Corneal inlays for presbyopia correction.

PURPOSE OF REVIEW: This study provides an overview of the three types of corneal inlays now in use for the correction of presbyopia and reviews recently published evidence of the inlays' safety and efficacy.

RECENT FINDINGS: Results for corneal reshaping and refractive inlays are promising, but very limited. Small-aperture inlays are already in widespread use and have been shown to improve uncorrected near and intermediate vision without a significant loss in distance acuity or an unacceptable increase in visual symptoms. Complications have been minimal, but the inlays may be removed if necessary. They do not prevent visualization or imaging of the retina and may be retained during subsequent cataract surgery.

SUMMARY: The presbyopic demographic is large and growing, with a high level of interest in spectacle independence. There is currently no other effective solutions for presbyopes who desire good uncorrected vision at all distances without the risks of intraocular surgery or the visual compromises of monovision. Additional research is needed, but the future for corneal inlay technology is bright.