Correction of presbyopia: An integrated update for the practical surgeon

Abstract

Presbyopia results from loss or insufficiency of the eye's accommodative ability, and clinically manifests as the inability to focus near objects on the retina. It is one of the most common causes of visual impairment worldwide especially in adults of productive or working age. Various means of compensating for the loss of accommodative ability have been devised from optical tools such as spectacles and contact lenses, to topical medications and to surgical procedures. A comprehensive search on journal articles about topical and surgical correction of presbyopia was undertaken. The various techniques for presbyopia correction, as enumerated in these articles, are discussed in this paper with the addition of our personal experience and perspective on the future of these techniques.

Keywords

• Accomodating intraocular lenses
• electrostimulation
• intracorneal inlays
• laser sclerectomy
• monovision
• multifocal intraocular lenses
• presbyopic eyedrops
• PresbyLASIK
• scleral implants