The goal of this clinical trial is to collect information on vision outcomes in people aged 45 to 65 who have difficulty seeing clearly at near distances due to aging (a condition called presbyopia). All participants will receive the same treatment: laser eye surgery with the PRESBYOND method using the MEL 90 excimer laser.
The main questions this study aims to answer are:
* How well do patients see at distance, intermediate, and near after treatment?
* How satisfied are patients with their vision after surgery?
Participants will:
* Attend seven visits over six months (before surgery and after surgery at 1 day, 1 week, 1 month, 3 months, and 6 months)
* Undergo laser eye surgery with PRESBYOND
* Complete vision tests and questionnaires about their experience
There is no comparison group in this study.
Inclusion Criteria:
1. Subjects between 45 and 65 years old
2. Scheduled to undergo bilateral LASIK treatment with PRESBYOND
3. Preoperative corrected distance visual acuity of 20/20 Snellen or better in each eye
4. Normal corneal topography in each eye
5. Discontinue use of contact lenses at least 1 month for hard contacts and 1 week for soft lenses prior to the preoperative examination
6. Residual stromal thickness ≥250 microns in each eye
7. Availability, willingness, to comply with examination follow up visits
8. Signed informed consent and data protection documents
9. Patients successfully passed the tolerance test
Exclusion Criteria:
1. Mixed astigmatism in any eye
2. Irregular corneal astigmatism in any eye
3. Clinically significant ocular surface disease in any eye
4. History of ocular surgery, ocular pathology, or other significant ocular findings that, in the Investigator's opinion, may increase the patient's risk for corneal refractive surgery or affect potential visual outcomes in each eye
5. Prior corneal refractive surgery (SMILE, LASIK, LASEK, RK, PRK, etc,) in each eye
6. Amblyopia, strabismus, nystagmus, forme fruste keratoconus in any eye
7. Clinically significant pupil abnormalities in any eye
8. Use of systemic or ocular medications that may affect visual outcomes
9. Systemic pathology that may affect the results of the study
10. Pregnancy or being treated for conditions associated with hormonal fluctuation
11. Participation in another clinical trial in the last 30 days
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