PresbyMAX for pilots is possible but highly specialised, and must comply with aviation‑authority regulations and strict visual standards.
Potential advantages
Broader focus range can be useful in the cockpit.
- Improved unaided vision for instruments, charts, and outside view
- Reduced dependence on multifocal or switching glasses in flight
- Freedom from contact‑lens drying at altitude
- Convenience in cramped or headset‑dependent environments
- Appealing for pilots struggling with presbyopic spectacle juggling
Regulatory and clinical issues
Requirements are stricter than for most patients.
- Need to check specific CAA/EASA or other authority guidance on presbyopic laser
- High demands for contrast sensitivity, stereopsis, and night performance
- Detailed documentation of pre‑ and post‑operative vision
- Any halos or glare must not impair flight safety
- Close liaison with an aviation medical examiner is essential before proceeding
