This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Hamilton Moreira, MD; Jenny J. Garbus; Armand Fasano, MD; Martha Lee, PhD; Peter J. McDonnell, MD
Los Angeles, Calif

Terrence N. Clapham, BSSE
Sunnyvale, Calif

Arch Ophthalmol. 1993;111(5):582.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.

—Dr Josephson discusses potential limitations of simultaneous vision. We discussed these potential limitations, briefly reviewed the literature on multifocal lenses in our article,¹ and recommended a conservative approach to the purposeful creation of multifocal corneas in humans. At present, there is no US Food and Drug Administration-approved protocol for doing this in the United States, but we are aware of some surgeons doing multifocal corrections in Europe.

As with multifocal contact lenses and intraocular lenses, we noted in our article that not all patients who undergo a refractive surgical procedure to create a multifocal cornea will tolerate the decreased contrast sensitivity and other optical limitations of this procedure. We noted that our technique of leaving a steep central island for near vision has the advantage of allowing the surgeon to subsequently convert this into a monofocal procedure by re-treating and flattening the central region. . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?