Presbyopia: correcting vision without glasses

Written in association with: Mr Aris Konstantopoulos
Published: | Updated: 03/11/2023
Edited by: Robert Smith

Presbyopia is the normal change in vision at close range that develops with time, it gradually affects individuals older than 40 years. It is a growing cause of visual disability due to ageing of the global population, but also due to the increasing use of mobile phones, computers and tablets. We spoke with Mr Aris Konstantopolous to find out what exactly happens to our eyes when experiencing presbyopia and how it can be treated without the need for glasses.

eye-health-presbyopia

 

What are the symptoms of presbyopia?

The first symptoms are increasing strain and tiredness when reading small print. You may tend to hold your phone or book further away in order to bring images and text into focus if you have presbyopia.

 

What causes presbyopia?

Presbyopia is caused by a natural decline in the elasticity of the normal lens inside your eye. This results in your lens losing its ability to focus easily and is associated with sluggishness or difficulty in focusing on near objects. This condition is called presbyopia but sometimes it is referred to as dysfunctional lens syndrome.

 

How can Presbyopia be treated?

The elasticity of your natural lens cannot be restored! However, there are some great options available to restore your near vision:

 

PRESBYOND laser blended vision

 

PRESBYOND uses laser to sculpt the cornea and focus the dominant eye for distance and the other eye for near vision. It is different to traditional monovision, as the sophisticated procedure expands the depth of focus for each eye and creates a smooth transition (blend zone) between the two eyes. This improves your vision whether you are driving a car or reading a book, this can reduce or even eliminate the need for glasses.

PRESBYOND laser treatment is suitable for most people who require glasses for reading and for work. It is used primarily to compensate for reading glasses, however, the procedure is combined with correction of pre-existing short-sightedness (myopia), long-sightedness (hyperopia) and also astigmatism.

 

Refractive lens exchange

 

Your natural lens can be replaced with a new multifocal intra-ocular lens that will provide both distance and near vision. The new lens does not require replacement and stays in place for life. The procedure also treats underlying refractive errors of the eye, such as short-sightedness (myopia), long-sightedness (hyperopia) and astigmatism.

Our personal preference is to perform lens exchange if you are not suitable for PRESBYOND laser vision correction, e.g. if you have early cataract or a high prescription.

 

Contact lenses

 

Multifocal contact lenses are becoming very popular. They can provide good distance and near vision, but commonly their vision quality is affected by the movement of the contact lens when blinking. Contact lens wear does also carry on-going and long-term risks, such as intolerance, dry eye, vision loss and infection.

 

To learn more about PRESBYOND and refractive lens exchange, visit his website, Aris Vision Correction.

If you suffer from short-sightedness ( myopia ), long-sightedness (hypermetropia), astigmatism or need reading glasses, book an appointment via Mr Konstantopoulos' Top Doctors profile .

By Mr Aris Konstantopoulos
Ophthalmology

Mr Aris Konstantopoulos is a consultant ophthalmologist at Nuffield Wessex and Spire Southampton. His clinical activities focus on conditions of the cornea and the lens and he regularly carries out corneal and cataract surgery. Mr Konstantopoulos sees patients with astigmatism and refractive errors who may suffer from keratoconus and corneal conditions requiring corneal transplantation, such as Fuchs endothelial dystrophy. Mr Konstantopoulos also partakes in theatre sessions dedicated to collagen-cross linking, cataract surgery and corneal surgery, and laser vision correction.

He also treats more complex refractive cataract cases and has a clinical interest in patients with keratoconus and high astigmatism and has a theatre list for collagen cross-linking, a treatment that greatly improves and stabilises the condition. Mr Konstantopoulos graduated from the University of Glasgow and completed his ophthalmology training in hospitals of the Oxford and Wessex Deaneries. Fascinated by the beauty of the cornea, Mr Konstantopoulos specialised in conditions of the anterior segment of the eye. He completed two years of advanced training (fellowship) on ‘Cornea and external eye disease' at University Hospital Southampton and University of Southampton. Mr Konstantopoulos focused his research on how to use optical coherence tomography imaging for the diagnosis of conditions of the cornea, which led to the award of a PhD degree and numerous international and national awards.

He later subspecialised in lamellar corneal transplantation and refractive surgery with a fellowship at the Singapore National Eye Centre, one of the most prestigious and advanced ophthalmology institutions in the world. Since subspecialising, he has now incorporated new practices and innovations when carrying out corneal transplantation, laser refractive surgery and treatment for conditions of the cornea.

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