La Presbyopia or eyestrain It can be treated in an effective and safe way. The previous diagnosis is essential to assess the causes that produce it, different in each patient and thus be able to establish the most effective treatment strategy in each case, yes, with an ophthalmologist specialized in this type of treatments.
What is Presbyopia?
Presbyopia (eye strain) is the progressive loss of near vision. It begins around 40-45 years of age and is due to physiological deterioration of the eye's focusing system, also called the accommodative system.
The accommodative system works by activating different structures of the eye. From the signal that is generated in the brain and that requires the proper functioning of the retina and the nerve pathway that connects brain and eye, to the action of the ciliary muscle, the change in shape of the crystalline, the contraction of iris and the convergence of the eyes, that is a mulitfacotorial mechanism.
The fact that the near vision involves various factors implies that when presbyopia appears it is necessary to analyze which factors are most altered, something that is not the same in all people, therefore the treatment will be different in each case.
How is presbyopia analyzed?
Currently we have very effective methods to study presbyopia, from the analysis of the accommodative capacity with systems of aberrometry optics, even those that analyze changes in the lens and its density using Scheimpflug images and optical coherence (OCT).
With the data of the diagnostic study we can choose the most effective therapeutic strategy for each patient.
What treatment options does presbyopia have?
There is no single treatment for all people with presbyopia. Sometimes the administration of drugs (eye drops) that can improve the depth of focus is sufficient. In other cases, we can restore accommodation through exercises visual therapy aimed at strengthening the ciliary muscle and the power of the lens.
A second level of treatment is that used by the excimer laser. This one serves to mold the cornea, modeling a lens on the surface of the eye. We can also implant a lens in the cornea, such as the Kamra or InVue systems. Another option is the presbyopia surgery with multifocal intraocular lens implantation and finally the scleral implants, to improve the action of the ciliary muscle on the cirstalino.
It is necessary to assess each patient to establish the most effective and safe treatment strategy. Sometimes it will be one of the above options or the combination of two or more of them. In order to decide on this strategy and its success, it is necessary to have a team that is very experienced in presbyopia, have the necessary technology for its study and treatment and an ophthalmologist with experience in all the treatment systems.
The treatment of presbyopia has reached a very high level of complexity. It requires that the doctor be an expert in the different surgical options to eliminate presbyopia how are refractive surgery, Cataracts, management of corneal and scleral implants and especially in visual perception, something that is not usual in most ophthalmological centers.
En Área Oftalmológica Avanzada we have specialized in presbyopia. We have the necessary technology for its diagnosis and treatment and a team of professionals led by Dr. Carlos Vergés to help resolve presbyopia in an effective and safe way.
Methods to treat presbyopia:
- Pharmacological (eye drops)
- Visual Therapy
- Presbyopia operation with excimer laser
- Multifocal intraocular lenses
