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
