PresbyLASIK

An advanced laser treatment specifically designed to correct presbyopia, or age-related long-sightedness. During this procedure, the cornea is reshaped to create several optical zones, allowing the eye to focus more effectively at different distances. This is comparable to multifocal spectacle lenses or contact lenses.

Who is eligible?

PresbyLASIK is particularly suitable for:

  • Patients aged between 40 and 55 with early presbyopia.
  • Patients with a clear natural lens and no signs of cataract.
  • People who do not wish to undergo, or cannot undergo, intraocular surgery.
  • Patients who have previously undergone laser treatment for myopia or hyperopia and subsequently develop presbyopia.

This treatment is not suitable in the following cases:

  • A cornea that is too thin or a predisposition to keratoconus.
  • Previous corneal surgery resulting in irregular astigmatism.
  • Eye conditions such as glaucoma or maculopathy that may affect contrast sensitivity and visual acuity.
  • Patients aged over 60, for whom intraocular surgery is often a better option.

Different techniques

Central PresbyLASIK

  • The central part of the cornea is made steeper for near vision, while the peripheral part is geared more towards distance vision.
  • Very effective in patients whose pupils constrict during accommodation.

Peripheral PresbyLASIK

  • The central zone remains focused on distance vision, while the peripheral zone is adjusted for near vision.

PresbyLASIK with modified monovision

  • One eye is corrected for near vision using PresbyLASIK, while the other eye is corrected for distance vision.
  • This can provide a broader range of vision without complete dependence on glasses or contact lenses.

Before the procedure

  • A comprehensive eye examination is performed to determine whether you are eligible for the treatment.
  • The ophthalmologist examines the thickness and shape of the cornea.
  • The visual axis and pupil size are measured accurately, as these factors are crucial to the success of the treatment.
  • You may not drive yourself after the laser treatment. Arrange for someone to accompany you.

Procedure

  • Anaesthetic eye drops are administered to numb the surface of the eye.
  • You lie beneath the laser device with your head firmly supported.
  • A thin flap is created in the cornea to allow the laser treatment to be performed.
  • The laser then reshapes different zones of your cornea so that you can see more clearly at near, intermediate and long distances.
  • After the treatment, the flap is repositioned and adheres naturally without stitches.

The entire procedure takes only a few minutes per eye.

Aftercare

  • Immediately after the operation, your vision will still be somewhat blurred. This will improve quickly over the following days.
  • You will attend a follow-up examination the day after the operation.

Precautions

  • Wear protective eye shields while sleeping for the first 3 nights to prevent you from rubbing your eyes.
  • Take care when using shampoo and soap during the first week.
  • Do not use sunbeds or saunas during the first 2 weeks.
  • Do not swim or take part in ball or combat sports during the first month.
  • Sunlight: wear sunglasses in bright sunlight.
  • Use artificial tears regularly during the first 3 months.
    • Help the cornea to heal.
    • Help prevent a dry or gritty sensation.

After the treatment

  • Some side effects, such as sensitivity to light, halos or a temporary reduction in contrast sensitivity, may occur but usually disappear after a few months.
  • In some cases, additional treatment may be needed to optimise the result.
  • Most patients notice an improvement in their vision within a few days.
  • If your vision is worse than before the treatment, contact the ophthalmology department or your own ophthalmologist immediately.

Appointments

Laser centre

Specialists

Last edit: 25 july 2026