Title:Transepitherial PRK can be used to create a multi focal refractive
surface
Purpose: To report a case of spectacle-free reading in presbyopic patient
post transepitherial PRK.
Venue Sangubashi Eye Clinic Refractive Keratoplasty Tokyo,Japan. PhD.M.D.Kodo
Okuyama.
Methods: A 47 year old man, who had his left eye operated on using transepitherial
PRK 5 years ago, in 2005. His right eye has not been operated on and he
has continued to use the same power contact lens. Use of the Profile 500
created by the Fyodrov Institute for the transepitherial PRK. Keratotopography
TMS-N and other routine exams pre and post refractive surgery.
Results: Pre operative data for the left eye SE -6.00D / BCVA 1.2 / UCVA
0.03 in distance. Post operative data at 5 years, for the left eye: SE
-0.75D / BCVA 1.2 / UCVA 0.9 in distance. Near vision 0.5 at 40 cm. The
un-operated right eye using a contact lens -5.00D / BCVA 1.2 / UCVA 0.05
in distance. Now, near vision with contact lens is 0.3 and without contact
lens 0.7 at 40 cm. The karatotopogram of the left eye shows the three post
operative corneal zones:
1. Central zone: mostly blue color indicating a less
refractive power zone.
2. Para central zone: light green ring indicating a small refractive power
zone.
3. Peripheral zone: yellow to reddish ring indicating
a high refractive power zone.
Conclusions: Post operated left eye using transepitherial PRK was successful
with both near and far vision. This finding leads me to hypothesize that
I have created an aspheric refractive multi focal corneal surface similar
to a multi focal refractive IOL.
Financial Disclosure: I do not receive any financial
support.
Authors
Kodo Okuyama, Galina Katyalina, Alexander Semionov
|