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CHALLENGES IN CORNEAL REFRACTIVE SURGERY

Presbyopia Management for Patients without Cataract

Universal Challenge:
Individualized Approach

Clinical Challenge

Providing solutions for presbyopic patients without cataract

There is a large and growing population of presbyopic patients worldwide.1 A multinational study has shown that by age 55, approximately 80% of people suffer vision impairment due to presbyopia.2 Providing solutions for presbyopia correction that satisfy individual needs and improve quality of life has been a particular challenge when caring for patients without cataract.

Image of Dr. Jiang Haixiang

As a relatively young patient without any problems of cataract, my choice was oriented towards corneal refractive surgery with PRESBYOND rather than clear lens exchange and IOL implantation.3

Dr. Jiang Haixiang

Xi‘an Haixiang Eye Hospital, Shanxi, China (2020)

Clinical Solution

Corneal refractive surgery for presbyopic patients without cataract

Laser corneal refractive surgery offers a safe and less invasive option compared to other surgical options for correcting presbyopia in patients without cataract who are seeking independence from glasses or contact lenses.4,5
Laser refractive surgery approaches include monovision, multifocality, and Laser Blended Vision. These different procedures differ in their ability to provide continuous clear vision from near to far.6,7

Establishing presbyopia management in corneal refractive surgery

Leading Ophthalmologists share their experiences.

ZEISS Solution

ZEISS Corneal Refractive Workflow for Presbyopia Management

PRESBYOND® Laser Blended Vision from ZEISS is a LASIK-based procedure that enables clear vision from near, intermediate to far distance. PRESBYOND® achieves this by correcting the refractive errors, inducing micro-anisometropia and controlling the spherical aberration to optimize the depth of field of each eye. This approach aids the brain in merging the images from both eyes, creating binocular vision while maintaining contrast sensitivity and preserving stereoacuity.8,9

Image of Dr. Sri Ganesh​

What attracted me to undergo PRESBYOND Laser Blended Vision was that it offers the highest patient satisfaction with good functional vision and the safety and track record of Femto- LASIK.10

Dr. Sri Ganesh

Nethradhama Superspeciality Eye Hospital, Bangalore, India (2023)

Comprehensive workflow to make treating presbyopia your new standard of care

Explore ZEISS solutions – click to learn more

Download compendium

  • PRESBYOND Compendium

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    File size: 95 KB
  • 1

    Fricke TR, Tahhan N, Resnikoff S, et al. Global prevalence of presbyopia and vision impairment from uncorrected presbyopia: systematic review, meta-analysis, and modelling. Ophthalmology. 2018;125(10):1492-1499.

  • 2

    He M, Abdou A, Ellwein LB, et al. Age-related prevalence and met need for correctable and uncorrectable near vision impairment in a multi-country study. Ophthalmology 2014;121(1):417–422.

  • 3

    Haixiang J, Case of the Month: Walking the walk: How laser blended vision for presbyopia improved my vision and quality of life, Ophthalmology Times Europe. August 2020.

  • 4

    Davidson RS, Dhaliwal D, Hamilton DR, et al; ASCRS Refractive Cataract Surgery Subcommittee._Surgical correction of presbyopia_J Cataract Refract Surg. 2016;42(6):920-930.

  • 5

    Alvarado-Villacorta R, Hernandez-Quintela E, De La Torre-Gonzalez E, Loza Munarriz C, Martinez-Zapata MJ. Surgical interventions for presbyopia (Protocol). Cochrane Database of Systematic Reviews 2023, Issue 3. Art No.: CD015711.

  • 6

    Shetty R, Brar S, Sharma M, Dadachanji Z, Lalgudi VG. PresbyLASIK: aA review of PresbyMAX, Supracor, and laser blended vision: Principles, planning, and outcomes. Indian J Ophthalmol. 2020 Dec;68(12):2723-2731.

  • 7

    Fernández J, Molina-Martín A, Rocha-de-Lossada C, Rodríguez-Vallejo M, Piñero DP. Clinical outcomes of presbyopia correction with the latest techniques of presbyLASIK: a systematic review. Eye (Lond). 2023;37(4):587-596.

  • 8

    Reinstein DZ, Ivory E, Chorley A, et al. PRESBYOND Laser Blended Vision LASIK in commercial and military pilots requiring class 1 medical certification. J Refract Surg. 2023;39(1):6-14.

  • 9

    Russo A, Reinstein DZ, Filini O, et al. Visual and refractive outcomes following Laser Blended Vision with non-linear aspheric micro-anisometropia (PRESBYOND) in myopic and hyperopic patients. J Refract Surg. 2022;38(5):288-297. Erratum in: J Refract Surg. 2022l;38(7):474.

  • 10

    Ganesh S. Case report: Surgeon gets taste of his own medicine. Accessed February 1, 2024.