Can laser eye surgery help rid you of the need for reading glasses?

Yes! Discover why PresbyMAX® is a good choice for those over 45’s experiencing near vision loss.1Tommy C.Y. Chan, FRCS et al. Presbyopic Correction Using Monocular Bi-aspheric Ablation Profile (PresbyMAX) in Hyperopic Eyes: 1-Year Outcomes

A mature individual looking at a phone without the need for reading glasses.

Can laser eye surgery help rid you of the need for reading glasses?

Yes! Discover why PresbyMAX® is a good choice for those over 45’s experiencing near vision loss.2Tommy C.Y. Chan, FRCS et al. Presbyopic Correction Using Monocular Bi-aspheric Ablation Profile (PresbyMAX) in Hyperopic Eyes: 1-Year Outcomes

Say farewell to reading glasses

PresbyMAX is a great solution for those struggling with declining near vision due to age3Dan Fu et al. One Year Outcome and Satisfaction of Presbyopia Correction Using the PresbyMAX® Monocular Ablation Profile

PresbyMAX suitability criteria

PresbyMAX® is a minimally invasive method of presbyopia treatment performed using technologically advanced SCHWIND AMARIS eye laser systems.

  • PresbyMAX is especially well suited for people with very busy and active lifestyles who often find having to use reading glasses inconvenient.
  • PresbyMAX is effective for treating patients with presbyopia and other refractive errors like myopia, hyperopia or/and astigmatism.
  • To find out if laser vision correction is right for you, we must take your vision requirements and expectations into consideration. That is why we will ask you questions about your hobbies, your daily activities and other aspects that might affect the decision.
  • Because we customise the PresbyMAX treatment to each patient, you will also have to undergo a detailed eye examination. The nature and degree of your refractive error(s), curvature and thickness of the cornea, as well as many other factors, play a role.
  • We will also test your tolerance level for monovision and ocular dominance. This way, we can simulate the vision we are hoping to achieve with laser vision correction. To allow us to see this, we will require dilating the pupils for the examination. If possible please bring a driver with you for your initial assessment

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

How is PresbyMAX® different from other procedures?

Presbyopia treatments with the excimer laser often aim to divide the work between the two eyes:

  • One eye is sharpened for distant viewing, the other for near vision (monovision).
  • Unlike conventional LASIK treatment, multiple precisely calculated focal points are created in the eye – similar to the principle applied in multifocal contact or intraocular lenses.
  • The cornea is modelled at the centre for near vision and towards the periphery for distant vision. This results in a good depth of field and high-quality vision at ALL distances.
  • Visual acuity typically improves rapidly, especially at near distance.
  • Adaptation to the new visual impression can take slightly longer than conventional LASIK treatment.
  • High patient satisfaction is achieved, even in cases of advanced presbyopia.4Dan Fu et al. One Year Outcome and Satisfaction of Presbyopia Correction Using the PresbyMAX® Monocular Ablation Profile
  • The treatment is completed in a few minutes, and the actual laser ablation takes seconds. The procedure neither touches nor replaces the sensitive lens of the eye. Rather, rapid laser pulses gently model the cornea with high precision.

Advantages

PresbyMAX® is safe as a result of treatment with technologically advanced SCHWIND AMARIS eye laser systems.5Tommy C. Y. Chan et al. Presbyopic Correction Using Monocular Bi-aspheric Ablation Profile (PresbyMAX) in Hyperopic Eyes: 1-Year Outcomes

  • Very short, minimally invasive treatment time of just a few minutes.
  • Rapid restoration of near vision.
  • High-quality vision at all visual distances.
  • Possible simultaneous correction of visual defects such as shortsightedness, longsightedness or astigmatism.
  • High patient satisfaction.
  • Impressive clinical results.
Disadvantages
  • Difficulty adapting to new vision (it can take up to 3 months) – the treatment can be reversed with further laser treatment
  • Slightly reduced contrast sensitivity for night driving. Generally just a matter to time for adaptation to occur

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

Laser blended vision surgery risks include:

  • Dry eye
  • Flap complications
  • Sometimes the brain is unable to adapt to the new vision requiring re-treatment

The alternative to laser blended vision is:

Allotex inlay – tissue addition technology that uses precisely-shaped human corneal allografts to create what is essentially a permanent, living contact lens or lens6https://us.allotex.com/science/clinical-data/.

Phakic EVO VIVATM ICL implant – Extended depth of focus (EDOF) lens implant placed in front of the natural lens of the eye to correct presbyopia or loss of reading. It is typically used for patients not suitable for laser vision correction. This small lens is made from Collamer, a soft material that contains biocompatible collagen and works in harmony with the natural eye. EVO Viva is added to the eye to provide sharper, clear near vision while the eye’s natural lens remains in place.1

Refractive lens exchange or lens replacementlens exchange is where we remove the natural lens and replace it with a multifocal lens implant to give good distance, intermediate and close-up vision. It is is like wearing a contact lens permanently except the contact lens is in the eye rather than on the surface of the eye.

Step 1: Creating the flap
We create a flap with a highly precise ZEISS VISUMAX 800 femtosecond laser.
Step 2: Changing the laser
We reposition you to the SCHWIND AMARIS 1050 excimer laser.
Step 3: Folding back the flap
We gently fold back the flap, exposing the inner corneal tissue that we need to treat.
Step 4: Correcting the error
The SCHWIND AMARIS Excimer laser reshapes the corneal tissue correcting the refractive error.
Step 5: Repositioning the flap
The flap is returned to its original position, protecting the eye like a natural bandage.

PresbyMAX® offers a unique, comprehensive treatment for various indications and has been backed up by an unsurpassed range of clinical data and experience. They have been published in scientific journals7Iribarne Y, Arba Mosquera S, Juárez E, Orbegozo J, Saiz Á. Bi-aspheric ablation profile for presbyopic hyperopic corneal treatments using AMARIS with PresbyMAX module: Multicentric Study in Spain. Journal of Emmetropia. 3(1):5-16. January to March 2012. 8Baudu P, Penin F, Arba Mosquera S. Uncorrected Binocular Performance after Biaspheric Ablation Profile for Presbyopic Corneal Treatment Using AMARIS with the PresbyMAX Module. American Journal of Ophthalmology. 155(4):636-647. April 20139Luger MHA, Ewering T, Arba Mosquera S. One-Year Experience in Presbyopia Correction With Biaspheric Multifocal Central Presbyopia Laser In Situ Keratomileusis. Cornea. 32(5):644-652. May 2013. and document high patient satisfaction.

Discover if you can say hello to a life without reading glasses in Adelaide

Eliminate or reduce the need for glasses with PresbyMAX. Book a free assessment today to see if you’re a suitable candidate:

Read again without glasses in 3 steps

Reading glasses treatment options can be confusing. We’ve made the journey as straightforward as can be

Get in touch

Not everyone is suitable for reading glasses treatment. The first step is to get a clear answer on whether there is a treatment option that can help you or not. Give our friendly team a call us on: 08 7082 2066 or use our easy online calendar to book a free assessment.

We’ll meet

Come and see us at our Dulwich clinic and we’ll answer your questions and give you a clear and honest recommendation based on your lifestyle. You’ll leave with a confident understanding of the best option for your unique eyes.

Enjoy your freedom

After treatment, PresbyMAX patients may be surprised by how quickly their life changed and how young they feel.10Gilles Berdeaux et al. Measuring benefits and patients’ satisfaction when glasses are not needed after cataract and presbyopia surgery: scoring and psychometric validation of the Freedom from Glasses Value Scale (FGVS©) After correcting presbyopia, you may enjoy doing all the things you love – like reading, driving, and golfing – without reaching for glasses.

Take this quick quiz to see if you could be free of glasses and contacts

Not everyone is suitable for reading glasses treatment. Your options change depending on your eyes, your age and your lifestyle. Find out which type of treatment (if any), is right for you by taking this 2 min quiz:

Learn more about PresbyMAX® surgery through these online resources

Expand your knowledge about PresbyMax. (These links will take you off our website.)

This paper encompasses research suggesting presbyopic correction using monocular PresbyMAX combined with monofocal regular LASIK in the eye is safe and optimal in hyperopic patients – Journal of Refractive Surgery. Click here for more information.

This article evaluates distance and near image quality after hybrid bi-aspheric multifocal central presbyLASIK treatments.

Presbyopic treatment using a hybrid bi-aspheric micro-monovision ablation profile is safe and efficacious and post-operative outcomes indicate vast improvements in binocular vision at far, intermediate, and near distances with improved contrast sensitivity – American Journal of Ophthalmology. Click here for more information.

This study analyses simultaneous vision (distance and near) 1-year after biaspheric multifocal central presbyLASIK treatments for hyperopia and myopia with or without astigmatism. Click here for more information.

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Hi, I’m Dr Aanchal Gupta, your laser and cataract surgeon in Adelaide

Over the past 10 years, I’ve had the joy of helping thousands of patients of all ages gain clear vision and freedom from glasses and contact lenses.

Laser eye surgery is a skill. Performing vision correction at a world-class standard hinges upon the expertise of your surgeon and their access to state-of-the-art tools.

I understand that getting eye surgery is a serious decision. Your eyes are unique and you should demand a custom solution tailored to your needs, lifestyle and goals. That’s why we offer a free appointment so we can meet and I can take the time to answer your questions and talk through any concerns you have.

I am passionate about helping patients transform their lives. I look forward to spending time with you at our gorgeous eye clinic in the heart of Adelaide to see whether you could gain exceptional vision without the need for glasses or contacts.

Dr Aanchal Gupta

MBBS, M.Med. (Ophth. Sci.), Grad. Dip. (Refract. Surg.), FRANZCO
Expert Laser Eye and Cataract Surgeon