Surgical Correction of Presbyopic Ametropia With Non-refractive Transparent Corneal Inlay and an Implantable Collamer Lens.

OBJECTIVE

To report the clinical outcomes of two patients implanted with the Raindrop Near Vision Inlay (ReVision Optics, Inc., Lake Forest, CA) to correct for presbyopia and the Visian implantable collamer lens (ICL) (STAAR Surgical, Monrovia, CA) to correct refractive error.

METHODS

Case report.

RESULTS

Two patients with presbyopic ametropia complained of blurred vision for distance and near. Both patients received a corneal inlay in the non-dominant eye followed by the Raindrop Inlay the following day. The first patient had an inlay decentration associated with corneal edema and excessive intraocular collamer lens (ICL) vaulting. After ICL exchange and inlay recentration, the ICL stayed properly placed in the ciliary sulcus, and the Raindrop Inlay was well centered. The second patient underwent an uneventful procedure and experienced no complications. At the last visit, both patients were able to see 1.0 (20/20 Snellen) uncorrected visual acuity for distance and near and were satisfied with their vision.

CONCLUSIONS

These two cases suggest that the combination of an ICL with a Raindrop Inlay results in good visual outcomes and patient satisfaction. When combining Raindrop Inlay surgery with an intraocular procedure such as Visian ICL implantation, careful lens selection and sizing are required because there may be an increased risk for inlay decentration associated with corneal edema. [J Refract Surg. 2016;32(12):852-854.].