[Visual outcomes and satisfaction-related factors after laser blended vision surgery for myopia with presbyopia].

LBV surgery provided favorable UNVA and UDVA and good refractive predictability, with a high level of spectacle independence and overall satisfaction in patients with myopia and presbyopia. The dissatisfied patients had lower vision-related quality of life scores in near activities and role difficulties. Longer axial length was associated with an increased risk of postoperative dissatisfaction, whereas better tear film stability and greater negative relative accommodation were associated with a reduced risk, suggesting that preoperative assessment of the ocular surface status and accommodative function may be useful for patient selection and perioperative management.