PresbyMAX is often better than lens replacement in younger presbyopes with clear lenses who want to avoid intraocular surgery.
Scenarios favouring PresbyMAX
Lens is healthy and worth preserving.
- Age roughly 40-55 with no significant cataract
- Good natural contrast and accommodation for intermediate tasks
- Low operative risk tolerance regarding intraocular procedures
- Suitable corneas and moderate prescriptions
- Acceptance that cataract surgery may still be required in later life
When lens replacement is preferable
Lens ageing or aims favour intraocular surgery.
- Early cataract or lens‑induced glare already affecting quality of vision
- Age typically over 55-60 where cataract is likely in the medium term
- Desire to address presbyopia and lens ageing in one definitive procedure
- Willingness to accept IOL-related phenomena instead of corneal ones
- Contraindications to corneal laser such as thin or irregular corneas
