ESCRS - PO1059 - Presbyedof: Patient Satisfaction With A New Strategy For Correcting Presbyopia

Presbyedof: Patient Satisfaction With A New Strategy For Correcting Presbyopia

Published 2025 - 43rd Congress of the ESCRS

Reference: PO1059 | Type: Poster | DOI: 10.82333/da1d-dg43

Authors: Kristin Artz* 1 , Karsten Klabe 1 , Hakan Kaymak 1 , Mücella Kirca 1 , Lena Beckers 2 , David Lücht 2 , Florian A.T. Kretz 2 , Gerd Auffarth 3 , Detlev R.H. Breyer 1

1Breyer Kaymak Klabe AUgenchirurgie,Düsseldorf ,Germany, 2Precise Vision,Rheine,Germany, 3Ophthalmology,Universitätsklinikum Heidelberg,Heidelberg,Germany

Purpose

PresbyEDoF addresses presbyopia correction using a PresbyMax profile with higher anisometropia. Schwind PresbyMax routinely provides anisometropia of -0.89 diopters (D) and 1.25 D for presbyopia correction, enhancing depth of field through spherical aberrations. To improve spectacle-independent reading, it is crucial to adjust spherical aberrations specifically and modify the target refraction in the near-dominant eye according to individual patient preferences. Pre- and postoperative patient satisfaction was evaluated using questionnaires assessing independence from spectacles at near and distance, quality of life, and overall satisfaction.

Setting

All PresbyEDoF surgeries (Zeiss VisuMax 800 and Schwind Laser Armaris 1050 RS) were performed by a single surgeon (BY) at the Breyer-Kaymak-Klabe Eye Surgery & Premium Eyes in Düsseldorf, Germany, a member of the International Vision Correction Research Center (
).

Methods

We adjusted the classic PresbyMax parameters for 57 patients treated with the Schwind Laser Armaris 1050 RS, inducing targeted emmetropia in the far-dominant eye and -1.64 D in the near-dominant eye. Spherical aberrations were increased in the near-dominant eye from 1.25 D to 1.5 D, while decreased in the far-dominant eye to 0.75 D. All patients completed a questionnaire regarding daily experiences, subjective optical quality, optical side effects, and quality of life before and 1-3 months post-surgery.

Results

Our quality management-controlled investigation comprised three patient groups. Group 1 (n=52) achieved their refractive goal. Group 2 (n=3), who did not reach their target, underwent fine-tuning (femtolasik). Group 3 (n=2) could not adapt to the Düsseldorf scheme and were corrected toward emmetropia (femtolasik). All groups completed questionnaires assessing daily experiences, subjective optical quality, optical side effects, and quality of life.

Conclusions

PresbyEDoF is an individualized, patient-oriented procedure for excimer laser presbyopia correction, aimed at achieving a spectacle-independent lifestyle for patients without cataractogenic lenses.