SLIDE 1 Presbyond in a high hyperope with high astigmatism and high angles kappa and alpha
John Bolger F.R.C.S., FEBOS-CR
London EU
SLIDE 2
- 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.
SLIDE 3
51 year old lady now contact lens intolerant
SLIDE 4
SLIDE 5
High Angles Alpha and Kappa OD
SLIDE 6
High Angles Alpha and Kappa OS
SLIDE 7
No corneal pathology OD
SLIDE 8
No corneal pathology OS
SLIDE 9
No lens changes but slightly narrow angles
SLIDE 10 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.
SLIDE 11
SLIDE 12
1.8mm
One month post op
SLIDE 13
Post lens surgery wavefront OD
SLIDE 14
Post lens surgery wavefront OS
SLIDE 15
Note the ovality of the contact area
SLIDE 16
One month post Presbyond OD
SLIDE 17
One month post Presbyond OS
SLIDE 18
Patient is spectacle independent for almost all tasks.
