{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T20:01:33Z","timestamp":1776456093014,"version":"3.51.2"},"reference-count":24,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T00:00:00Z","timestamp":1621900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Presbyopia treatment in pseudophakic patients with a monofocal IOL is challenging. This study investigates the refractive results of femto-PresbyLASIK and analyzes presbyopia treatment in pseudophakic eyes. Methods: 14 patients with 28 pseudophakic eyes were treated with femto-PresbyLASIK. The dominant eye was targeted at a distance and the non-dominant eye at \u22120.5 D. The presbyopic algorithm creates a steepness in the cornea center by using an excimer laser that leads to corneal multifocality. Results: 6 months after surgery a refraction of \u22120.11 \u00b1 0.13 D (p = 0.001), an uncorrected distance visual acuity of 0.05 \u00b1 1.0 logMAR (p &lt; 0.001) and an uncorrected near visual acuity of 0.15 \u00b1 0.89 logMAR (p = 0.001) were achieved in the dominant eye. For the non-dominant eye, the refraction was \u22120.28 \u00b1 0.22 D (p = 0.002), the uncorrected distance of visual acuity was 0.1 \u00b1 1.49 logMAR, and the uncorrected near visual acuity was 0.11 \u00b1 0.80 logMAR (p &lt; 0.001). Spherical aberrations (Z400) were reduced by 0.21\u20130.3 \u00b5m in 32% of eyes, and by 0.31\u20130.4 \u00b5m in 26% of eyes. Conclusion: By steepening the central cornea while maintaining spherical aberrations within acceptable limits, PresbyLASIK created a corneal multifocality that safely improved near vision in both eyes. Thus, femto-PresbyLASIK can be used to treat presbyopia in pseudophakic eyes without performing intraocular surgery.<\/jats:p>","DOI":"10.3390\/jcm10112282","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T02:53:36Z","timestamp":1621911216000},"page":"2282","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Multifocal Femto-PresbyLASIK in Pseudophakic Eyes"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1987-6232","authenticated-orcid":false,"given":"Bojan","family":"Pajic","sequence":"first","affiliation":[{"name":"Eye Clinic Orasis, Swiss Eye Research Foundation, 5734 Reinach, Switzerland"},{"name":"Department of Physics, Faculty of Sciences, University of Novi Sad, Trg Dositeja Obradovica 4, 21000 Novi Sad, Serbia"},{"name":"Department of Clinical Neurosciences, Division of Ophthalmology, Geneva University Hospitals, 1205 Geneva, Switzerland"},{"name":"Faculty of Medicine, University of Geneva, 1205 Geneva, Switzerland"},{"name":"Faculty of Medicine of the Military Medical Academy, University of Defense, 11000 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5025-3856","authenticated-orcid":false,"given":"Horace","family":"Massa","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurosciences, Division of Ophthalmology, Geneva University Hospitals, 1205 Geneva, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8118-2464","authenticated-orcid":false,"given":"Philipp B.","family":"Baenninger","sequence":"additional","affiliation":[{"name":"Cantonal Hospital of Lucerne, Department of Ophthalmology, 6006 Lucerne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7714-6196","authenticated-orcid":false,"given":"Erika","family":"Eskina","sequence":"additional","affiliation":[{"name":"Ophthalmological Department of Academy of Postgraduate Education FSBF FRCC of the FMBA of Russia, 125310 Moscow, Russia"},{"name":"Laser Surgery Clinic \u201cSPHERE\u201d, 117628 Moscow, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brigitte","family":"Pajic-Eggspuehler","sequence":"additional","affiliation":[{"name":"Eye Clinic Orasis, Swiss Eye Research Foundation, 5734 Reinach, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirko","family":"Resan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of the Military Medical Academy, University of Defense, 11000 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8218-4899","authenticated-orcid":false,"given":"Zeljka","family":"Cvejic","sequence":"additional","affiliation":[{"name":"Department of Physics, Faculty of Sciences, University of Novi Sad, Trg Dositeja Obradovica 4, 21000 Novi Sad, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,5,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"676","DOI":"10.3928\/1081597X-20130826-01","article-title":"Resolving Refractive Error After Cataract Surgery: IOL Exchange, Piggyback Lens, or LASIK","volume":"29","author":"Ardoy","year":"2013","journal-title":"J. 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