ESCRS - FP06.04 - FEMTO-LASIK IN HYPEROPIC AND HYPEROPIC-ASTIGMATIC EYES USING A NOVEL EXCIMER LASER

FEMTO-LASIK IN HYPEROPIC AND HYPEROPIC-ASTIGMATIC EYES USING A NOVEL EXCIMER LASER

Published 2026 - 30th ESCRS Winter Meeting

Reference: FP06.04 | Type: Free Paper | DOI: 10.82333/3ft8-x953

Authors: Suphi Taneri* 1 , Deniz Kilic 2 , Anika Förster 3 , H. Burkhard Dick 4

1Eye department at St. Francis Hospital,Center for Refractive Surgery Münster,Muenster,Germany;Ruhr-University Bochum,Bochum,Germany, 2Department of Ophthalmology,World Eye Hospital,Izmir,Türkiye, 3Eye department at St. Francis Hospital,Center for Refractive Surgery Münster,Muenster,Germany, 4Eye clinic,Ruhr-University Bochum,Bochum,Germany

Purpose

To evaluate initial outcomes of hyperopic and hyperopic-astigmatic fs-LASIK using the Teneo 317M2 Excimer Laser in comparison to its predecessor, 217z100.

Setting

Tertiary care refractive surgery center.

Methods

Retrospective, consecutive case series of 243 eyes (151 patients) treated using Visumax 500 (Carl Zeiss Meditec) for flap creation and Teneo or 217z100 (both, Bausch+Lomb Technolas). Teneo eyes were divided into 2 sub-groups according to preoperative sphere (S) in the maximum hyperopic meridian, (low hyperopia < 3 Diopters (D), high hyperopia ≥ 3D).

Results

All surgeries were uneventful. After a mean follow-up of 3.53±1.19 months, efficacy index was 0.94±0.26 for Teneo and 0.78±0.21 for 217z100 (P=<0.01). Safety index was 1.00±0.22 for Teneo and 0.97±0.18 for 217z100 (P=0.349). No patient returned for diminished refractive effect yet, although re-treatment was offered free-of-charge for 2 years after surgery.

Subgroup analysis for Teneo showed safety index of 1.05±0.23 for low hyperopia and 0.96±0.21 for high hyperopia (P=<0.01). Efficacy index was 0.97±0.26 for low hyperopia and 0.90±0.26 for high hyperopia (P=<0.01).

Conclusion

Outcomes with Teneo were better than with its predecessor. Results for eyes with <3D of hyperopia were excellent, while predictability deteriorated with higher corrections but was still more than acceptable in view of better alternatives especially in pre-presbyopic patients.