Presbyond Laser Blended Vision by ZEISS

Presbyond is the most advanced procedure ZEISS laser procedure, designed for people over 40 years old to eliminate or significantly reduce the need for reading and distance glasses.

 

The treatment is personalized and offers good vision without glasses at all distances, while maintaining depth of visual field.

 

Presbyond addresses all types of deficiencies that accompany presbyopia: myopia, hyperopia, astigmatism. It is a technique performed with two types of lasers: femtosecond and excimer.

 

 

Zeiss Visumax 800

Difficult near vision after 40 years? Presbyond was invented for this!

After age 40, due to the “wear” of the eye’s fine accommodation mechanisms, near vision becomes difficult. This decrease in acuity is called presbyopia.

The procedure is done with local anesthesia with drops, without any discomfort for the patient, lasts 20-30 minutes for both eyes, of which the laser action is on the order of seconds. Vision is improved immediately after surgery and the next day the patient can resume most activities.

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The steps to follow are:

  • Evaluation consultation for laser diopter reductionThis is a complete ophthalmological consultation to assess the health of the eyes and establish exactly the optical correction with which vision is best. To this is added a detailed explanation of the procedure that follows as well as all the particularities of your case.

    You will receive answers to all questions so that you know what to expect both as procedures and as results and pre and post-operative conduct.

    ATTENTION: The wearing of soft contact lenses must be stopped at least one week before consultation and at least two weeks before surgery. For hard orthokeratology lenses, the term is at least one month.
  • Complete pre-operative investigationsThe complete package of pre-operative investigations and measurements is done in the clinic with state-of-the-art equipment. These are necessary for the precise establishment of the technical parameters according to which the lasers will act, all depending on the anatomy of your eyes.

    For comfort, you can do all investigations immediately after consultation, just allocate approximately 2 hours for both.
  • Presbyond Laser Blended Vision surgeryOn the day of surgery, you will undergo a complex, personalized, high-precision, minimally invasive procedure that reshapes the optical system of both eyes. The procedure is painless, using local anesthesia with drops. The eyelids will be supported with a device so you do not have to worry about blinking. The doctor will tell you at each step what follows. All you will have to do is follow some luminous landmarks with your eyes, comfortably installed on an automatic bed.

    The actual intervention with the first laser lasts approximately 20 seconds for each eye, and with the second laser, between 10-30 seconds for each eye.
  • Post-operative control and recoveryYou will come for control the next day, at a week and then at the doctor instructions: one month, 6 months to monitor the healing and adaptation process.

Presbyond - How is it done?

Remarkable about Presbyond is that it reduces both distance and near diopters.

 

This corneal procedure involves treating the dominant eye so that it sees distant and intermediate objects and the non-dominant eye so that it sees near and intermediate.

 

The brain overlaps the two images and allows good vision both at distance and near, in most situations.

 

The surgical technique used is based on FemtoLASIK, the difference with Presbyond® consisting in the way the corneal reshaping is performed, personalized and different for each eye. 

Presbyond laser eye surgery ZEISS technology Bucharest

Patient feedback after laser diopter reduction

Pre-operative investigations for Presbyond

Laser reshaping requires detailed and very precise measurements of all eye structures. In addition, the Presbyond technique requires a tolerance test by which the doctor will simulate post-intervention vision and determine if your brain can adapt to it. The tolerance rate is over 95%.

Investigations include:

  • Pentacam corneal tomography
  • Specular microscopy
  • Corneal topography
  • Pachymetry
  • Retinal and optic nerve tomography
  • Pupillometry
  • Computerized perimetry (if needed)
Presbyond preoperative investigations corneal tomography

Recovery after Presbyond

You will see immediately after getting up from the operating table, but vision will be “like through water”. Most patients can see to write messages on their phone immediately. For a few hours you may have burning sensations, tearing, and bright light will bother you.

In most cases recovery is very easy: immediately after surgery vision is improved, and the next day the patient can resume most activities.

Healing occurs at each person’s pace, and can last from a few days to a few weeks as the visual system recalibrates and the brain needs to gradually adapt to it.

Post-operative treatment in the first two weeks consists of antibiotic and anti-inflammatory drops.

Modern operating room

The Clario operating room is equipped with the latest surgical technologies as well as health safety and sterility.

Diopter reduction is performed with a combination of femtosecond and excimer ZEISS Visumax800 & MEL90 lasers, the world leader in this field.

Laser refractive surgery team

Presbyond Laser Blended Vision - Procedures and Prices

(including post-operative control at one day and one week)

We reduce diopters in the shortest time

At Clario we have optimized all procedures, so that the time allocated by the patient is the minimum necessary. Thus:

  • Day 1: The evaluation consultation for diopter reduction and the investigation package can be performed in the same visit.
  • Day 2: The actual surgery
  • Ziua 3: Controlul post-operator
Consultation price for laser diopter reduction: 400 RON
Pre-operative investigations price, both eyes: 1,000 RON
Presbyond surgery price, per eye: 9,800 RON

Frequently asked questions about Presbyond Laser Blended Vision

Is it necessary for my diopters to be stable?

In the case of presbyopia / Presbyond surgery it is not necessary for the diopters to be stable before the surgery. Presbyopia itself involves a continuous and slow increase of diopters for near as the lens ages.

If my eyes are healthy, can I have laser surgery?

The absence of any progressive ocular disease is an essential condition in eligibility for eye surgery. But it is not always sufficient. There are other criteria that must be taken into account.

The thickness of the cornea (the lens in the front part of the eye) is very important, as vision correction is done by reshaping the tissue of this lens. It follows that a minimum thickness of the cornea is necessary, a limit beyond which surgery can become risky for the eyes.

The diameter of the pupil should not be too large. If the pupils are naturally large there is a risk of unpleasant visual effects after surgery: halos, glare images at night, especially when driving.

High diopter values may limit the possibility of complete reduction. The results of laser eye surgery for high diopters can be unpredictable and may have a risk of visual complications. In these situations, other intraocular procedures may be recommended for vision correction.

What diseases could prevent me from having laser eye surgery?

Progressive ocular diseases such as: keratoconus, diabetic retinopathy, glaucoma, macular degeneration, severe dry eye, cataract, ocular inflammations prevent you from having laser diopter reduction operations. There are other interventions in such situations.

Degenerative or autoimmune conditions such as: diabetes mellitus, connective tissue diseases, Sjogren syndrome, rheumatoid arthritis, HIV infection affect the postoperative healing process and represent contraindications for laser operations.

What results should I expect after laser surgery?

The results after surgery are excellent and patients enjoy good vision without glasses. Recovery is in most cases very fast and the next day the patient resumes activities.

Your expectations must be realistic. Visual acuity depends on the optical system of the eye which is corrected by these interventions but also on the quality of the retina and optic nerve and other ocular structures. The goal of surgery is for the patient to see without glasses after surgery, as well as they saw with glasses (correctly prescribed) before surgery.

What complications can occur? Are surgeries safe?

Laser diopter reduction interventions are considered to be among the safest in surgery in general. Millions of such procedures are performed annually worldwide and their history is already over 40 years old. Meanwhile, technology has advanced enormously, making them safer and faster.

However, you must be aware that there may be risks and possible side effects associated with any medical procedure. Although extremely rare, possible complications that may occur after surgery are: chronic dry eyes, visual halos and fog, undercorrection, overcorrection, flap-related complications, retinal detachment, infection.

The vast majority of complications are treatable and usually resolve in the first months after surgery.

How long does the effect last? Do diopters return after a while?

Laser diopter reduction is permanent and very stable over time. There is no risk of the previous diopters returning.

It should be kept in mind that the evolution of eye structures over time can bring a slight change in diopters, independent of intervention. This is the case of the lens which loses its elasticity and begins to add diopters for near after 40-45 years and after 60 slowly develops cataract.

In the case of large diopter reduction, especially positive ones, there is a risk of regression through eye remodeling during healing.

I am afraid of surgery, what alternatives do I have?

Este de înțeles frica de operații dar în cazul procedurilor laser intervențiile sunt extrem de rapide și nu implică nici un disconfort. Deși se fac într-o sală de operații cu toate protocoalele aferente, cu greu pot fi numite ”operații chirurgicale” în sensul cunoscut de toată lumea. Pacienții spun aproape fără excepție că nu și-au dat seama când a trecut și regretă că nu au facut intervenția mai devreme.

To see well after the onset of presbyopia, reading glasses or progressive glasses are worn in case there are other previous refractive defects.