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PresbyLASIK μ-monovision for simultaneous correction of presbyopia and ammetropia in 32 patients with LASIK

Session Details

Session Title: Refractive

Session Date/Time: Sunday 17/02/2013 | 08:30-11:00

Paper Time: 09:41

Venue: Hall 3

First Author: : D.Holland GERMANY

Co Author(s): :    D. Uthoff   M. P׌lzl   D. Hepper        

Abstract Details


MIOL implantation at the moment is the most widely used surgical therapy, but it suffers still thes risk of any intraocular surgery. Some of these options are monovision and PresbyLASIK with the excimer laser. We investigated the outcomes for simultaneous correction of presbyopia and ammetropia by biaspherical Presby-LASIK technique called PresbyMax combined with a μ-monovision concept called PresbyMax.


Eye Hospital Bellevue, Kiel, Germany.


All presbyopic patients underwent FEMTO-LASIK using the PresbyMAX software delivering biaspheric multifocal ablation profiles developed by SCHWIND eye-tech-solutions (Kleinostheim, Germany) and were assessed up to 1 year postoperatively. All Flaps were created by Ziemer LDV Femtolaser (Port, Switzerland). Mean patient age was 54 years (range: 44-73 years) at the time of surgery. The preoperative spherical equivalent ranged from -3.75D to +5.25D and the astigmatism from 0.25D to 4.5D. The dominant eye was targeted with for 0.75D less addition central myopia (in the near vision area) than the nondominant eye combined with pericentral emmetropia for the central near vision area and the non-dominant eye had an increased myopic target refraction in the peripheral distance zone.


The average mean monocular UDVA improved from 0.52logMAR to 0.10logMAR. Mean binocular UDVA binocular was reached 0.05logMAR postoperatively. The mean CNVA was 0.0logRAD preoperatively, whereas and the postoperative UNVA was 0.0logRAD too. The mean postoperative spherical equivalent in the myopic group dominant eyes was +0.02D with cylinder 0.4D astigmatism, and - 0.62D spherical equivalent with 0.4D astigmatism in the non-dominant eyes. In the hyperopic group the mean postoperative sphere was -0.1dpt and the mean cylinder 0.4dpt.


In presbyopic patients without symptomatic cataract, but refractive errors PresbyMAX will decrease the presbyopic symptoms and correct far-distance refraction in the same treatment offering spectacle-free vision in daily life in most of the treated patients. Further investigation is necessary to evaluate the overall benefit of this procedure.

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