SMILE is designed mainly to correct distance vision, while PresbyMAX laser profiles aim to reduce the need for reading glasses by creating multifocal optics. The choice depends on whether near vision freedom is a priority.
Different visual aims
SMILE targets sharp distance focus in both eyes, with presbyopia later managed by glasses or other options. PresbyMAX deliberately shapes the cornea so each eye has extended depth of focus for both near and distance.
- PresbyMAX suits people with presbyopia who want less dependence on readers
- SMILE is often ideal for younger adults or those happy to use reading aids
- PresbyMAX can be applied with LASIK or surface techniques rather than SMILE
- Detailed measurements assess whether your eyes can support multifocal patterns
Adaptation and lifestyle factors
PresbyMAX demands some neural adaptation and acceptance of trade-offs. SMILE keeps optics simpler but less flexible for close tasks.
- PresbyMAX may introduce halos or reduced contrast, especially at night
- Most patients adapt, but some prefer the clarity of distance-only SMILE
- Contact lens trials for blended or monovision vision can help preview results
- Discuss work, hobbies, and night driving needs before deciding
