PRESBYOND can be combined or sequenced with other procedures in selected cases, but doing so increases complexity and requires specialist planning.
Possible combinations
Strategies are tailored to the individual.
- Enhancement after previous corneal laser to address new presbyopia
- Use alongside ICLs that primarily correct high refractive errors
- Staged approaches with future lens replacement when cataracts develop
- Adjunctive treatments such as cross‑linking in certain corneal conditions (outside classic indications)
- Careful pairing with ocular‑surface treatments for dry eye optimisation
Factors to consider
Risks and benefits must be weighed.
- Each additional procedure adds cumulative risk
- Optical interactions between corneal, phakic, and intraocular lenses can be complex
- Future cataract surgery planning must account for previous laser profiles
- Only experienced refractive centres should undertake combined strategies
- Thorough counselling is essential before proceeding
