PRESBYOND may be suitable for some professional drivers, but higher visual demands mean more cautious selection and counselling.
Potential benefits
Reduced spectacle dependence at work.
- Clear unaided distance and instrument vision
- Less reliance on bifocals or varifocals that can distort peripheral view
- Convenience over long shifts and variable lighting conditions
- Freedom from contact‑lens dryness while driving
- Can maintain or exceed legal driving standards when outcomes are good
Key considerations
Safety margins must be generous.
- Thorough assessment of night vision and pupil size
- Need to preserve a comfortable buffer above licensing standards
- Surgery should be timed to allow for temporary driving restrictions
- Honest discussion of possible halos, glare, and contrast changes
- Alternative strategies, such as monovision or lens‑based options, should be considered
