[PresbyMAX Multifocal LASIK Surgery


Problems with near vision?

Approaching to middle age, the near vision of almost all people will appear unclear and distinctly declines. Clear sight then becomes increasingly difficult, especially at short distances. It’s no longer possible to read text messages on news paper or your smartphone without glasses, under the dim environment, the situation is embarrassing when deciphering the menu in the restaurant. Under such circumstances, a pair of near glasses is required to correct the near vision for a better image quality.  In technical terminology, this phenomenon is described as presbyopia. However, once the reading glasses is a necessary, it becomes your constant companion for the rest of your life


What is presbyopia?

Presbyopia is not a visual defect and pathology but refers to the natural, age-related changes in the lens of the eye. It loses flexibility and the eye becomes unable to adjust clearly to various distances [accommodation].

The light rays passing through the cornea and lens are insufficiently bundled and strike the retina before the bundling and refraction process is complete: the eye no longer shows close objects clearly.

As our entire body ages, so do our eyes. Presbyopia becomes subjectively detectable between 40 and 45 and stagnates at approximately 65 years of age.  Presbyopia occurs in people with normal vision as well as in those with visual defects.


What treatment options exist?

Until recently there was no satisfactory alternative to reading or varifocal (progressive) glasses for people with presbyopia. Although both multifocal contact lenses and the insertion of an artificial lens are generally considered, both of these frighten off many people – be it because they cannot tolerate contact lenses or because they do not want to undergo complex eye surgery.

The new PresbyMAX µ-Monovision procedure by SCHWIND offers a minimally invasive alternative.


What is PresbyMAX µ-Monovision?

PresbyMAX µ-Monovision is the newest technology for the treatment of presbyopia using SCHWIND AMARIS excimer laser systems. The sensitive eye lens is neither touched nor replaced.

Rather, SCHWIND AMARIS offers highly precise modelling of the cornea, restores near vision and, if necessary, corrects any existing visual defects such as myopia, hyperopia or astigmatism.

How will treatment with PresbyMAX µ-Monovision enhance your visual performance?
You will be able to achieve excellent three-dimensional vision at all distances. The visual quality is as high as with multifocal intraocular lenses.

Take driving a car, for example: After surgery you will generally be able to read the letters and numbers on the speedometer and navigation system exactly, without the need for glasses or contact lenses. Distant signs or the traffic can equally be well seen.

Even intermediate vision, as is necessary at the PC for example, is again easily possible. Visual acuity typically improves very quickly, comparable with conventional LASIK treatment.


How does PresbyLASIK with PresbyMAX µ-Monovision work?

PresbyMAX µ-Monovision is based on the proven, well-established and successful presbyMAX procedure, in which bi-aspheri-cal, multifocal ablation profiles are applied. In principle, the most up-to-date treatment method, PresbyLASIK, is carried out just like every other form of LASIK.

First, a special laser or microkeratome is used to prepare a wafer-thin layer of cornea(flap), which is then folded away to expose the underlying corneal area for laser treatment. The SCHWIND AMARIS then precisely models the cornea with very fast laser pulses.

However, in contrast to conventional LASIK, similar to the principle of multifocal contact of intraocular lenses, several exactly calculated focal points are generated in the eye. After the laser treatment, the flap is folded back to its original position.
The entire treatment takes only a few minutes, the ablation itself only a few seconds.


Who can be considered for the treatment with PresbyMAX µ-Monovision?

‧ Patients who are exclusively presbyopic and wish to do without reading glasses.

‧ Presbyopic patients with uncorrected myopia, hyperopia or astigmatism.

‧ Presbyopic patients who have already undergo laser treatment with the goal of optimal distance vision and have had a good experience with it.

‧ Presbyopic patients who have already undergone cataract surgery and now wish to be able to read without corrective lenses.


How can I find out if PresbyMAX µ-Monovision is suitable for me?

Your treating specialist will clarify with you in a comprehensive preliminary examination whether treatment with PresbyMAX µ-Monovision is suitable.

As part of this, in addition to diagnostic data, your job, hobbies and expectations of the treatment will also be considered.


Are glasses necessary after the treatment?

The goal of a PresbyMAX µ-Monovision treatment is to achieve vision without glasses for day-to-day activities. In poor light, glasses can be advantageous for reading or seeing at a distance.


When will I regain my full vision?

You can generally read the newspaper without glasses again only a few minutes after the treatment. Good intermediate and distant vision should set in within a week.

Further improvement in quality of vision and full adjustment to multifocal sight is generally complete after several weeks.