Presbyopia Treatment

What is Presbyopia?

Presbyopia is a normal age-related eye condition that affects everyone over the age of 40 and results in progressive difficulty focusing on near objects, like reading, using your cell phone and computer work. Although reading glasses can correct the problem, most people find it frustrating to have to pull out a pair of spectacles whenever they want to look at something close-up. Fortunately there are a few surgical options that can help improve the situation.


When your dominant eye is corrected for distance vision and your non-dominant eye for near vision it is referred to as monovision. This can be accomplished by either iLasik (femto-Lasik) corrective laser treatment or by intra-ocular lens implant surgery (during cataract surgery). This will make one much less dependent on reading glasses post-operatively.


Conventional LASIK procedures in Cape Town reshape the eye’s surface so it can focus better at either a near or far range, depending on whether you are farsighted or nearsighted. Sophisticated technology now enables multiple or progressive zones to be incorporated by reshaping the cornea into precise contours that alter the way light rays enter the eye to achieve focus. Presby-Lasik creates a multifocal cornea and is an attractive option to make you less dependent on reading glasses.

Flexivue Corneal Inlay

The Flexivue micro-lens implant procedure is safe, effective and reversible and is suitable for presbyopic patients with good distance vision, but poor near vision, between the ages of 45 and 60. The tiny lens is implanted in the non-dominant eye into a corneal pocket created by a Femtosecond laser. Most patients report improvement in their vision almost immediately and most resume their normal activities within a day or two.

Multifocal Intra-Ocular Lenses

Multifocal IOL’s are becoming increasingly popular for use during cataract surgery. It allows most patients to be independent of spectacles for distance, near and intermediate vision.

If you are tired of wearing reading glasses then contact us for more information about presbyopia surgery today!

Presbyopic Implantable Contact Lenses (IPCL)

Now available is an implantable presbyopic contact lens (IPCL) that can not only correct your myopia or hyperopia, but also presbyopia.  This new IPCL can make you independent of spectacles for both distance and near vision, while retaining your own natural crystalline lens.  It is therefore suitable for people between the age of 45 and 55 who require correction for both distance and near vision.

The IPCL is like a soft contact lens that is inserted into the eye through a 2.8mm incision and is placed behind the iris, in front of your natural crystalline lens.  It is made from reinforced hybrid acrylic material to ensure excellent long term performance and it cannot be rejected by the body.  The lens is customized according to the shape and size of each eye and is available in a wide power range.

Two tiny holes at the optical zone margin ensure continues aqueous flow from the posterior chamber to the anterior chamber.  These holes are placed superiorly to avoid any glare or scattering of light due to the holes.

This safe and reversible new surgical technology provides excellent quality of vision and fast recovery.  Your natural corneal asphericity is retained and no corneal tissue is removed.  Because your natural lens remains in your eye, accommodation is preserved.  Results are very stable over time and there is no regression.

For more information about this new refractive surgery technology please contact us on 021 9100 300 or