Presbyond in a high hyperope with high astigmatism and high angles kappa and alpha John Bolger F.R.C.S., FEBOS-CR London EU
• My speech is based on the my own professional opinion or on our study results. It is not necessarily a reflection of the point of view of Carl Zeiss Meditec AG and may not be in line with the clinical evaluation or the intended use of their medical devices. ZEISS therefore recommends that you carefully assess suitability for everyday use in your practice.
51 year old lady now contact lens intolerant
High Angles Alpha and Kappa OD
High Angles Alpha and Kappa OS
No corneal pathology OD
No corneal pathology OS
No lens changes but slightly narrow angles
Plan • Lens surgery to move refraction into a zone that Presbyond could treat • 1.8 Scleral Tunnel to reduce risk of wound dehiscence with Femto • Monofocal aspheric IOL • Minimum 3-6 months recovery before attempting laser refractive surgery • Counsel patient that, as an outlier, complete spectacle independence could not be guaranteed but that “Vision on the Go” was the aim.
One month post op 1.8mm
Post lens surgery wavefront OD
Post lens surgery wavefront OS
Note the ovality of the contact area
One month post Presbyond OD
One month post Presbyond OS
Patient is spectacle independent for almost all tasks.
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