Small-aperture corneal inlay in presbyopic patients with prior phakic intraocular lens implantation surgery: 3-month results
A 54-year-old woman with a history of a LASIK procedure that was done soon after her prior phakic IOL implantation surgery complained about her near vision. The patient underwent a rigorous ophthalmic examination. UDVA and CDVA were both 20/16; UNVA and CNVA were J6 and J1, respectively. SE was −0.5 D and pachymetry was 487 μm. During surgery, the corneal pocket formation was done for her KAMRA inlay implantation with a Crystal Line Femto LDV (Ziemer Ophthalmic Systems AG). The KAMRA inlay was implanted using a pocket depth of 200 μm. The inlay was placed in the pocket the same way as has already been described. Three-month results showed an improvement in UNVA to J4 with minimal change in UDVA, which was 20/20. SE was −0.38 D. CDVA and CNVA remained stable during the follow-up period. Regarding patient satisfaction, the patient complained of a slight worsening of her near vision at night.