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NR. 2/2006
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Nowe możliwości w
leczeniu starczowzroczności
New Methods in Presbyopia Treatment
Justyna Izdebska1,2,
Iwona Liberek2,3, Jerzy Szaflik1,2
1 Katedra i Klinika Okulistyki II Wydziału
Lekarskiego Akademi Medycznej w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik
2 Centrum Mikrochirurgii Oka LASER w Warszawie
Kierownik: prof. dr hab. n. med. Jerzy Szaflik
3 Klinika Okulistyki Centrum Medycznego Kształcenia
Podyplomowego w Warszawie
Po. kierownika: dr n. med. Iwona Liberek |
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| Summary: |
Presbyopia is a condition
that affects the vast majority of middle-aged
individuals. Conventionally, it is treated by use of
additional convex lens spectacles for near work and
reading. In last decade many attempts have been made to
surgically reverse this condition. Currently there are
many techniques for presbyopia treatment directed to
people who are 40 to 50 years of age and just becoming
presbyopic and noticing the transition. They are the
group who would perhaps benefit most from these new
methods. Although there are mentioned the conventional
ways of presbyopia treatment (glases and contact lenses),
the aim of this paper is to present, based on literature
and our experience the current status of correcting
presbyopia. This article concentrates on surgical
methods such as lens extraction and following multifocal
or accomodative intraocular lens implantations,
termokeratoplasty (especially conductive keratoplasty),
multifocal LASIK, sclerectomy with or without scleral
implants and LAPR(Laser Presbyopia Reversal). Scleral
expansion surgery procedure as the way of treatment of
presbyopia received FDA permission in 2004, but it is
still controversial because of lack of the theoretical
assumptions underlying this technique. LAPR is the
newest method of anterior sclerectomy performed using
Er:YAG laser. Theories of accommodation, surgical
techniques, instruments, treatment criteria,
complications and results of clinical study regarding
available technologies are briefly discussed in this
paper. |
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| Key words: |
contact lenses for
presbyopia, monovision, mulifocal or accomodative
intraocular lens implantations, termokeratoplasty,
conductive keratoplasty, multifocal LASIK, sclerectomy,
scleral implants, LAPR(Laser Presbyopia Reversal). |
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