PRESBYOND ™ laser blended vision for reading and distance

The laser eye procedure to correct presbyopia or 'ageing eyes' involves a technique called PRESBYOND ™ Laser Blended Vision.

PRESBYOND ™ safely and effectively treats Presbyopia

Everyone’s eyes age. No one is immune. You may have heard that laser eye surgery cannot correct the need for reading glasses, but this is a myth. Thousands of patients have been successfully treated for presbyopia over the past 10 years.

PRESBYOND ™, initially developed in 2005, is a revolutionary laser eye surgery technique. It’s suitable for 97% of ageing eyes.

After PRESBYOND ™ laser blended vision, over 98% of patients can read normal newsprint (‘N8’). Over 90% of patients can read the small print on medicine bottle inserts.

If you’re suitable for laser eye surgery, you can have PRESBYOND ™ laser blended vision

The laser eye surgery suitability requirements for PRESBYOND ™ are similar to laser eye surgery. We do, however, additional tests to determine the degree of correction you might need and to suggest what your results might look like.

Importantly, many more people (97%) are suitable for PRESBYOND ™ than the number of patients that can tolerate conventional monovision (~60%) whether applied by contact lenses or laser eye surgery.

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How does PRESBYOND ™ laser blended vision work?

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In PRESBYOND ™ Laser Blended Vision, we treat one eye to predominantly view objects at distance, but a little up close. We treat the other eye to predominantly view objects up close, but a little at distance. Compared to monovision, however, the blending of the treatment enables patients to use both eyes in concert, rather than depending on each eye to carry out a different job.

The patient is able to see distance and near without effort because the brain combines the images. In most cases, patients experience an excellent depth of focus and overall visual acuity, without the need to wear glasses or contact lenses.

What are the advantages and disadvantages of PRESBYOND ™

PRESBYOND ™ compared to reading glasses or varifocal spectacles

PRESBYOND ™ offers:

  • No more putting glasses on and off
  • No more losing glasses or needing to maintain multiple pairs for different purposes
  • Less distortion than might be seen with varifocals in certain conditions

PRESBYOND ™ compared to Monovision contact lens or laser eye surgery

PRESBYOND ™ offers:

  • Better blending of near and distance optical zones to help the eyes work more in concert with each other
  • None of the risks associated with prolonged contact lens wear
  • A higher likelihood of tolerance to the new way of seeing (97% compared to 60%)

PRESBYOND ™ compared to lens replacement by refractive lens exchange

PRESBYOND ™ offers:

  • A significantly less-invasive procedure
  • 10x less risk of sight-threatening complications or risks
  • Less compromise in visual acuity when compared to multifocal IOLs
  • Adjustable correction that can be upgraded as the eye ages further

Results at a glance

Laser procedures
Cataract procedures
Better than the national average of complication rates

My eyesight following the operation is brilliant and better than I thought possible, and this is all down to your excellent surgeon Mr James Ball and not to forget all the very dedicated people around him who make these operations possible.

Keith Garlick

Two of the best decisions I ever made in my life were firstly to have lens exchange and secondly to have Mr James Ball carry out my operation.

Patricia Walton

Within minutes I could tell there was a difference. But now, only a couple of months later, my sight is better than it was seven years ago! I can even read the really tiny print on the car sales ads! If you want that confidence you probably felt when you were younger, this is the ideal solution. Thanks to the treatment, I feel rejuvenated, independent and much younger!

John Hazelgreave

Many thanks for all your care and kindness. To me it appears a miracle that I can see so well. I feel very grateful. It is impossible to fully express my thanks.

Grace C.

May I offer grateful thanks for your expertise in operating on my eyes. It was intimated to me that you were the best, and from the results I am now enjoying, I am convinced that this is correct.

Jean D.

You are truly innovative. Thank you very much for curing the problems I have been having with my reading and near vision.

Sala M.

My work was becoming almost impossible. I had refractive lens exchange to both eyes with multifocal lens implants last July. I can now see better than 20/20 for distance and can read the tiniest print in newspapers - all without glasses! I have started reading for pleasure again, and I feel that my performance both at work and on the golf course has improved.


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Many thanks for all your care and kindness. To me it appears a miracle that I can see so well. I feel very grateful. It is impossible to fully express my thanks.

Grace C.

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About our surgeons

Mr James Ball | Consultant Ophthalmic Surgeon

MA (Cantab) MB BChir FRCOphth CertLRS

I am a Consultant Ophthalmic Surgeon at Custom Vision Clinic, St James’s University Hospital, and Nuffield Hospital. My major interest is in refractive surgery and finding the best treatment suitable for each patient.

Mr Jack Gormley | Consultant Ophthalmic Surgeon

MB ChB (Hons) FRCOphth CertLRS

I am a Consultant Ophthalmic Surgeon at Custom Vision Clinic and York Teaching Hospital, where I lead the Corneal and Refractive service. I have completed over 2,000 surgical and laser eye procedures.