Comparison of PRESBYOND Laser Blended Vision and Conventional Monovision LASIK in Individuals With Presbyopia: A Randomized Clinical Study
2 other identifiers
interventional
100
1 country
1
Brief Summary
The goal of this clinical trial is to learn if laser blended vision (LBV) works better than traditional monovision LASIK to correct presbyopia in adults aged 40 to 55 years. Presbyopia is an age-related condition that makes it hard to see things up close. The study will also evaluate the safety of both procedures. The main questions it aims to answer are: Does LBV improve distance, intermediate, and near vision at the same time after surgery? Is LBV as safe as traditional monovision LASIK? Researchers will compare laser blended vision to traditional monovision LASIK to see if LBV provides better overall vision after surgery. Participants will: Be randomly assigned to receive either laser blended vision or traditional monovision LASIK Have standard eye examinations before surgery Undergo LASIK surgery using the assigned method Return for follow-up visits at 1 week, 1 month, 3 months, and 6 months after surgery Complete vision tests and questionnaires about visual quality and satisfaction
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started May 2026
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 19, 2026
CompletedFirst Posted
Study publicly available on registry
April 6, 2026
CompletedStudy Start
First participant enrolled
May 12, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 30, 2028
July 7, 2026
March 1, 2026
2.1 years
March 19, 2026
July 5, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of participants achieving target binocular visual acuity at multiple distances
Proportion of participants who achieve binocular uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA) of 0.8 (logMAR 0.10) or better.
6 months after surgery
Secondary Outcomes (10)
Binocular uncorrected visual acuity
1 week, 1 month, 3 months, and 6 months after surgery
Refractive accuracy after surgery
1 week, 1 month, 3 months, and 6 months after surgery
Refractive stability over time
Up to 6 months after surgery
Contrast sensitivity
1 week, 1 month, 3 months, and 6 months after surgery
Stereoacuity
1 week, 1 month, 3 months, and 6 months after surgery
- +5 more secondary outcomes
Study Arms (2)
Laser Blended Vision LASIK
EXPERIMENTALParticipants will undergo laser blended vision LASIK. The dominant eye will be corrected for distance vision, and the non-dominant eye will be targeted for mild myopia to improve near vision using a laser blended vision design.
Traditional Monovision LASIK
ACTIVE COMPARATORParticipants will receive standard monovision LASIK for presbyopia correction, with the dominant eye corrected for distance and the non-dominant eye targeted for mild myopia to improve near vision.
Interventions
Monovision LASIK is a refractive surgery technique in which the dominant eye is corrected for distance vision and the non-dominant eye is corrected for near vision to improve presbyopia.
Laser blended vision LASIK is a refractive surgery technique for presbyopia correction. The dominant eye is corrected for distance vision, and the non-dominant eye is adjusted to mild myopia to improve near vision using a laser blended vision design.
Eligibility Criteria
You may qualify if:
- Adults aged 40 to 55 years with presbyopia
- Suitable candidates for LASIK surgery based on clinical evaluation
- Stable refractive status for at least 1 year
- Best corrected distance visual acuity within normal range
- Willing and able to provide written informed consent
- Willing to comply with study visits and follow-up
You may not qualify if:
- Previous ocular surgery
- Corneal disease or abnormal corneal condition that may affect safety
- Significant ocular disease affecting visual function
- Severe dry eye or other ocular surface disorders
- Systemic disease that may affect study participation
- Inability to tolerate monovision or anisometropia
- Any condition that the investigator considers unsuitable for the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Zhongshan Ophthalmic Center
Guangzhou, Guangdong, 510060, China
Related Publications (6)
Waring GO 4th, Price FW Jr, Wirta D, McCabe C, Moshirfar M, Guo Q, Gore A, Liu H, Safyan E, Robinson MR. Safety and Efficacy of AGN-190584 in Individuals With Presbyopia: The GEMINI 1 Phase 3 Randomized Clinical Trial. JAMA Ophthalmol. 2022 Apr 1;140(4):363-371. doi: 10.1001/jamaophthalmol.2022.0059.
PMID: 35238902BACKGROUNDHernandez-Lucena J, Alonso-Aliste F, Amian-Cordero J, Sanchez-Gonzalez JM. Outcomes of Corneal Compound Hyperopic Astigmatism With Presbyopia by Zeiss PRESBYOND Laser Blended Vision LASIK Using Default Custom Refractive Software Master Target Refractions for Reduced Anisometropia. J Refract Surg. 2024 Jul;40(7):e480-e489. doi: 10.3928/1081597X-20240506-02. Epub 2024 Jul 1.
PMID: 39007817BACKGROUNDRusso A, Reinstein DZ, Filini O, Archer TJ, Boldini A, Cardin G, Festa G, Morescalchi F, Salvalai C, Semeraro F. Visual and Refractive Outcomes Following Laser Blended Vision With Non-linear Aspheric Micro-anisometropia (PRESBYOND) in Myopic and Hyperopic Patients. J Refract Surg. 2022 May;38(5):288-297. doi: 10.3928/1081597X-20220323-01. Epub 2022 May 1.
PMID: 35536710BACKGROUNDReinstein DZ, Ivory E, Chorley A, Archer TJ, Vida RS, Gupta R, Lewis T, Carp GI, Fonseca A, Parbhoo M. PRESBYOND Laser Blended Vision LASIK in Commercial and Military Pilots Requiring Class 1 Medical Certification. J Refract Surg. 2023 Jan;39(1):6-14. doi: 10.3928/1081597X-20221129-02. Epub 2023 Jan 1.
PMID: 36630432BACKGROUNDGanesh S, Sriganesh SS. Laser refractive correction of presbyopia. Indian J Ophthalmol. 2024 Sep 1;72(9):1236-1243. doi: 10.4103/IJO.IJO_3074_23. Epub 2024 Aug 23.
PMID: 39185826BACKGROUNDVan Heerden A, Bigirimana D. Visual and Refractive Outcomes After Laser Blended Vision (PRESBYOND) in Patients With Myopia and Hyperopia. J Refract Surg. 2025 Oct;41(10):e1089-e1097. doi: 10.3928/1081597X-20250805-04. Epub 2025 Oct 1.
PMID: 41065739BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 19, 2026
First Posted
April 6, 2026
Study Start
May 12, 2026
Primary Completion (Estimated)
June 30, 2028
Study Completion (Estimated)
June 30, 2028
Last Updated
July 7, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share