IngentaConnect Newer Presbyopia Treatments

In this: publication
By this: publisher
In this Subject: Ophthalmology
By this author: Shepard Dennis ;&nbsp; Roy F. Hampton ;&nbsp; Zdenek Gene ;&nbsp; Fine I. Howard ;&nbsp; Waltz Kevin L.

Authors: Shepard Dennis; Roy F. Hampton; Zdenek Gene; Fine I. Howard; Waltz Kevin L.

Source: Annals of Ophthalmology, Volume 35, Number 2, September 2003 , pp. 97-98(2)

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Abstract:

Question: A 50-year-old healthy male sees 20/20 from either eye at distance. His refraction is plano in both eyes. He would like to retain his good vision for distance and not have to wear readers. How could you help him? Answer: I will assume that there is no sign of a cataract. I would first define and explain current theories on presbyopia. This will provide a sound foundation for the patient to better understand his options. This patient has four options. First, he can have spectacle correction, conventional or progressive bifocals. Discussing the difference will allow me to assess how important focusing at variable near distances is to the patient. Secondly, I would discuss bifocal contact lenses. Although only 30% successful at best, the patients who do benefit from them, love them. Thirdly, monovision contacts would be explained. In my practice, 80% prefer this mode of correction. Finally, I would explain the Scleral Spacing Procedure (SSP). This usually involves about a 15-20 minute discussion if the patient shows some interest. In brief, I explain that the good news regarding SSP is the progressive focus at near, but the bad news is that positive patient satisfaction is found only in 70%–80% of operated patients.