Book Your Free No Obligation Laser Eye Surgery Screening today.

Excellent 5-Star Patient Reviews:

Presbyopia 1
Presbyopia 2

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.

Hannah Gough
Read More
An absolute dream
Aris and team made the whole procedure from start to finish an absolute dream. All questions answered in a language that anyone could understand, more detail given when requested. Calming even during the procedure. Appointments ran fairly late, so could go outside of work hours and travel. Everything was efficient, didn't have to chase, they handled all the faff around COVID like champs. Don't forget to enter your reg number on arrival to the hospital though!
Julie House
Read More
My whol experience has been superb
I am today the morning after having completed presbyond surgery and I am absolutely delighted. The actual surgery was nothing to worry about and is completely pain free. I have spent my first night with slightly fuzzy vision and mildly gritty eyes but this really was the only side effect. This morning I opened my eyes to vision better than I can ever remember and on having my first check with Mr. Anderson it was confirmed I have 20/20 vision.
Victoria Lewis
Read More
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.
Anna Blackman
Read More
I now have better than 20/20 vision
From start to finish, Mr Anderson and his team were wonderful!! Mr Anderson always took his time, explained every clearly and was happy to answer any questions. I now have better than 20/20 vision - and no more glasses 🙂 I would recommend Mr Anderson to anyone looking into laser eye surgery!
Lynn Farley-Rose
Read More
I wish I hadn't waited so long
Following an injury to my cornea that never healed properly, I had phototherapeutic keratectomy. At all stages I have had the chance to ask plenty of questions and have been given balanced information. The procedure itself was done with great efficiency and professionalism from both the medical and nursing staff. Aftercare has also been good and I am entirely satisfied. I only wish I hadn't waited so long to have it done!
John Waterman
Read More
Cannot recommend enough
The process was completely painless and quick. Any concerns you have to do with treatment whether it be the treatment itself, the aftercare... Dr Anderson will explain in detail and with patience. Also your are looked after so well by the nurses just before and after your treatment, they honestly couldn't do more to help you feel comfortable and relaxed. You are booked in for follow up treatments after your surgery and you feel like they really do care about how your eyes are and how much better your vision is, which is an incredible difference ,you feel like you aren't just a customer who they want in and out.
Graham Charlesworth
Read More
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.

Download your Free Infopack

Enter your details below to get instant access to your free infopack.