PRESBYOND : Ditch the hassle of reading glasses !

What are the PRESBYOND laser suitability criteria?

This technique makes it possible to treat:

• Everyone with presbyopia regardless of your age
• Presbyopic and myopic up to -12 D
• Presbyopic and hyperopic up to +4.5 and / or astigmatic from 0.25 to 6 D

How does PRESBYOND laser work?

PRESBYOND laser treatment reshapes the cornea to allow the best focusing of optical rays on the retina regardless of the viewing distance. PRESBYOND adjusts each eye in slightly different ways: one eye is adjusted to sea mostly at a distance and a little close-up, while the other is the opposite: mostly close-up and a little at a distance. The brain compensates for this change almost instantly, combining the two images to give much greater depth of vision. You will be able to see again naturally at all distances without glasses.

What are the PRESBYOND laser advantages?

The main advantages of PRESBYOND include:

A more natural vision at all distances

Unlike traditional monovision, PRESBYOND is based on the principle of Laser Blended Vision, which increases the depth of focus through a personalised correction of both eyes. This approach allows the brain to combine the images from both eyes, providing comfortable vision for everyday activities.

A significant reduction in dependence on glasses

Following PRESBYOND surgery, most patients are able to perform many daily activities without glasses, such as reading a smartphone, working on a computer, watching television, or driving.

However, in certain demanding situations (such as reading very small print or prolonged reading in low-light conditions), an additional visual aid may sometimes still be helpful.

Preservation of excellent visual quality

In appropriately selected patients, PRESBYOND generally preserves excellent visual quality, including for activities requiring good contrast sensitivity.

The treatment is designed to minimise unwanted visual phenomena such as halos or night-time glare, although a short adaptation period may sometimes be required.

A quick and personalised procedure

PRESBYOND surgery is performed as an outpatient procedure under local anaesthesia using eye drops. The laser treatment is fully customised according to the specific characteristics of each eye, including the refractive error, ocular dominance, optical quality, and corneal parameters.

What are the PRESBYOND laser disadvantages?

Like any refractive surgery procedure, PRESBYOND has certain limitations that patients should be aware of before undergoing treatment.

A period of visual adaptation

Some patients may need a few days or several weeks to adjust to their new vision. The brain needs time to adapt and learn how to process the visual information coming from both eyes in a different way.

This adaptation period is usually gradual and varies from one patient to another.

A technique that is not suitable for every patient

A comprehensive preoperative assessment is essential to determine whether the cornea, ocular surface, and overall eye health are suitable for this procedure and to ensure the best possible conditions for treatment.

What are the PRESBYOND laser risks?

Like any surgical procedure, PRESBYOND laser treatment carries potential risks and side effects. However, when it is preceded by a comprehensive pre-operative assessment and performed by an experienced refractive surgeon, the risk of complications is very low.

At our clinic, which specializes in the treatment of presbyopia, every patient undergoes a personalized evaluation to determine their suitability for PRESBYOND and to ensure the highest standards of safety throughout the procedure. This essential step helps optimize visual outcomes and ensures that the treatment is tailored to each individual's needs.

Recovery is generally straightforward. During the first few weeks, some temporary side effects may occur, including mild dry eye, occasional halos around lights at night, increased sensitivity to light, or a short period of visual adaptation. In the vast majority of cases, these symptoms gradually resolve as the eyes heal.

Serious complications are exceptionally rare. As with any refractive surgery procedure, they can never be completely ruled out. However, they are uncommon when patients are carefully selected and established medical protocols are meticulously followed.

During your pre-operative consultation, your surgeon will take the time to explain the benefits, limitations, and potential risks of PRESBYOND treatment. This allows you to make an informed decision with confidence, based on clear, personalized, and transparent information.

What are the PRESBYOND laser alternaties?

PRESBYOND laser treatment is suitable for most patients; however, there can be a contraindication to this treatment. In this case, we propose treatment for your presbyopia and your associated visual defects using the PRELEX method. This method involves implanting an intraocular lens to correct your vision permanently.

What are the PRESBYOND steps?

PRESBYOND® laser surgery for presbyopia is a quick outpatient procedure designed to restore clear vision at multiple distances while reducing dependence on reading glasses. On the day of your treatment, our team will guide you through every step of the process, ensuring that your experience is as comfortable, reassuring, and stress-free as possible.

Your Arrival at the Clinic

On the day of your procedure, you should plan to spend approximately one hour at our clinic. From the moment you arrive, you will be welcomed by our team, who will ensure your comfort throughout your visit.

A mild sedative may be offered to help you relax before the procedure. After changing into appropriate surgical attire, you will be comfortably positioned in the treatment room.

The procedure is performed under local anaesthesia using numbing eye drops. Just a few drops are sufficient to make the treatment painless, without the need for injections or general anaesthesia.

A Two-Step Procedure Lasting Only a Few Minutes

PRESBYOND® laser vision correction for presbyopia combines two highly advanced laser technologies to deliver precise and personalised results.

1. Creation of the Corneal Flap

The VISUMAX® femtosecond laser creates an ultra-thin corneal flap with exceptional precision. The surgeon then gently lifts the flap to access the underlying layers of the cornea.

2. Personalised Vision Correction

The MEL® 90 excimer laser then precisely reshapes the cornea according to your customised treatment plan. This step corrects presbyopia while optimising distance, intermediate, and near vision based on the principles of PRESBYOND® Laser Blended Vision.

Once the treatment has been completed, the surgeon carefully repositions the corneal flap, which naturally adheres without the need for stitches.

The entire procedure takes approximately twenty minutes, while the laser treatment itself lasts only a few seconds per eye.

A Comfortable and Safe Procedure

PRESBYOND® laser surgery is a minimally invasive procedure. Thanks to local anaesthesia with eye drops, it is generally painless and benefits from state-of-the-art laser technology renowned for its precision, safety, and reliability.

Throughout the procedure, you remain awake while being guided and reassured by your surgeon and the surgical team.

After Your Procedure

Following your surgery, you will be able to return home the same day. For your safety, you must arrange for someone to accompany you home.

It is recommended that you rest for several hours with your eyes closed after the procedure. Anti-inflammatory and antibiotic eye drops will be prescribed during the first few days to promote optimal healing.

Your first postoperative follow-up appointment is usually scheduled between one and ten days after surgery. During the initial recovery period, you should avoid environments that may increase the risk of infection, such as swimming pools, saunas, or dusty areas.

Our team remains available to answer any questions you may have and to provide ongoing support throughout your recovery.

What are the PRESBYOND laser results?

PRESBYOND results are excellent, whatever the associated visual defects. Our statistic results show that 90% of everyday activities are possible without glasses or contact lenses. Only very fine prints, with poor light, are difficult to read for 10% of the patients who might need extra glasses. All of our patients tell us how satisfied they are with this surgery which brings an excellent visual quality and a great freedom in everyday life. On average, visual acuity for both near and distant vision improves by more than 93% after PRESBYOND.