Corneal Inlays: A Surgical Alternative to Reading Glasses (2024)

Corneal Inlays: A Surgical Alternative to Reading Glasses (1)

As you enter your 40s and 50s, chances are that you will have a little more difficulty reading a book or seeing your phone’s screen up close. This is a symptom of a common, age-related eye condition called presbyopia. Presbyopia is caused by a stiffening of the eye's lens, which gradually weakens the ability to focus on near objects. Until recently, the most common treatment options for presbyopia were eyeglasses, contact lenses or laser vision corrective surgery.

Today, corneal inlays offer an alternative to wearing reading glasses. They are implanted in the eye with a minimally-invasive surgical procedure, restoring close-up vision. Your ophthalmologistwill help you determine whether you are a candidate for a corneal inlay and which type may be your best fit.

What Are Corneal Inlays?

A corneal inlay is a tiny device, smaller than the width of an eraser tip. During a 10-15 minute surgery, a laser is used to cut a small pocket or flap in the middle of the non-dominant eye’s cornea. The inlay is then inserted into or under this pocket or flap, depending on which inlay is used. The implant corrects close-up vision by increasing the depth of focus of the center of the cornea.

There are two main types of corneal inlays, which look and work a little differently. One of them is now FDA-approved for use in the United States.

Refractive Corneal Inlays

The design of refractive corneal inlays is similar to a multifocal contact lens or intraocular lens, with different areas of the inlay giving different levels of magnifying power. This allows the eye to focus up close and far away. This type of inlay is currently under review by the FDA.

Small Aperture Inlays

Small aperture inlays work like the aperture of a camera, changing how much light enters the eye. This device is a donut-shaped ring with a pinhole opening in its center. The pinhole focuses light very specifically into the eye, narrowing the field of vision. This provides better sight at close range. The KAMRA is the first small aperture inlay approved by the FDA (in April 2015) for use in the United States.

Some things to know about corneal inlays:

  • Corneal inlays are usually implanted in people with presbyopia who don’t have refractive errors (like myopia, hyperopia, or astigmatism). For people with refractive errors, a “combination” procedure can be done—doingLASIK to fix the refractive error at the same time the inlay is implanted. Some of these combination procedures are considered “off-label” use of corneal inlays. The FDA allows “off-label” use of a treatment if doctors are well informed about the product or procedure, and studies prove it is helpful.
  • If you want corneal inlays, you need to be free of disease of the cornea, like keratoconus (cone-shaped cornea).
  • Patients with uncontrolled dry eyes orblepharitis should not get corneal inlays unless these conditions are treated.
  • Patients withcataracts should not get corneal inlays.
  • For some corneal inlays, you need to have a test to be sure your cornea is thick enough for the surgery.
  • Corneal inlays are usually inserted into one eye only (your non-dominant eye).
  • You will be awake during the surgery but it will be done under local anesthesia (inducing loss of sensation to prevent any pain).
  • After surgery, patients should expect to use antibiotic and steroid eye drops for up to a month.
  • Depending on the type of corneal inlay, there can be side effects like glare,halosanddifficulty seeing at nightor reading in dim light. Other potential complications include corneal scarring, swelling, inflammation, thinning of the cornea, clouding of the cornea. Ask your ophthalmologist about the side effects of your corneal inlay.
  • Corneal inlays can be removed if you are not satisfied with the results.
Corneal Inlays: A Surgical Alternative to Reading Glasses (2024)

FAQs

Can you get eye surgery instead of reading glasses? ›

Until recently, the most common treatment options for presbyopia were eyeglasses, contact lenses or laser vision corrective surgery. Today, corneal inlays offer an alternative to wearing reading glasses. They are implanted in the eye with a minimally-invasive surgical procedure, restoring close-up vision.

What is the best alternative to reading glasses? ›

Another effective alternative to reading glasses is the use of contact lenses specifically designed for near vision correction. These contact lenses, commonly known as reading contact lenses or contacts for readers, provide clear vision for close-up tasks while maintaining good distance vision.

How much is corneal inlay surgery? ›

Corneal inlay costs can fluctuate significantly based on the surgeon performing the procedure and unique patient considerations. Generally speaking, the cost of the corneal inlays could range from $4,000 to $5,000, but you need to speak with an eye doctor to get a more tailored cost estimate.

How long do corneal inlays last? ›

“We have in fact done cataract surgery on patients who have previously undergone Kamra as part of the FDA study prior to approval, and those patients have done very well.” Dr. Machat concurs that corneal inlays can last a lifetime without complicating future ophthalmic interventions.

What is the best eye surgery for reading? ›

Conductive keratoplasty, commonly referred to as CK, is an FDA-approved non-invasive eye surgery that corrects this condition. CK uses radio waves to heat and reshapes your cornea so that light can be focused on your retina. After the procedure, expect not to have to reach for your reading glasses as often.

What is corneal inlay surgery? ›

The surgery aims at correcting presbyopia by increasing the refractive power of the non dominant eye for reading vision. The inlay is implanted to make the cornea steeper in the center.

Is there an eye drop that can replace reading glasses? ›

You can. Vuity is the only FDA-approved eye drop that treats age-related near vision blur—an eye condition better known as presbyopia. These drops are most effective in people aged 40 to 55 who struggle to see clearly when performing daily tasks—such as reading your phone or computer screen.

How can I improve my vision without reading glasses? ›

How to Improve Your Eye Vision Without Glasses
  1. DIET AND EXERCISE. Although diet and exercise won't cure any eye condition, the things we eat can make a difference. ...
  2. REST YOUR EYES. ...
  3. EYE EXERCISES AND REDUCING EYE STRAIN. ...
  4. FOCUS SHIFTING. ...
  5. WRITE OUT ABC'S. ...
  6. UP, DOWN, AND AROUND. ...
  7. CONSIDER ORTHOKERATOLOGY! ...
  8. YOUR OPTOMETRIST KNOWS BEST.

Do non prescription reading glasses work? ›

For the vast majority of people, over-the-counter (OTC) readers should not be a problem as long as they match the power of the prescription. For instance, if your doctor recommends +2.00 in each eye, then purchasing OTC readers of the same power should generally suffice.

Is cornea surgery covered by insurance? ›

A corneal transplant is usually covered by private medical insurance and Medicare when deemed medically necessary by your doctor.

How to not have to wear reading glasses? ›

Contact lenses are another great option to allow you to focus at distance and near without the need for reading glasses. There are two main contact lens options to correct your near vision: multifocal and monovision.

How successful is cornea surgery? ›

Most cornea transplant operations are successful. But cornea transplant carries a small risk of complications, such as rejection of the donor cornea.

What is the success rate of inlays? ›

Conclusion. The 5-year survival rate for crowns and inlays/onlays is very high, exceeding 90%. An association between the kind of complications and different types of restorations could not be established. Nevertheless, a relatively high failure rate due to caries and ceramic fractures was noted.

Are corneal inlays removable? ›

Fortunately, the corneal inlay is removable if there is a problem. Like LASIK procedures, it is very common to notice eye dryness or night vision halos, which typically normalize between 1-3 months after the procedure.

What is the eye surgery so you don't have to wear glasses? ›

Most people who undergo LASIK surgery will have good to excellent vision in most situations, for many years or decades. You'll be able to play sports and swim, or even just see the clock first thing in the morning, without having to worry about your glasses or contact lenses.

Can I get an eye surgery and not to wear glasses? ›

Whether or not you will still need to wear glasses after surgery can depend on a number of factors, including: the type of lens you have fitted during surgery (whether it's monofocal or multifocal), your prescription beforehand, your overall eye health, and whether you have an astigmatism.

Can you get surgery to see without glasses? ›

In general, most people who have laser-assisted in situ keratomileusis (LASIK) eye surgery achieve 20/20 vision or better, which works well for most activities. But most people still eventually need glasses for driving at night or reading as they get older. LASIK surgery has a good track record.

Can you fix your eyes without glasses? ›

Although there are no magic pills or tricks that can totally improve or heal your vision, making conscious choices to live an overall healthier lifestyle, being aware of how you're protecting and treating your eyes on a daily basis, and getting regular eye exams can truly help you have the best vision possible.

Can you fix your eyesight with surgery? ›

Up to 99.5% of people who undergo laser surgery achieve 20/40 vision or better, and 90% to 95% achieve 20/20 vision or better. Lens placement or replacement procedures: Up to 84% of people with implanted lenses achieve 20/40 vision or better after their procedure.

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