Laser Blended Vision For Presbyopia ,5 Years Follow Up.

 Prospective  study  the first consecutive 100 patients 
with presbyopia who underwent femtoLASIK with Laser Blended Vision(®) Program by Zeiss(®) in our Excimer Laser Zeiss 
Mel-90 by Carl Zeiss Meditec(®) (Jena, Germany) over the last 60 
months,for the correction of presbyopia with myopia, 
astigmatism, hyperopia or emmetropia

Retrospective study for the 1st 100 patients who underwent presbyond laser surgery for patients above age of 40

The program has a non-linear aspheric ablation profile that 
increases the spherical aberration in both eyes. 
 A slight myopia of -1.5 diopters (D) in the non-dominant eye is 
also programmed. 
We analyzed the results patient satisfaction, efficacy, safety and 
predictability of the procedure.
Follow-up was from 24 to 60 months

SULTS
30 male and 70 female patients between 42 
and 57 years old were studied, for a total of 
200 eyes. 

ractive error type:
11 patients (11%) were emmetropic
(0.5 or less spherical equivalent).
 48patients (48%) were myopic or 
myopic astigmatic, 
 41 patients (41%) were hyperopic or 
hyperopic astigmatism

 Post-operative visual acuity without 
correction for distance was 20/20 
in 47patients (47%) .
 20/25 or better in 83 patients (83%) 
(Binocular).
PREOP
53 patients (53%) had pre-op near vision between N9 - N24.
47 MYOPIC patients (47%) had pre-op near vision between N4 – N6.
 PO
77 (77%) has PO near vision N4 or better (efficacy).
 23 patients (23%) has post-operative near vision between N9 and N10

. (Safety 99.7%). 
A total of 88% were satisfied

Laser Blended Vision(®) is an excellent option, well tolerated, 
stable and effective for patients with presbyopia, myopia, 
astigmatism, hyperopia or emmetropia.
Excellent alternative for intraocular procedure.

 Satisfaction may need more than 6 mo.
Patient selection & counseling are important .
 May start with minimal micromonovision (0.75-1.0) then 
increase to 1.5-2.0 latter if needed