PresbyMAX can be suitable for selected hyperopic presbyopes, though higher hyperopic corrections demand careful evaluation.
When it can work well
Hyperopes often value reduced lens dependence.
- Low to moderate hyperopia within safe laser range (commonly up to about +4 D)
- Presbyopia causing significant reliance on varifocals or bifocals
- Good corneal thickness and shape
- Clear lenses with no clinically important cataract
- Preference for corneal correction rather than lens replacement at this stage
When alternatives are considered
Higher hyperopes often benefit from lens surgery.
- High hyperopia requiring deep or broad ablations
- Early lens ageing or reduced contrast suggestive of evolving cataract
- Desire for a once‑only solution addressing both focusing power and lens health
- Suitability for refractive lens exchange with multifocal or EDOF implants
- Risk-benefit analysis favouring lens‑based over corneal procedures
