Standard SMILE is designed mainly for distance correction and is not yet widely used as a primary presbyopia treatment.
Current role of SMILE in presbyopia
SMILE can correct short-sight, which may indirectly influence near tasks. However, it does not typically reshape the cornea in a way that provides blended or multifocal vision.
- Some surgeons may consider monovision using SMILE in selected cases
- Evidence for dedicated presbyopia SMILE profiles is still evolving
- Reading glasses or other procedures are often still needed
- Careful simulation of monovision with contact lenses is essential first
Alternative options for presbyopia
Other laser profiles or lens-based procedures may suit presbyopia better. The choice depends on age, prescription, and eye health.
- PRESBYOND or similar blended-vision lasers can extend depth of focus
- Lens replacement surgery may suit older patients with early lens changes
- ICL is usually reserved for younger patients with high prescriptions
- A detailed consultation will compare risks, benefits, and lifestyle needs
