PRESBYOND can be suitable for selected hyperopic presbyopes, though higher hyperopic corrections require cautious assessment.
When it can work well
Hyperopes often value near‑vision freedom.
- Low‑to‑moderate hyperopia within safe laser limits
- Presbyopia causing heavy reliance on varifocals or bifocals
- Clear lenses with no significant cataract
- Regular corneal topography and adequate thickness
- Preference for corneal rather than lens‑based surgery at this stage
When alternatives may be preferable
Higher hyperopes often benefit from lens surgery.
- High hyperopia needing deep or broad ablations
- Early lens changes or reduced contrast suggestive of cataract
- Desire for a definitive procedure that also addresses lens ageing
- Suitability for refractive lens exchange with multifocal or EDOF IOLs
- Risk-benefit balance favouring lens‑based over corneal solutions
