PresbyMAX can still be suitable over 50, but lens clarity and early cataract signs need closer attention.
When it remains a good choice
Cornea‑based correction can still work well.
- Clear natural lenses without significant cataract
- Presbyopia causing marked reliance on reading glasses
- Good corneal thickness and topography
- Preference for laser over lens replacement at this stage
- Understanding that cataract surgery may still be needed later in life
When other options may be preferable
Lens ageing becomes more relevant.
- Early lens opacities already reducing contrast or night vision
- Desire for a once‑only solution that addresses both presbyopia and lens ageing
- Suitability for multifocal or EDOF lens replacement instead
- Systemic or ocular conditions making corneal laser less ideal
- Discussion of long‑term strategy, not just immediate spectacle reduction
