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Surgical management of presbyopia

Authors Torricelli AA, Barreto, Santhiago M, Bechara S

Received 2 July 2012

Accepted for publication 6 August 2012

Published 6 September 2012 Volume 2012:6 Pages 1459—1466

DOI https://doi.org/10.2147/OPTH.S35533

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4


André AM Torricelli, Jackson B Junior, Marcony R Santhiago, Samir J Bechara

Division of Ophthalmology, University of São Paulo Medical School, São Paulo, Brazil

Abstract: Presbyopia, the gradual loss of accommodation that becomes clinically significant during the fifth decade of life, is a physiologic inevitability. Different technologies are being pursued to achieve surgical correction of this disability; however, a number of limitations have prevented widespread acceptance of surgical presbyopia correction, such as optical and visual distortion, induced corneal ectasia, haze, anisometropy with monovision, regression of effect, decline in uncorrected distance vision, and the inherent risks with invasive techniques, limiting the development of an ideal solution. The correction of the presbyopia and the restoration of accommodation are considered the final frontier of refractive surgery. The purpose of this paper is to provide an update about current procedures available for presbyopia correction, their advantages, and disadvantages.

Keywords: presbyopia, surgical correction, treatment

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