Ophthalmology Times: Inlay an option for presbyopia at corneal level

July 29, 2013
Post Categories: Ophthalmic

This month’s issue of Ophthalmology Times features a great article based on Dr. Günther Grabner’s KAMRA presentation at ASCRS. The piece gives an overview of KAMRA inlay design, surgical procedure, and Dr. Grabner’s experience and patient outcomes over 4 and 5-year followup.

Some of the key take-home messages include:

  • At 4 years post-op, improvements are seen in both near and intermediate acuities with maintained distance acuity
  • Near: Mean UCNVA improved from J7/8 to J2
  • Intermediate: Mean UCIVA improved from 20/40 to 20/25
  • Distance: Mean binocular UCDVA remained unchanged at 20/16
  • Acuities in the inlay eye remained stable out to 5 years, with some age-related loss of near and intermediate acuity seen in the fellow eye
  • Minimal complications have been seen out to 5 years post op:
  • Two cases of recentration are reported, with both patients achieving J2 UCNVA and 20/20 UCDVA at 30 months post-recentration
  • One case of a hyperopic shift was seen due to the inlay being inadvertently implanted too superficially; this inlay was removed after 4 years
  • Long-term followup indicates that the inlay is well tolerated, and does not interfere with examination or treatment of the anterior chamber angle or posterior segment.

View full article here > ophthalmologytimes.modernmedicine.com



More about Prof. Günther Grabner, MD

Grabner,Gunther_webProf. Grabner is currently the Chairman of the University Eye Clinic Salzburg of the Paracelsus Medical University (PMU) in Salzburg, Austria. He completed his MD and his ophthalmic residency at the University of Vienna. He went on work as a Research Fellow at the Proctor Foundation for Research in Ophthalmology at the University of California San Francisco.

Prof. Grabner has published more than 200 scientific papers on ocular immunology, cornea banking, refractive surgery and other topics. Under his leadership, the University Eye Clinic is a regular participant in numerous clinical studies involving leading edge medical devices (AT-IOLs & inlays) and pharmaceuticals that are under development. He is a member of numerous international ophthalmic organizations and most recently was the President of the Austrian Ophthalmological Society.

Prof. Grabner has also served on the editorial board of several leading peer reviewed ophthalmic journals like The Journal of Cataract and Refractive Surgery, Annals of Ophthalmology and Glaucoma, Journal of Refractive Surgery and Der Ophthalmologe.