---
title: Is PRESBYOND surgery suitable over 45?
description: "Over 45 is a common age to consider PRESBYOND, as presbyopia is usually well established by this stage. ## Advantages in this group Blended vision can address clear symptoms. - Greater reliance on reading or varifocal glasses - Opportunity to…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbyond-surgery-suitable-over-45/"
updated: "2025-12-30"
category: Suitability
---

# Is PRESBYOND surgery suitable over 45?

Over 45 is a common age to consider PRESBYOND, as presbyopia is usually well established by this stage.

## Advantages in this group

Blended vision can address clear symptoms.

- Greater reliance on reading or varifocal glasses
- Opportunity to reduce spectacle dependence across distances
- Corneal laser avoids intraocular surgery while lenses remain clear
- Good long‑term benefit before cataract becomes an issue for most people
- Works well when contact‑lens monovision trials are successful

## Considerations

Not all over‑45s are candidates.

- Need to exclude early cataract or lens‑related glare
- Assess tolerance of anisometropia and depth‑perception changes
- Take account of occupational needs, especially night driving
- Ensure general health and dry eye are optimised for laser
- Compare with lens‑replacement strategies for some patients in this age group