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Your near vision is not as good as it used to be? You need glasses to read a book or a menu? You can give your sight a second youth with the implants and laser techniques to cure presbyopia.

What is presbyopia?

Presbyopia is a visual disorder that is a normal ageing process of the eye that becomes apparent when the eye has difficulty focusing on reading or performing close-up work. This phenomenon generally affects people over 45 years of age. It occurs in addition to other pre-existing visual disorders such as myopia, hyperopia and astigmatism.

What are the symptoms of presbyopia?

Presbyopia develops gradually. You may first notice these signs and symptoms after age 40:

  • A tendency to hold reading material farther away to make the letters clearer
  • Blurred vision at normal reading distance
  • Eye strain or headaches after reading or doing close-up work

You may notice these symptoms are worse if you are tired or are in an area with dim lighting.

How is presbyopia diagnosed?

Presbyopia is diagnosed easily by a basic eye exam, which includes a refraction assessment and an eye health exam. A refraction assessment determines if you have near-sightedness, far-sightedness or presbyopia. The optometrist may use various instruments and ask you to look through different lenses to test your distance and close-up vision.

The optometrist likely will put drops in your eyes to dilate your pupils for the eye health exam. This will enable the optometrist to view the inside of your eyes more easily.

What causes presbyopia?

Your clear lens sits inside the eye behind your iris. It changes shape to focus light onto the retina so you can see. When you are young, the lens is soft and flexible, easily changing shape. This lets you focus on objects both close-up and far away. After age 40, the lens gradually thickens and loses its flexibility. It cannot change shape as easily. This makes it harder to read, thread a needle, or do other close-up tasks.

How does presbyopia progress?

Just like your body, your eyes and vision change over time. From the age of 45 until the age of 60, presbyopia gradually progresses. You may notice that you need to change your eyeglass or contact lens prescriptions more frequently than you used to. Around age 60, these changes in near vision should stop, and prescription changes should occur less frequently.

What are the complications of presbyopia?

Strictly speaking, there are no complications in presbyopia. But with their vision deteriorating gradually, some people change their lifestyle over time. Without a treatment, patients with presbyopia will develop problems maintaining their usual levels of activity or productivity at work. Some of them will stop doing activities they used to love (reading, crossword puzzles, sewing and knitting…). When tasks such as reading small print (such as medication leaflets, for example) become difficult, it can also be dangerous.

How to regain clear near vision?

People with presbyopia have several options to regain clear near vision. They include:

  • Eyeglasses, including reading glasses, bifocals, and progressive lenses.
  • Contact lenses, including monovision and multifocal lenses.
  • Laser surgery and other refractive surgery procedures for those who don’t want to wear glasses or lenses any more.

When should you have presbyopia surgery?

Presbyopia is not a disease and there’s no emergency in having a surgery. See an eye doctor if blurry close-up vision is keeping you from reading, doing close-up work or enjoying other normal activities. He can determine whether you have presbyopia and advise you of your options. Some people live with presbyopia and are happy with it. It is your choice.

Are there different surgical techniques to treat presbyopia?

We are experts in the treatment of presbyopia. Come to the Bellecour Vision Clinic to benefit from highly specialized techniques that can correct your presbyopia in a complete and lasting way. We can treat your presbyopia regardless of its severity. Unlike other visual defects, presbyopia reaches the same degree for all individuals. We can, therefore, anticipate the right level of care to treat your presbyopia. The result of the operation is lasting; no further operations are necessary. Several methods can correct presbyopia along with other visual defects in a single procedure.

For example:

  • Presbyopia alone Presbyopia + myopia (including very severe cases)
  • Presbyopia + myopia + astigmatism (including very severe cases)
  • Presbyopia + astigmatism Presbyopia + hyperopia
  • Presbyopia + hyperopia + astigmatism

During your consultation, we will evaluate the best solution for you and guide you through the process. We will propose you laser surgery or implants.

• Presbyopia laser correction

Depending on the results of your initial consultation, we may propose treating your presbyopia with PRESBYOND. PRESBYOND is the latest generation of presbyopia-treatment software. It allows us to increase your depth of field, according to your age and any other visual defects (myopia, hyperopia, astigmatism). This method is renowned for its very low risk of complications and preserves your distance vision and quality of vision at night.

PRESBYOND involves the use of the all-laser LASIK technique, which combines the use of two ultra-precise lasers:

  • The Femtosecond Visumax Laser
  • The Excimer Mel 90 ZEISS Laser

Presbyopia correction with intraocular lens replacement

Depending on the results of our consultation, we may also suggest treating your presbyopia with PRELEX. The name comes from PREsbyopic Lens Exchange, which means we remove your natural lens and replace it with a multifocal lens, correcting all-optical faults. This treatment is definitive! It has been existing for over 20 years and performs as well as those practised by laser centers, with more durable results in some cases.

The aim of the procedure is to recover the close-range view while maintaining or correcting long-distance vision. Thanks to the PRELEX treatment, you can drive, do gardening, read or play sports freely.