Eyes Right

Dr. Liisa Laakso, Medical Director, Ophthalmic Surgeon, Finland Eye Center throws light on Presbyopia and the treatment options available…


Presbyopia is, simply put, a fancy way of saying your eyes are getting old, and in your eyes the main ageing part is the lens. With presbyopia, you will not necessarily have a cataract (another ageing process of the lens) but you will start to need reading glasses, extending your arms further to read more clearly, or in some cases taking off your usual reading glasses. While getting older in every sense is normal, many people do not want to feel older and having to put on glasses is usually an unwanted reminder.

Presbyopia is not a disease, it is more comparable to wrinkles on your skin or greying of your hair. Some people choose to colour their hair or use creams and treatments for the skin. In a similar way, some people choose to undergo surgery to treat their presbyopia to make life easier and feel younger. If presbyopia is accompanied by cataract, however, then surgery is mandatory.

If you come to see us at Finland Eye Center and tell us you find it difficult to manage with several pairs of glasses that you have to keep changing when you drive, read a book, use your telephone, and so on – you would likely benefit from presbyopia treatment and would, literally, see an improvement in your quality of life.

There are many options to treat presbyopia, including the following:

Laser vision correction
KAMRA inlay – a tiny plastic implant placed inside your cornea to provide a ‘pin hole’ effect

Crystalens accommodating IOL – which mimics the natural lens more than other IOLs (intraocular lens)

Multifocal IOL – for both distance and near vision

Trifocal IOL – for distance, near and intermediate (e.g. computer) vision

Combinations can be created including monovision options where one eye is aimed for distance and the other eye is aimed for near vision

Choosing which option is right for a patient is the most difficult part because it is not only a medical decision; patient’s work/hobbies, personality, expectations, lifestyle, finances, and the doctor-patient relationship are essential considerations for successful presbyopia treatment. A surgeon needs to know and understand their patient and a patient needs to know and trust their surgeon.