PURPOSE: To evaluate and compare refractive and visual outcomes of the presbyopic laser algorithm SUPRACOR using the TENEO Excimer Laser Platform in myopic and hyperopic eyes.

SETTING: Asian Eye Institute, Manila, Philippines.

METHODS: In this 12M prospective randomized single surgeon study, 60 subjects (36 myopic and 24 hyperopic) were included: the dominant eye targeted for plano was treated using the aspheric ablation profile PROSCAN and the non-dominant eye was treated with a target of -0.50 D using the Supracor. Same nomogram was used for all eyes. Subjects were 48±3.4 years (58.3% female) for the Hyperopic group (MRSE ranged from 0.25 to 2.25 D) and 51.6±3.3 years of age (66.7% female) for the Myopic group (MRSE ranged from -1.75 to -6.88D). Examinations included manifest refraction, monocular and binocular visual acuity at all distances (UDVA, CDVA, UIVA, DCIVA, UNVA and DCNVA), PRSIQ and modified TyPE questionnaires.

RESULTS: At 12M post-surgery, binocular CDVA and UDVA were ≤0.1 logMAR in 100% of both hyperopic and myopic eyes, with no eye losing ≥2 lines. Mean MRSE in hyperopic eyes was 0.15±0.35 D (dominant) and -0.59±0.56 D (non-dominant) vs -0.18±0.25 D and -0.66±0.49 D in myopic eyes. Functional UIVA (≤0.2 logMAR) was achieved in 95.5% of hyperopic vs 100% of myopic eyes, while functional UNVA rates were 63.6% (Hyperopic) vs 75.0% (Myopic). The defocus curve reported a depth of focus at a 0.2 logMAR level up -2.0D (hyperopic eyes) and up to 2.5D (myopic eyes). The satisfaction score (0–10 scale) was ≥8 in 90.9% (Far), 77.3% (Intermediate), and 77.3% (Near) of hyperopic eyes vs 91.7%, 86.1%, and 80.6% in myopic eyes. Proportion of subjects who reported never wearing their glasses or contact lenses at all distances was 90.9% (Hyperopic group) vs 94.4% (Myopic group).

CONCLUSION: SUPRACOR presbyopic treatment was safe and effective in both groups. Both hyperopic and myopic eyes achieved excellent distance and intermediate vision at 12M post-surgery, with high patient satisfaction. Near vision was better in myopic eyes, though functional rates were substantial in both groups.

Keywords: Excimer Laser Surface Treatment, Outcomes of LASIK.