Episode 4
Surgical Correction Of Presbyopia
Surgical Correction Of Presbyopia
This episode presents a clinical case study of a 55-year-old male seeking surgical correction for presbyopia – the gradual loss of near focusing ability – motivated by his occupational need for clear near and distance vision during extensive computer and cell phone use.
Written By
Dr. Raymond Stein
About This Episode
The discussion reviews several refractive treatment options, beginning with LASIK with monovision, which was considered less suitable due to the patient’s age and degree of hyperopia. The focus then shifts to various Refractive Lens Exchange (RLE) solutions, including multifocal, extended-depth of focus, advanced monofocal, and light adjustable lenses – each offering unique visual advantages and trade-offs in range, clarity, and potential night vision symptoms such as glare or halos.
Ultimately, the patient elected to proceed with a multifocal toric intraocular lens, achieving excellent postoperative outcomes with full-range vision and high satisfaction after a brief period of mild nighttime halos.
Key takeaways emphasize the importance of comprehensive patient education when discussing intraocular lens options, as well as the role of neuroadaptation in refining visual comfort and quality over time.
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