Presbyedof: A Strategy To Correct Presbyopia With Lvc
Published 2024 - 42nd Congress of the ESCRS
Reference: PP17.06 | Type: Free paper | DOI: 10.82333/1v4h-en38
Authors: David Lücht* 1 , Hakan Kaymak 2 , Karsten Klabe 2 , Mücella Kirca 1 , Amr Saad 1 , Lena Beckers 1 , Florian Kretz 3 , Gerd Auffarth 4 , Detlev Breyer 2
1Breyer Kaymak Klabe Augenchirurgie,Düsseldorf,Germany;Internationale Innovative Ophthalmochirurgie,Düsseldorf,Germany, 2Breyer Kaymak Klabe Augenchirurgie,Düsseldorf,Germany;Internationale Innovative Ophthalmochirurgie,Düsseldorf,Germany;International Vision Correction Research Center Network (IVCRC.net),Heidelberg,Germany, 3Augentagesklinik Rheine,Rheine,Germany;International Vision Correction Research Center Network (IVCRC.net),Heidelberg,Germany, 4Augenklinik Universitätsklinikum Heidelberg,Heidelberg,Germany;International Vision Correction Research Center Network (IVCRC.net),Heidelberg,Germany
Purpose
Our strategy to correct Presbyopia with LVC is using the PresbyMax Laser with higher anisometropia. Schwind PresbyMax routinely offers an anisometropia of -0.89D and 1.25D with SA as EDoF effect addition. In our experience, this is not enough for spectacle independence reading near and close. Therefore, Individual addition of spherical aberration and changing refraction in the near dominant eye to patients’ individual wishes is important to create the PresbyEDoF effect.
Setting
All surgeries were performed by one surgeon at the Breyer-Kaymak-Klabe Eye Surgery and Premium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research Center (IVCRC.net).
Methods
We changed the classical PresbyMax parameters in treating patients (n=20) with Schwind Laser Armaris 1050 RS by inducing targeting emmetropia in the sensoric far dominant eye and -1.64D in the sensoric near dominant eye. Furthermore, we raised the induction of spherical aberrations to an EDoF effect of 1.25D to 1.5D. All patients were retrospectively called in a chronological order and answered a questionnaire concerning everyday experience, subjective optical quality, subjective optical side effects and quality of life between 1-3 months after surgery.
Results
In this real-life quality management-controlled investigation of a new surgical approach to correct presbyopia we achieved the following results: The everyday experience, subjective optical quality, subjective optical side effects and quality of life were clinically significantly raised in all patients and all of them would recommend it to a friend.
Conclusions
PresbyEDoF is an interesting alternative procedure of suitable excimer laser presbyopia correction in the treatment of patients without cataractogenous lenses.