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Updated: May 22, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile
Published on: September 20, 2024
[Light adjustable lens. New options for customized correction of presbyopia]
F H Hengerer1, J Böcker, B H Dick
1Universitäts-Augenklinik, Knappschaftskrankenhaus, Ruhr-Universität Bochum, In der Schornau 23- 25, 44892, Bochum, Deutschland. fritz.hengerer@kk-bochum.de
Purpose:
The aim of this study was a prospective evaluation of new algorithms for the treatment of presbyopia using a light-adjustable intraocular lens (LAL).
Patients And Methods:
A total of 15 patients scheduled for routine cataract surgery were included in the study. Following cataract removal a LAL (CalhounVision, Pasadena, CA) was implanted. At approximately 2 weeks after implantation the IOL was adjusted to correct any residual refractive error (sphere and cylinder) followed by the creation of a customized near add (CNA) that was based on the individual patient pupil size in one eye. The fellow eye was corrected for emmetropia. A final lock-in treatment was then performed.
Results:
There were no complications observed during the surgery or power adjustments. All patients demonstrated an improvement in near vision (0.97 ± 0.18) and distance vision (0.78 ± 0.18) with good intermediate vision (0.92 ± 0.12) months after the final lock-in.
Conclusion:
This preliminary study showed that the creation of a CNA based on the individual patient's pupil size, provided patients with a good range of near, intermediate and distance vision following implantation of the LAL.
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