LASIK for presbyopia
Presbyopia is an age-related condition that causes you to gradually lose your ability to focus on close objects, affecting reading and other day to day activities.
There are different treatment options available for presbyopia. These include both non-surgical and surgical approaches.
Non-surgical therapies are usually first-line treatment options. These include prescription glasses or contact lenses. Your prescription may need to be adjusted over time as your eyes change with age.
You may need to consider surgical options if the non-surgical treatments are no longer helping you or you are looking for a more permanent solution. The two broad types of surgical treatments for presbyopia are laser vision correction and refractive lens exchange (RLE).
At Oculase, our specialist ophthalmologists will do a thorough consultation and assessment to determine which treatment is the best option for you.
Laser eye surgery for presbyopia
This treatment option is also known as laser vision correction. It includes laser-assisted in situ keratomileusis (LASIK), laser-assisted subepithelial keratectomy (LASEK) and photorefractive keratectomy (Trans-PRK). They all involve using a laser beam to reshape your cornea (the front part of your eye) to correct your vision.
LASIK is the most common type of laser eye surgery used to treat presbyopia. During the procedure, a thin flap is created to access your cornea then a laser is used to reshape the cornea’s inner layers to correct your vision. At the end of the procedure, the flap is repositioned.
In LASIK surgery used to treat presbyopia, we correct the dominant eye for distance vision and the non-dominant eye for near vision (also known as monovision LASIK).
Monovision LASIK can be combined with an approach that induces a certain amount of spherical aberration to each eye. This increases the depth of focus and improves intermediate vision in addition to distance and near (also known as blended monovision LASIK).
A different approach to correcting presbyopia is to do PresbyLASIK. In this type of LASIK, the eyes are corrected for both near and distance vision by creating a multifocal cornea.
Watch Jo share her experience of LASIK for presbyopia in her patient testimonial:
Preparing for your appointment
At Oculase, our specialists will first ask you questions about your symptoms, medical history, medication, general health and lifestyle. We will then assess your vision and check your eye health to help us reach a diagnosis. Once we’ve determined which type of treatment method is best suited to you, we’ll explain the benefits, risks and possible complications to ensure you feel relaxed and prepared.
If LASIK eye surgery is recommended, we will explain the process of what you can expect before, during and after. Learn more about the procedure here.
We also recommend bringing a list of questions you would like to ask to your appointment so we can make sure we cover any concerns you may have. You are also welcome to bring someone to your appointment.
LASIK eye surgery can improve your vision and allow you to see without glasses. The recovery period is usually short and you should see improvements in 24-48 hours.
LASIK can give you a long-term solution to your vision problem and make it easier to do daily activities like reading, driving or watching television without vision support. You should also be able to play sports more easily, when you are not reliant on glasses.
Read more about the benefits in our article: What are the benefits of LASIK eye surgery
LASIK eye surgery is generally a safe and effective procedure with a low complication rate. Our specialists will discuss all the possible risks with you before your procedure.
The procedure is generally pain-free and anaesthetic drops are used to numb the eyes beforehand. Your eyes may be sensitive to light straight after the surgery, but we will give you aftercare advice to help you with this.
You may experience other temporary side effects after the procedure. These can include red marks on your eyes, double or blurred vision, glares or halos. Your eyes may also feel dry, so we will give you some eyedrops for relief.
Flap problems after the procedure, where the flap doesn’t heal exactly where it should, and severe vision loss are also possible side effects, but these are very rare. If you are concerned about any risks or side effects from the procedure, our team is here to help and support you.
Alternative surgical treatments
The other surgical treatment options for presbyopia include other types of laser vision correction procedures (such as LASEK and Trans-PRK) and refractive lens exchange (RLE). At Oculase, our specialists will assess you and recommend the most suitable treatment option.
LASEK or Trans-PRK involves using one laser to treat your presbyopia. If you have a thin cornea or a medical condition that can make laser eye surgery challenging, this may be a better surgical treatment option for you. LASEK and Trans-PRK surgery are different to LASIK surgery as they do not involve creating a flap to access your cornea.
Refractive lens exchange (RLE)
Refractive lens exchange involves replacing your normal lens with an artificial one. These advanced technology artificial lens implants (multifocal lenses) give you excellent distance, intermediate and near vision. You will not need to wear glasses after surgery. RLE surgery can correct your presbyopia and prevent you from developing cataracts in the future, making it a more suitable option if you are above the age of 50.
Read our article to find out more about RLE, what it involves and its risks and benefits: Refractive Lens Exchange surgery: What is the process?
Book an appointment
If you are experiencing vision problems or have been diagnosed with presbyopia, book an appointment with our experienced specialists. We will explore your suitability for each treatment and develop your treatment plan with you.
Book an appointment to learn more about how we can help you.