PRESBYOND can still be suitable over 50, but lens health and emerging cataract become more important in planning.
When it remains a good choice
Cornea‑based blended vision can still serve well.
- Clear or only minimally changed lenses
- Significant presbyopic symptoms interfering with daily life
- Stable refraction within laser correction limits
- Preference to delay intraocular surgery despite ageing lenses
- Appropriate corneal thickness and topography
When alternatives may be preferable
Lens‑based solutions increasingly compete.
- Early cataracts or lens‑induced glare affecting quality of vision
- Desire for a once‑off solution that also addresses lens ageing
- Suitability for multifocal or EDOF lens replacement instead
- Systemic or ocular comorbidities that make corneal laser less ideal
- Discussion of long‑term strategy, including future cataract surgery, before deciding
