive procedure in patients with presbyopia.
Key Words: Conductive keratoplasty;Monovision;Presbyopia;Regression


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