---
title: Is SMILE suitable for presbyopia correction?
description: "Standard SMILE is designed mainly for distance correction and is not yet widely used as a primary [presbyopia](https://bluefinvision.com/blog/what-is-presbyopia/)treatment. ## Current role of SMILE in presbyopia SMILE can correct short-sight, which may indirectly influence near tasks. However, it does not typically…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-smile-suitable-for-presbyopia-correction/"
updated: "2026-01-22"
category: Suitability
---

# Is SMILE suitable for presbyopia correction?

Standard SMILE is designed mainly for distance correction and is not yet widely used as a primary [presbyopia](https://bluefinvision.com/blog/what-is-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