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Sunday, September 16, 2007 

LASIK Thought Of The Day: Presbyopia

Correction of presbyopia (the need for reading glasses after age 42) has long been considered the "holy grail" of laser vision. We feel the most promising approach is multi-focal ablation, that is, creating a laser pattern in the cornea somewhat like a bifocal glasses lens. Some progress has been made, especially in Canadian studies, but the procedure has been slow in making its way to the U.S. This suggests that multifocal ablations are not quite ready for prime time, and we really don't know if presbyopic corrections are months, or years, away. Other approaches have been to implant synthetic lenses in the central cornea, or replace the crystalline lens inside the eye with a "focusing" intraocular lens. Both approaches seem more invasive than multi-focal ablations, and much more work needs to be done before they gain acceptance by most ophthalmologists. Those waiting for the perfect method to correct both distance and near vision may have a long wait. In the mean time, reading glasses, or monovision (one eye corrected for distance, and one for near), seem to be reasonable alternatives.

Mitchell Friedlaender, M.D.
Scripps Clinic Laser Vision Center
La Jolla, CA
ArtOfLASIK. com

About me

  • I'm LASIKblog
  • From La Jolla, California, United States
  • Mitchell Friedlaender, M.D., is Head of the Division of Ophthalmology, and Director of the Laser Vision Center at Scripps Clinic, in La Jolla, CA, and Adjunct Professor at The Scripps Research Institute. He is a cum laude graduate of the University of Michigan Medical School, and received his ophthalmology training at Harvard University, and the University of California, San Francisco. He was a full time faculty member at the University of California, San Francisco before joining Scripps Clinic in 1986. He is the author of 6 books and over 250 scientific articles. He has lectured at universities throughout the world on conditions such as blepharitis, allergy, dry eye, and infection. He is the recipient of the Senior Honor Award of the American Academy of Ophthalmology, and a member of the American Ophthalmological Society, an honor society composed of 300 leaders in ophthalmology. He has been listed every year, since 1986, in The Best Doctors in America.
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