Presbyond Laser Blended Vision by ZEISS

Presbyond is the most advanced ZEISS laser procedure, aimed at people over 40 years of age, which eliminates or significantly reduces the need for near and distance glasses.


The treatment is personalized and provides good vision without glasses at all distances, while preserving the depth of the visual field.


Presbyond addresses all types of deficiencies accompanying presbyopia: myopia, hypermetropia, astigmatism. It is a technique made with two types of lasers: femtosecond and excimer.



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

After 40 years, due to the “wear and tear” of the eye’s fine accommodation mechanisms, close 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, it takes 20-30 minutes for both eyes, of which the laser action is of the order of seconds. The vision is improved immediately after the operation and the next day the patient can resume most of his activities.


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The steps to follow are:

  • Evaluation consultation for laser dioptre reductionThis is a complete ophthalmology consultation to assess the health of the eyes and determine the exact optical correction with which vision is best. Added to this is the detailed explanation of the procedure that follows as well as all the particularities of your case.

    You will get answers to all your questions so you know what to expect both in terms of procedures and results and pre- and post-operative conduct.
  • Complete pre-operative investigationsThe complete package of pre-operative investigations and measurements are done in the clinic with state-of-the-art equipment. These are necessary to precisely establish the technical parameters according to which the lasers will act, all according to the anatomy of your eyes.

    For your convenience, you can do all the investigations immediately after the consultation, just allocate about 2 hours for both.
  • Presbyond Laser Blended Vision SurgeryOn the day of surgery, you will undergo a complex, customized, high-precision, minimally invasive procedure that reshapes the optical system of both eyes. The procedure is painless, local anesthesia with drops being used. The eyelids will be supported with the device so you don't have to worry about blinking. The doctor will tell you every step of the way what's next. All you will have to do will be to follow with your eyes some luminous landmarks, conveniently installed on an automatic bed.

    The actual intervention with the first laser takes about 20 seconds for each eye, and with the second laser, between 10-30 seconds for each eye.
  • Postoperative control and recoveryYou will come for a check-up the next day, a week and then according to the doctor's instructions: one month, 6 months to monitor the healing and adaptation process.

Presbyond - How to do it?

What’s remarkable about Presbyond is that it reduces both distance and near diopters.


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


The brain overlays the two images and allows for good distance and near vision in most situations.


The operative technique used is based on FemtoLASIK, the difference with Presbyond® consists in the way the cornea is remodeled, customized and different for each eye.


Patient feedback after laser dioptre reduction

Preoperative investigations for Presbyond

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


Investigations include:

  • Pentacam corneal tomography
  • Specular microscopy
  • Corneal topography
  • Pachimetry
  • Tomography of the retina and optic nerve
  • Pupillometry
  • Computerized perimeter (if applicable)
investigatii presbyond

Recovery after Presbyond

You will see immediately after getting up from the operating bed, but the vision will be “like through water”. Most patients see texting on the phone right away. For a few hours you may have stinging, watery sensations and you will be bothered by bright light.


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


Healing occurs at one’s own pace, and can take anywhere from a few days to a few weeks as the visual system recalibrates and the brain must gradually adapt to it.


Postoperative 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 and sanitary safety and sterility technologies.


Dioptre reduction is done with a combination of ZEISS Visumax & MEL femtosecond and excimer lasers, the world leader in this field.


The surgical table comes from Brumaba, leader in comfort and reliability.

Doctors with overspecialization in refractive surgery

Presbyond Laser Blended Vision - Procedures and Prices

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

We reduce dioptres in the shortest possible time

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

  • Day 1: The dioptre reduction assessment consultation and investigation package can be done in the same visit.
  • Day 2: The actual operation
  • Day 3: Post-operative control
Laser dioptre reduction consultation price: 350 lei
Price of pre-operative investigations, both eyes: 1.000 lei
Presbyond surgery price, per eye: 9.800 lei

Presbyond Laser Blended Vision Frequently Asked Questions

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 in diopters for nearly as the lens ages.

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

The absence of any progressive eye disease is an essential condition in eligibility for eye surgery. But it is not always enough. There are other criteria to consider.

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

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 the operation: halos, bright 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 carry a risk of visual complications. In these situations, other intraocular procedures may be recommended to correct vision.

What diseases could prevent me from laser eye surgery? ​

Evolutionary eye diseases such as: keratoconus, diabetic retinopathy, glaucoma, macular degeneration, severe eye dryness, cataracts, eye inflammations prevent you from laser dioptre reduction surgery. There are other interventions in such situations.

Degenerative or autoimmune diseases such as: diabetes, connective tissue diseases, Sjogren’s syndrome, rheumatoid arthritis, HIV infection affect the way of postoperative healing and are contraindications for laser operations.

What results should I expect after laser surgery?

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

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

What complications can occur? Are the surgeries safe?

Laser diopter reduction interventions are considered to be among the safest in surgery in general. All over the world, millions of such procedures are performed annually 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 eye dryness, visual halos and fog, undercorrection, overcorrection, flap-related complications, retinal detachment, infection.

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

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

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

It should be taken into account that the evolution of the eye’s structures over time can bring about a slight change in the diopters, independent of the intervention. It is the case of the lens that loses its elasticity and begins to add diopters for almost after 40-45 years and after 60 to slowly develop cataracts.

In the case of large dioptre reductions, especially on plus, there is a risk of regression by remodeling the eye during healing.

I'm afraid of surgery, what alternatives do I have?

The fear of operations is understandable, but in the case of laser procedures, the interventions are extremely fast and do not involve any discomfort. Although they are done in an operating room with all the related protocols, they can hardly be called “surgical operations” in the sense known to everyone. Patients say almost without exception that they did not realize when it happened and regret not having done the intervention sooner.

In order to see well after the appearance of presbyopia, glasses are worn for near or progressive glasses if there are other previous refractive errors.