Correction of ametropia and presbyopia using PresbyMAX technology: a clinical case

Background. This clinical case presents the use of PresbyMAX Hybrid technology for the correction of ametropia and presbyopia in a 48-year-old female patient with moderate myopia and complaints of near vision deterioration. The aim of the work was to create a bi-aspheric multifocal corneal profile to provide clear vision at near, intermediate and far distance. Materials and methods. Following a comprehensive preoperative examination, including corneal topography, pachymetry, and evaluation of accommodative reserves, visual simulation was performed using soft contact lenses with a positive response, confirming the indication for surgical intervention. Laser ablation was performed using the Schwind Amaris 500E platform, with central corneal optimization for near vision and peripheral zones configured for distance vision. Results. On the first postoperative day, the patient achieved good uncorrected visual acuity at all distances, with further improvement and stabilization over a three-month follow-up. Complete independence from spectacles was achieved for both distance and near tasks. No postoperative complications were observed. Conclusions. The PresbyMAX Hybrid technique demonstrated high efficacy and safety, and the patient evaluated treatment outcomes as significant improvement in visual function and overall quality of life.