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Laser Blended Vision, eye laser option at 40 years old
Presbyond –
Presbyond Laser Blended Vision
Eye Laser Treatment for Presbyopia
With the Presbyond Laser Blended Vision method, we now also offer our patients a modern and safe laser eye treatment for presbyopia. Presbyopia affects everyone. It is a natural age-related decline in vision that usually occurs after the age of 40. The lens of the eye loses more and more flexibility and can therefore no longer depict the perceived image sharply on the retina. This makes it increasingly difficult and exhausting to see sharply at all distances.

Presbyopia laser treatment Presbyond
Treat Presbyopia with Presbyond Laser blended Vision
4K Timelapse Video
What is PRESBYOND laser eye surgery?
With the Presbyond Laser Blended Vision method, both eyes are separately optimised for distance and near vision. Of particular importance is the so-called "Blend Zone", the intermediate area for the middle range of vision. With the help of detailed measurements, this zone is individually determined and optimised for you, so that you can see all details sharply in the near and far range as well as in the middle range after the treatment.

The depth of field is adjusted individually for each eye and the overlap of the images in the middle area is calculated very precisely for the patient. This unique "blend zone" makes it easier for the brain to merge the images from both eyes. This creates the familiar three-dimensional image - and most patients experience an immediate improvement in their vision. In addition, they usually get used to their new vision more quickly than with other surgical correction methods.

Presbyond Blend Zone The "Blend Zone", which is individually calculated for you, ensures that you can see sharply in all areas.
The majority of patients tolerate the procedure very well: up to 97%* (compared to only 59-67%** with monovision). Another and crucial advantage of Laser Blended Vision is that contrast sensitivity (night vision) and three-dimensional vision are fully preserved in almost all cases.
Is PRESBYOND laser blended vision the right method for me?

Presbyond Laser Blended Vision is very suitable for people with an active lifestyle who find glasses, varifocals and reading glasses or even contact lenses impractical and who want to see everything sharply without any aids. Another great advantage is that this method also eliminates previously existing visual defects such as short-sightedness (myopia), long-sightedness (hyperopia) or astigmatism. In a personal consultation, we will determine together with you whether this method is the most suitable for you. The type and degree of your refractive error(s), the curvature and thickness of the cornea, as well as many other factors also play an important role. In addition, your tolerance for monovision and eye dominance will be tested.
PRESBYOND laser blended vision at a glance
  • Presbyond Laser Blended Vision is a unique laser eye correction method for age-related presbyopia (presbyopia).
  • It is based on the proven modern Femto-LASIK treatment
  • It enables true binocular vision (all areas, three-dimensional) through a unique "Blend Zone".
  • Generally clear and sharp vision in all distance ranges becomes possible: near, distance and even mid-range vision
  • Personalised approach - patient-specific ablation profile through detailed measurements and calculations
How PRESBYOND laser blended vision works
Step 1: Create a flap.

A flap, a prepared layer of cornea, is created with a fast and highly precise femtosecond laser.

Step 2: Lifting the flap.
The flap is gently lifted, exposing the inner corneal tissue for treatment.
Step 3: Correction of the visual defect.
An excimer laser corrects the cornea, optimising the dominant eye for distance vision and the non-dominant eye for near vision.
Step 4: Folding back the flap.
The flap is then folded back to its original position, where it serves as a kind of natural bandage.

The step-by-step treatment

1. Non-binding, personal consultation
During a non-binding, personal consultation, your doctor will first clarify with you whether your eyes are generally suitable for the treatment. All relevant eye parameters will be measured.
2. Comprehensive preliminary Examination
Before the operation, a comprehensive medical examination will follow. Before this examination you should in any case refrain from wearing contact lenses, as these also change the shape of the cornea in the long term. You should not wear soft contact lenses for at least one week before the examination. In the case of hard contact lenses, the interval should be at least two weeks. Lenses should also not be worn for the same period of time before the operation.

On the day before the treatment as well as on the day of the treatment itself, you should refrain from using cosmetic products such as face creams, lotions, but also make-up and perfume. They can increase the risk of infection or contamination of the surgical field. You should clean the area around your eyes especially thoroughly on the morning of the treatment day.
3. The Presbyond Surgery
On the day of the operation, you should wear comfortable clothing if possible. You can eat and drink normally, but should not smoke. For reasons of hygiene, you should wash your face thoroughly once again and remove any make-up residue completely. If you wish, you will also be given a sedative before the procedure.
Then the actual procedure takes place, which is performed on an outpatient basis and only takes about 20 minutes for both eyes. First of all, the surgeon will greet you and once again check your personal data before your corneal surface is anaesthetised with drops. To prevent you from blinking during the operation, you will be fitted with a so-called eyelid opener. The other eye will be covered during the procedure.

Next, a flap is created with fast and precise VisuMax femto-second laser. After the flap is created you will gently be moved to the excimer laser where the flap is folded back, exposing the inner corneal tissue to be treated. The excimer laser shapes the corneal tissue, correcting the dominant eye for distant vision and the non-dominated eye for near vision. Afterwards the flap is returned to its original position, protecting the eye like a natural bandage. No special post-operative precautions are necessary. You will probably be amazed - as will most other patients - at how quickly the operation is over and that you hardly felt a thing. An eye bandage is not necessary, but sunglasses are recommended. No driving is allowed immediately after the procedure.

4. After the Presbyond Treatment
You should not rub your eyes after the procedure. You will also be given antibiotic eye drops to be dribbled into your eye five times a day for a week, as well as artificial tears, if needed. Normally, you can return to work after two to three days. You should also wait about three days before doing any sports. On the other hand, you should refrain from swimming and going to the sauna for about two weeks to reduce the risk of infection.
Medical check-ups take place after one day, one week and one month. Driving a car is only allowed again after a doctor's permission, which can usually be given at the weekly check-up.
* Evans BJW, Ophthalmic and Physiological Optics, Vol. 27, 5. Ausg., September 2007, S. 417–439
** Reinstein DZ, Journal of Refractive Surgery, Vol. 27, 1. Ausg., Januar 2011, S. 23–37