ESCRS - PP07.10 - Comparative Analysis Of Two Different Surgical Treatments For Hyperopic Presbyopia Patients Below 50 Years Old: Presbyond Laser Blended Vision (Lbv) And Refractive Lens Exchange (Rle）

Comparative Analysis Of Two Different Surgical Treatments For Hyperopic Presbyopia Patients Below 50 Years Old: Presbyond Laser Blended Vision (Lbv) And Refractive Lens Exchange (Rle）

Published 2026 - 44th Congress of the ESCRS

Reference: PP07.10 | Type: Free paper | DOI: 10.82333/13dg-dd74

Authors: Dr Chunchun He* 1 , Dr Joern Joergensen 2

1refractive surgery,Euroeyes Beijing ,beijing ,China, 2refractive surgery,Euroeyes Hamburg,Hamburg,Germany

Purpose

To evaluate the efficacy, safety, predictability, spectacle independence, and quality of life outcomes of Presbyond Laser Blended Vision (LBV) versus Refractive Lens Exchange (RLE) with diffractive trifocal intraocular lens (IOL) in hyperopic presbyopic patients under 50 years of age.

Setting

This study was retrospective single-center study, conducted at a clinical ophthalmology setting specialized in laser refractive surgery, where the patient received surgical treatment and regular postoperative follow-up.

Methods

this study was conducted from March 2023 to March 2025, 20 hyperopic presbyopic patients included (mean age 48+ 4 years). 10 patients underwent Presbyond LBV using Mel 90 excimer laser and Visumax 500 femtosecond laser(Carl Zeiss Meditec), and 10 patients underwent RLE with bimanual phacoemulsification and implantation of diffractive trifocal intraocular lenses (Zeiss At Lisa tri 839). Outcomes were assessed at 1 week and 6 months follow-up. Primary endpoints: binocular uncorrected distance visual acuity (BUDVA),  binocular uncorrected near visual acuity (BUNVA), spectacle independence, patient satisfaction. 

Results

at 6 months, LBV group achieved better BUNVA (LBV: 1.10+0.15 vs. RLE: 1.21+0.18; p<0.05), while RLE demonstrated marginally better BUDVA (LBV: 1.12+0.29 vs. RLE: 1.04+0.27; p=0.32). All RLE patients were spectacle-free at all distances, whereas 30% of LBV patients required occasional distance glasses at 3 months for night driving mostly. Satisfaction rate was 80% (LBV) vs. 90% (RLE) at 1week, rising to 90% (LBV) vs. 80%(RLE) at 6 months. Both groups experienced halos until 6 months, but patients reported more halos in RLE group 70% vs. 20% in LBV group,  and enhancement rate was lower in RLE group 10% vs. 30% in LBV.

Conclusions

Both surgeries are safe and effective modalities in the management of hyperopic presbyopia under 50. LBV offers better postoperative binocular near vision and less halo, while RLE provides better spectacle independence. Both surgeries can yield high satisfaction at 6 months.  Patient-specific factors should guide surgical selection principles.