Options and considerations for the correction of presbyopia in the absence of cataract

PRESBYOND Laser Blended Vision is a treatment option for presbyopic patients that combines micro‐anisometropia with increased depth of field through non‐linear aspheric ablation profiles. This technique substantially improves visual outcomes in comparison with the conventional monovision approach. Trials show that PRESBYOND is effective in presbyopic patients with refractive errors between +5.75 and −9.00 D, including emmetropic presbyopes. With the safety advantages of modern femtosecond LASIK, retention of functional stereo acuity, contrast sensitivity and quality of vision, the rapid bilateral surgical procedure and a recovery time of a few hours, patient satisfaction is extremely high. In patients with no visually significant cataract, performing a corneal treatment avoids the increased risks associated with intraocular surgery, particularly risks that are relatively higher in younger presbyopic patients such as retinal detachment.