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PRESBYOND · PresbyMAX · Monovision

PRESBYOPIA IS A NEGOTIATION — PLAN IT LIKE ONE.

Written by the RLES AI clinical rules team · Medically reviewed by Alim Hüseynov, MD · Ercüment Bozkurt, MD · Last updated: 24 August 2026

Every presbyopic strategy trades distance clarity for near function. The difference between a delighted patient and a reversal is candidate selection and expectation management — which is exactly where RLES AI does its work.

CANDIDATE SCREENING BEFORE STRATEGY

  • Ocular dominance — and its strength, tested with the +1.50 D suppression method, because weak dominance predicts intolerance
  • Anisometropia tolerance, absolute exclusion for strabismus or suppression history, scotopic pupil size against the planned profile
  • Dry eye status (an unstable surface ruins multifocal optics first), occupation and night-driving demands
  • A contact-lens monovision trial of 1–2 weeks is strongly advised before any cornea is touched

THE THREE ROADS, MAPPED TO YOUR DEVICES

PRESBYOND (Zeiss MEL 90 via CRS-Master),[1] PresbyMAX (SCHWIND AMARIS)[2][3] and classic mini-monovision on any excimer platform — the module opens only the roads your registered devices can actually deliver, because the blended-vision profiles are computed by the manufacturers' own planning software. Near targets are age-based (−1.00 to −1.50 D by decade); full monovision beyond −2.50 D is not advised, and published tolerance and reversal figures[4][5] accompany each method so the patient hears numbers, not adjectives.

THE SAME SAFETY ENGINE UNDERNEATH

Every presbyopic plan passes the identical tissue budget — PTA, RSB, RCT, post-op K window — as any refractive case. A blended-vision profile that violates a safety floor is a violation, however elegant the optics.

FREQUENTLY ASKED QUESTIONS

Which presbyopia strategies does RLES AI screen for?
PRESBYOND laser blended vision, PresbyMAX and classic mini-monovision — opening only the roads the clinic’s registered devices can actually deliver.
Why is a contact-lens trial recommended first?
Because tolerance of blended vision cannot be predicted from numbers alone; a 1–2 week trial before surgery is the cheapest reversibility test in refractive surgery.
SEE IT ON YOUR OWN CASES.
RLES AI runs as a mobile interface on your phone — nothing to install from a store, reports in minutes. The final clinical decision always rests with the surgeon.

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References — peer-reviewed sources
  1. Russo A, Reinstein DZ et al. Visual and Refractive Outcomes Following Laser Blended Vision With Non-linear Aspheric Micro-anisometropia (PRESBYOND) in Myopic and Hyperopic Patients. J Refract Surg. 2022;38(5):288-297. doi:10.3928/1081597X-20220323-01 PMID: 35536710
  2. Chan TCY, Kwok PSK, Jhanji V, Woo VCP, Ng ALK. Presbyopic Correction Using Monocular Bi-aspheric Ablation Profile (PresbyMAX) in Hyperopic Eyes: 1-Year Outcomes. J Refract Surg. 2017;33(1):37-43. doi:10.3928/1081597X-20161006-03 PMID: 28068445
  3. Fu D, Zhao J, Zeng L, Zhou X. One Year Outcome and Satisfaction of Presbyopia Correction Using the PresbyMAX Monocular Ablation Profile. Front Med (Lausanne). 2020;7:589275. doi:10.3389/fmed.2020.589275 PMID: 33330548
  4. Luger MHA, McAlinden C, Buckhurst PJ, Wolffsohn JS, Verma S, Arba Mosquera S. Presbyopic LASIK using hybrid bi-aspheric micro-monovision ablation profile for presbyopic corneal treatments. Am J Ophthalmol. 2015;160(3):493-505. doi:10.1016/j.ajo.2015.05.021 PMID: 26025425
  5. Luger MHA, McAlinden C, Buckhurst PJ, Wolffsohn JS, Verma S, Arba-Mosquera S. Long-term Outcomes After LASIK Using a Hybrid Bi-aspheric Micro-monovision Ablation Profile for Presbyopia Correction. J Refract Surg. 2020;36(2):89-96. doi:10.3928/1081597X-20200102-01 PMID: 32032429
Sources open on PubMed in a new tab.