can presbyopia be corrected melbourne

Can Presbyopia Be Corrected? Everything You Need To Know

You’re approaching your mid-40s and have recently started to find that small fonts looks a little smaller, you’re squinting and holding your needle and thread a little further away than usual, or you’re bringing that newspaper to the window in order to be able to make out the print in the sunlight. 

It happens to the best of us – presbyopia, the natural age-related decline of our near focusing ability. The lens inside the eye begins to stiffen and lose its flexibility with time, meaning we can no longer easily adjust this lens to focus on objects as they come closer. The result is progressive difficulty with clearing your near vision. If you’re short-sighted you’ll find you prefer to remove your glasses to read more comfortably; if you’re long-sighted or have perfect distance vision, you’ll find your start to hold your reading material further and further away to keep it in focus. Can presbyopia be corrected requires a yes and no answer, depending on your idea of what correcting presbyopia means.


Can Presbyopia Be Corrected Permanently?  

There are various eye treatment options when it comes to correcting presbyopia and allowing you to focus clearly up close. It’s important to understand that correcting presbyopia is not synonymous with reversing presbyopia; despite medical advancements in all fields including ophthalmology, scientists have not yet discovered a way to perfectly restore the eye’s near focusing ability back to its younger days. However, the symptoms of presbyopia, namely, the difficulties with near vision, can be alleviated with either optical or surgical means. 



Optical Options for Correcting Presbyopia

Currently, the most common way of addressing presbyopia is with the use of glasses. This may be in the form of single vision reading glasses or with multifocal or bifocal lenses. A lesser known method of improving your reading vision is with the use of multifocal contact lenses or an arrangement known as monovision, which involves one eye being fitted with a lens for long distance while the other eye is corrected with a contact lens for reading. It’s important to understand that wearing optical aids for presbyopia such as glasses or contact lenses does not cause damage to your eye. Treatment options for presbyopia will neither accelerate nor decelerate the progression of presbyopia, despite some people believing that wearing their reading glasses too often will further weaken their vision. 

There are some claims that certain eye exercises can delay the onset of presbyopia, slow its progression, or even reverse it. While these exercises would not be harmful to the eye or your vision, they are not evidence-based or have been substantiated and are not supported by the eyecare profession as offering any significant benefit. 


Can Presbyopia Be Corrected Surgically?

For people who lead very active lifestyles, find glasses and contact lenses inconvenient, and are not too squeamish at the thought of elective surgery on the eye, treatment options are available in the form of refractive surgery. Though refractive surgical procedures have traditionally aimed to provide excellent long-distance vision with the patient still being dependent on reading glasses after, ophthalmology has now advanced to the point where eye surgeons can offer presbyopic patients greatly improved freedom from glasses and contacts. 

presbyond treatment presbyopia melbournePresbyond laser blended vision is a modification of the popular LASIK procedure. Using precise computer-guided calculations, a laser tool is used to reshape the front surface of the eye known as the cornea. This redirects the passage of light through the eye, thus changing its point of focus and providing clear vision for a specified viewing distance. Laser blended vision provides a balance of both distance and near vision to each eye, correcting the dominant eye with a greater degree of long-distance vision and the non-dominant eye with primarily near vision. 

The implantation of a multifocal intraocular lens (IOL) in place of your natural anatomical lens is another refractive surgery technique available for presbyopic patients looking to reduce their need for reading glasses. The IOL may be implanted during cataract surgery or in the absence of a cataract, which is then known as a refractive lens exchange procedure. Newer types of IOLs, including designs that are able to flex their shape slightly to mimic natural near focus, are also beginning to emerge on the market.

After undergoing refractive surgery, there may be a few select instances you still reach for your reading glasses, such as discerning small print in dim lighting, but on the whole most people are very content with their unaided reading vision post-operatively. 

Call us on (03) 9070 3580 today.


Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.







National Center for Biotechnology Information – National Library of Medicine – Intraocular lens correction of presbyopia

Healthline – What to Know About Monovision Correction and How to Adjust





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What Not to Do After Cataract Surgery

After you’ve had your cataracts removed through cataract surgery, what you do during the cataract surgery recovery period can make a difference in how well your eyes heal. However, just as important as what you do, is what you don’t do. Here’s what not to do after cataract surgery

What Not to Do After Cataract Surgery

Following your ophthalmologist’s cataract surgery recovery guidelines is the key to optimising your post-cataract surgery healing and minimising any complications or adverse events during this period. Their advice on what not to do after cataract surgery is aimed at ensuring your body has time to recover, allowing the lens implant to settle in the eye, and avoiding an eye infection. Although your specific post-operative instructions may differ slightly depending on your individual circumstances, these are general rules on what not to do after cataract surgery

Don’t drive too soon.

Even though your vision may be feeling bright and fabulous the day after your cataract surgery (though for some it may not be, depending on your body’s healing response), try to avoid getting behind the wheel before being given the all-clear from your ophthalmologist. There are a few reasons for this. One is that although your sight may feel subjectively sharp, you don’t really know what your visual acuity is until you’ve had it checked. In Australia, there are vision standards for being permitted on our roads. 

Another reason is that your eye may still be feeling glare sensitive after your cataract surgery, which is not an uncommon side effect. The glare off the road or other cars in the sun can be temporarily blinding, while the glare from car headlights or traffic lights at night can also be debilitating, making it dangerous to drive.

 As cataract surgery is typically performed one eye at a time, undergoing the operation in one eye may leave a large prescription difference between your eyes. This is because the artificial lens implant inserted during cataract operation is usually calculated to correct your refractive error. Having a very large prescription difference between the eyes can be disorientating and interfere with your depth perception. 

Don’t stop your eyedrops earlier than advised.

Your cataract surgery recovery will be helped along with the use of a few prescribed eyedrop medications. These will usually be an antibiotic, a non-steroidal anti-inflammatory, and a steroid drop. The antibiotic is to protect the eye from any opportunistic infections while your body is in a vulnerable state, and the other two drops are to help manage the post-operative inflammation, which is part of the body’s natural response to surgery.

donts after cataract surgery melbourneYour dosing regimen may vary throughout the course of your post-cataract surgery healing, perhaps starting with four times a day for the first couple of weeks and then tapering off for the following weeks.

Stopping these eyedrops earlier than recommended can expose your eye to the risk of a sight-threatening infection or aggressive rebound inflammation, which can prolong your healing process. 

Don’t risk contamination or injury to your eye. 

Not all risks can be foreseen or avoided. However, where possible, it’s a good idea to keep your eyes as protected as possible. For example, if it’s a blustery day outside with debris flying about, hold off on gardening or going for a walk through the park until the weather has calmed down. 

The risk of contamination can also come from some unexpected sources. Unsterile water is known to contain many types of pathogens, including ones that can cause devastating consequences on your eyes and sight if allowed to cause an infection. Avoid swimming pools, saunas, hot tubs, and the ocean until given the all-clear by your ophthalmologist. 

Depending on your occupation, you may be okay to return to work within a few days (such as those with more sedentary desk work), while others may need to wait for a week or two. If your job involves risk of trauma to the face, such as the armed forces or contact sports, or brings you into very dirty environments, such as construction or commercial cleaning, you should ensure you’ve taken adequate time off from work. 

Don’t buy new glasses or contact lenses until your prescription is stable.

It usually takes about 4 to 6 weeks for your eyes to stabilise after cataract surgery. During the recovery period, your cornea is still healing from the incisions made during the operation, your eye will still be slightly inflamed, and the lens implant needs time to settle in the membranous bag in which it was inserted. These factors can cause your sight and prescription to shift for the following month or so immediately after your cataract surgery procedure. In addition to this, the temporary post-operative dry eye often experienced after cataract surgery can cause the prescription testing to be variable and unreliable. Because of these factors, it’s wise to hold off on spending money on new glasses or contact lenses until your ophthalmologist is confident that your sight has settled. Once this happens, you’ll most likely be returned to the care of your optometrist for a prescription check. 

Don’t delay if something goes wrong.

If anything doesn’t feel right with your sight or eye after your operation, contact your ophthalmologist immediately. 


Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.



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