Subjective Patient Satisfaction And Visual Outcomes After Presbyond® Laser Blended Vision Surgery: A Cross-Sectional Study

Published 2026 - 44th Congress of the ESCRS

Reference: POREF185 | Type: Free paper | DOI: 10.82333/8m4q-z478

Authors: Dr Anke Messerschmidt-Roth* ¹ , A/Prof. Walter Sekundo ¹ , Mr Hassen-Josef Al Jalali ²

¹Department of Ophthalmology,Philipps-University,Marburg,Germany, ²ARTEMIS Augen- und Laserzentrum Frankfurt,Frankfurt/Main,Germany

Purpose

To evaluate subjective patient satisfaction, visual quality, dry eye symptoms and everyday visual function following Presbyond^® Laser Blended Vision surgery.

Setting

University Hospital Gießen and Marburg, Marburg, Germany.

Methods

In this single-centre retrospective observational follow-up study, 61 patients with a mean age of 49.95 ± 6.51 years who underwent bilateral Presbyond^® Femto-LASIK either for myopia (86%) or hyperopia (14%) completed a comprehensive 59-item questionnaire assessing overall visual and procedural satisfaction, visual symptoms, dry eye symptoms using the validated Ocular Surface Disease Index (OSDI), vision-related quality of life using the validated National Eye Institute Refractive Error Quality of Life Instrument–42 (NEI-RQL-42), and dependence on visual aids. Visual acuity and refraction data were collected retrospectively. Statistical analyses included descriptive statistics, dichotomous outcome evaluation, and correlational tests.

Results

91,8% were satisfied with the Presbyond^® procedure. Preoperative hyperopia was associated with lower postoperative visual satisfaction. The use of spectacles led to the improvement in their visual symptoms. The mean postoperative OSDI score indicated mild dry eye symptoms (16.01 ± 13.98). Visual phenomena such as glare and halos were reported, especially in preoperatively hyperopic patients and those requiring a re-treatment. 37.7% of patients needed spectacles for at least one viewing distance after surgery. Satisfaction correlated significantly with lower OSDI scores, fewer visual symptoms and a longer postoperative period.

Conclusions

This study demonstrates high subjective patient satisfaction after Presbyond^® Laser Blended Vision with favorable refractive and visual outcomes and a high degree of spectacle independence. Optimization of outcomes may require minimizing touch-up procedures and adequately diagnosing and treating dry eye disease. Visual symptoms represent a relevant postoperative issue but may improve with appropriate optical correction. Careful indication and preoperative counseling are particularly important in hyperopic patients. Overall, Presbyond® Laser Blended Vision represents a viable alternative to lens-based procedures particularly in myopic patients.