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Surgical Correction of Presbyopia: Modern Methods, Efficacy, Safety and Limitations

Year: 2026
Type: article
Abstract: Presbyopia is a global age-related problem that creates a steady demand for surgical correction methods to reduce spectacle dependence. Despite the variety of developed techniques, their widespread adoption is hampered by the trade-off nature of outcomes and the risk of complications. Purpose. To conduct a comprehensive analysis of modern surgical methods for presbyopia correction affecting the cornea, focusing on their evolution, proven efficacy, safety profile, and reasons for limited clinical application. Material and methods. A search and analysis of publications in PubMed, Scopus, and eLIBRARY.RU databases for the period 2000–2024 was conducted using keywords: presbyopia, surgical correction, corneal inlays, KAMRA, Raindrop, PresbyLASIK, Supracor, PresbyMAX, INTRACOR, femtosecond laser. from the market due to long-term complications — corneal haze (up to 42% of cases) and the need for explantation. Laser methods (Supracor, PresbyMAX) provide good binocular distance visual acuity and near vision, yet are associated with reduced contrast sensitivity, need for enhancement procedures. Minimally invasive intrastromal procedures (INTRACOR) show stable results up to 3 year s but have narrow indications and risk of corrected distance visual acuity loss. Conclusion. Surgical correction of presbyopia remains an area of active research and compromise. The success of any approach critically depends on meticulous preoperative patient selection, realistic counseling about treatment goals and limitations, and further technological developments aimed at impr oving biocompatibility and predictability. Keywords: presbyopia, surgical correction, corneal inlays, PresbyLASIK, Supracor, PresbyMAX, INTRACOR, femtosecond las
Language: English
Subfield: Ophthalmology
Field: Medicine
Open Access status: diamond
OpenAlex ID: W7204926896
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Cites: 17
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Related to: 10