| This study aimed to assess the effectiveness of SCHWIND ESIRIS excimer laser combined with ORK-CAM software
aberrometer in enhancing near vision among patients with low to moderate myopia. The impact of treating higher-order
aberrations (HOAs) on near vision function was also investigated. A total of 26 presbyopic patients (52 eyes) with low to
moderate myopia were included in the assessment. HOAs were measured, and wavefront-guided treatments were designed
using ORK-CAM software aberrometers. Three months post-surgery, assessments were conducted, including uncorrected
and best-corrected visual acuity, manifest refraction spherical equivalent (MRSE), HOA measurements, and contrast
sensitivity. Distance corrected near acuity (DCNA), best-corrected near acuity (BCNA), and DCNA+Near were also
evaluated. The mean age in group A was 47.46 years, while in group B, it was 45.2 years. Preoperative MRSE and total
HOA values were 2.37 and 2.87 D, respectively, with no significant differences between the two groups. Postoperatively,
UCVA, BCVA, MRSE, and contrast sensitivity showed no significant differences between the groups. However, a
significant difference was observed in vertical coma between the groups (P < 0.001). Furthermore, DCNA significantly
improved in group B (P < 0.01) compared to group A. The findings suggest that wavefront-guided ablation can enhance
visual function and improve uncorrected near acuity in presbyopic patients, particularly when selectively treating HOAs in
those with low to moderate myopia. It is worth noting that vertical coma was the only HOA not addressed in the treatment
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