PRESBYOND and PresbyMAX are both presbyopic laser techniques; choice depends on eye anatomy, prescription, and tolerance for blended versus multifocal corneal optics.
Patients better suited to PRESBYOND
Blended monovision is appealing.
- Good binocular function and tolerance of monovision/contact‑lens trials
- Desire for a more natural, continuous blend between distances
- Low‑to‑moderate refractive errors amenable to aspheric, depth‑of‑focus profiles
- High sensitivity to multifocal halos who may prefer blended optics
- Surgeon experience and platform availability favour PRESBYOND
Patients better suited to PresbyMAX
Multifocal corneal profiles may work better.
- Eyes where symmetric multifocal ablation is preferred over monovision blend
- Particular prescription ranges that fit PresbyMAX algorithms
- Patients happy with the concept of multifocal optics similar to multifocal lenses
- Cases where surgeon’s assessment indicates better quality of vision with PresbyMAX
- Choice ultimately guided by detailed examination and discussion of each method
