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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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REFRACTIVE SURGERY UPDATE
Year : 2014  |  Volume : 21  |  Issue : 1  |  Page : 10-17

Current management of presbyopia


1 Ophthalmology Clinic, Athens Metropolitan Hospital, Athens, Greece; Ophthalmology Department, Slovak Medical University, Bratislava, Slovakia
2 Medical Faculty, Comenius University, Bratislava, Slovakia

Correspondence Address:
Pandelis A Papadopoulos
42. Poseidon Avenue, Paleo Faliro, 17561, Athens, Greece

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.124080

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Presbyopia is a physiologic inevitability that causes gradual loss of accommodation during the fifth decade of life. The correction of presbyopia and the restoration of accommodation are considered the final frontier of refractive surgery. Different approaches on the cornea, the crystalline lens and the sclera are being pursued to achieve surgical correction of this disability. There are however, a number of limitations and considerations that have prevented widespread acceptance of surgical correction for presbyopia. The quality of vision, optical and visual distortions, regression of effect, complications such as corneal ectasia and haze, anisometropia after monovision correction, impaired distance vision and the invasive nature of the currently techniques have limited the utilization of presbyopia surgery. The purpose of this paper is to provide an update of current procedures available for presbyopia correction and their limitations.


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