Image of ZEISS ATLAS 500: Presbyopia Management
Challenges in corneal refractive surgery

Assess & Educate

Match presbyopic patients‘ expectations

Clinical Challenge

Select patient and manage expectations for the refractive approach

Proper patient selection is critical for success with refractive surgery to correct presbyopia.1 The challenge for ophthalmologists who are new to surgical management of presbyopia is to be well versed in the necessary components of the preoperative evaluation and patient counselling.

Assessing patients with presbyopia

Dan Z. Reinstein

Clinical Solution

Optimize patient selection through key assessments and clear communication

Conduct a detailed general and medical history analysis and thorough ophthalmic examination to determine patient appropriateness for refractive surgery. Communicate realistic goals and make sure they are understood and accepted by the patient.
Perform diagnostic tests and measurements for routine LASIK patient screening plus the following evaluations that are essential when considering eligibility for Laser Blended Vision:

  • Testing for acceptance to anisometropia of about 1.50 D
  • Residual accommodation measurement to determine the functional age of the eyes 
  • Dominance testing to determine the preferred eye for distance vision
  • Measurement of total spherical aberration of the eye
ZEISS Solution

Use reliable diagnostic devices and comprehensive support

ZEISS diagnostic devices provide accurate measurements for planning PRESBYOND® surgery. In addition, ZEISS offers clinical application onboarding support designed to help surgeons achieve the best possible outcomes and satisfied patients. These support tools include:

  • Guidance on essential measurements and assessments
  • ZEISS Practice Development Consulting: an advanced service program that helps clinics to grow the business and improve the overall patient experience
  • ZEISS Patient Communication Materials: a set of tools to help surgeons interact with patients and manage their expectations

Vision simulator for PRESBYOND

During the consultation, it helps you to explain the treatment efficiently and interactively to patients by comparing the pre- and post-operative visual results. The PRESBYOND tool shows how presbyopia can be corrected with Laser Blended Vision.

Image of ZEISS ATLAS 500 with a screen


Multi-modality corneal topography system that enables clinicians to carry out dry eye assessments in a single workstation, assessing suitability for a laser-based treatment.

  • Assessment of corneal irregularities and keratoconus classification 
  • Static and dynamic pupillometry including pupil decentration visualization
  • Comprehensive dry eye reporting for profound pre-and post-op decision making
Image of ZEISS IOL Master 700

ZEISS IOLMaster 700

IOLMaster® 700 from ZEISS with SWEPT Source Biometry® provides comprehensive and reliable biometry data that helps minimize refractive surprises. With the IOLMaster 700, biometry measurement is fast and easy.

  • Scanning of both eyes is completed in less than 45 seconds
  • Built-in alignment assistance functions eliminate the need for a highly skilled operator 
  • Fixation Check feature eliminates the potential for incorrect measurements due to undetected poor fixation
  • Images enable easy centration (CentraLign®) and cyclotorsion correction (OcuLign®) for ZEISS VISUMAX® 800


  • PRESBYOND Compendium

    Pages: 1
    File size: 95 KB
  • Case of the Month PRESBYOND Van Zyl

    Pages: 1
    File size: 206 KB

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