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Presbyopia 1
Presbyopia 2
Presbyopia 3

What is Presbyopia?

Presbyopia is the normal change in near vision that develops with time, gradually affecting individuals older than 40 years. The lens inside your eye progressively loses its ability to change shape and thus focus for close-up objects, a process that starts in childhood but tends to cause symptoms only later in life. The ageing process of your lens is also known as dysfunctional lens syndrome.

Presbyopia is a growing cause of visual disability due to the increased use of smaller print or fonts, and also increased use of smartphones, tablets and computers for leisure and business.

The first symptoms are increasing tiredness and strain when reading small print, particularly when this is required for prolonged periods. The ability to focus from distance to near and vice versa becomes sluggish. Throughout the next decade, the quality of vision for near (and distance) decreases and there is a growing tendency to hold your phone, magazine or book further away in order to bring text and images into focus.  You may also find that you rely more on the use of bright light to aid your reading.

Presbyopia is caused by a natural decline in the elasticity of the normal lens inside your eye. Although the muscles that move the lens tend not to lose their ability, your lens becomes stiffer throughout life, losing its ability to accommodate and therefore focus at a range of distances. This occurs largely due to age-related changes in the lens proteins and lens capsule.

Presbyopia and other refractive errors – short-sightedness (myopia), long-sightedness (hyperopia) or astigmatism – can be diagnosed by your optometrist (optician) or eye doctor. The examination involves a refraction in order to assess the refractive status of the eye. Other abnormalities of the eye, such as cataract, glaucoma or retinal conditions, may also be contributing to your symptoms and can be detected at this assessment.

PRESBYOND (or LASIK) is the laser eye surgery procedure used to treat Presbyopia.

Presbyopia Correction


How can presbyopia be treated?

The elasticity of your natural lens cannot be restored! There are however some great options available to help you see better:


The majority of the population wears reading glasses for presbyopia. If you do have pre-existing short-sightedness, long-sightedness or astigmatism, you may require two pairs of glasses, one for distance and one for near. Progressive or varifocal lenses can be used; generally, these can take time to adjust to and can suffer from peripheral poor quality of vision.

Contact Lenses

Multifocal contact lenses are becoming increasingly popular. They can provide good distance and near vision, but commonly their quality of vision is affected by movement of the contact lens with blinking. Contact lens wear does also carry on-going and long-term risks, such as dry eye, intolerance, infection and visual loss.

PRESBYOND Laser Blended Vision

PRESBYOND is a variant of LASIK laser eye surgery; laser is used to change the refractive properties of the cornea, focusing your dominant eye for distance and the other eye for near vision. It is different to traditional monovision, as the sophisticated wavefront laser profile expands the depth of focus for each eye and creates a smooth transition (blend zone) between the two eyes. This improves your vision whether you are reading a book or driving a car, reducing or eliminating the need for glasses.

PRESBYOND laser treatment is suitable for the majority of people who require (reading) glasses for near work. Although used primarily to compensate for reading glasses, it is combined with the correction of pre-existing short-sightedness, long-sightedness and astigmatism.

Refractive Lens Exchange

Your natural lens can be replaced with a new multifocal intraocular lens that will provide distance and near vision. The new lens stays in place for life and does not require replacement at a later date. With the appropriate selection of intraocular lens, the procedure also treats underlying refractive errors of the eye, such as short-sightedness, long-sightedness and astigmatism. Refractive lens exchange tends to be performed if you are not suitable for PRESBYOND laser vision correction, e.g. if you have a high prescription, early cataract or a corneal condition that precludes laser eye surgery. 

Excellent 5-Star Patient Reviews

We're rated excellent on Trustpilot & average 5-stars on Google, Doctify and TopDoctor for the outstanding service we provide before, during & after treatment.

Marcus Green
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No More Glasses!!!
Aris and the team at the Laser Vision Eye Centre have been amazing! I had my eyes done last weekend and the whole process was really well organised. They answered all my questions and made sure I knew exactly what would happen. My vision is perfect now and I don't need to wear glasses any more. Awesome!! 😀 I would definitely recommend Aris and the Laser Vision Eye Centre.
Jemma Cheung
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Fantastic... PRESBYOND laser procedure
Dr Aris gave me complete confidence in the procedure I was having. At all times I felt I was in very able hands. I choose to have PRESBYOND laser treatment as I lost my reading vision and I had to wear glasses all the time - and I absolutely hated it! With this treatment I am now 3 months after the procedure and can see with great ease and I am enjoying life with out glasses. We achieved better results than ever anticipated.
Victoria Lewis
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The ‘Gold Standard’ of laser eye surgery
Mr David Anderson is one of the leading Consultant Ophthalmologists which is why I chose him to perform my surgery. During the consultation I was very much assured that I was in good hands, but also having the ‘Gold Standard’ of laser eye surgery. It was explained that my best option was LASEK due to an eye infection rendering me contact lens intolerant. This also left me with a slightly reduced tear film... read more.
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Excellent Care
I received excellent care throughout my experience at Laser Vision Eye Centre under the clinical leadership of Mr David Anderson. Everything was explained before and as the procedure was carried out. The waiting time for the procedure was considerably shorter than on the NHS and I even received a telephone call from the hospital the next day to check that all was well.
Cheryl Parish
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Life changing experience
I have been very impressed by the level of pre op information given enabling me to make a knowledgeable decision on how to proceed. Mr ANDERSON explained exactly what was going on throughout, which really helped me feel reassured and safe. Post op the aftercare has been amazing, staff even called on a Sunday to check how I was feeling. I would not hesitate to recommend this clinic to everyone.
John Waterman
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LASIK Presbyond Bilateral Laser Surgery
I recently underwent LASIK Presbyond surgery at the Wessex Nuffield Hospital. The surgery was performed by David Anderson and Aris Konstantopoulos and their incredible colleagues. I am so pleased I chose David and his team to carry out the procedure as the attention to detail both before, during and after surgery has been exceptional. Look no further 👀 this is the A Team! I can now write this review without the need for glasses.
Graham Charlesworth
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I have been thoroughly impressed
I have been thoroughly impressed with the level of care and professionalism that Aris and his team have shown at all stages in the process. The initial assessment, the procedure itself and then follow-up consultations. Although this was something that I approached with much trepidation I am really happy with the way that it ended up and the path that I followed.

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