Presbyopia or tired eyesight operation
At present we have advanced a lot in the techniques for the presbyopia operation. In any case, there are still key factors that will determine the best decision when focusing on a presbyopia intervention, such as the use of laser or the implant of an intraocular lens.
En Área Oftalmológica Avanzada We are specialists in presbyopia or tired eyesight surgery.
Presbyopia or tired eyesight operation
At present we have advanced a lot in the techniques for the presbyopia operation. In any case, there are still key factors that will determine the best decision when focusing on a presbyopia intervention, such as the use of laser or the implant of an intraocular lens.
En Área Oftalmológica Avanzada We are specialists in presbyopia or tired eyesight surgery.
The presbyopia operation
Basically there are three options to operate presbyopia in an almost definitive way and all three are with surgery:
- Presbyopia surgery with laser.
- Through intraocular lens implantation.
- Intracorneal systems or inlays.
It will depend on each case that one technique or another is chosen.
Operation of presbyopia with laser
La laser presbyopia operation is especially recommended for those who have begun to have presbyopia but the time when their lens is opacified is not yet near.
In these cases, the most recommended is a treatment of laser in cornea, similar to the one used in the refractive surgery to treat other refractive disorders such as myopia, farsightedness I astigmatism.
How is the operation?
Ophthalmologist treat the dominant eye so that it continues to focus very well from afar and, to the non-dominant a special treatment is performed so you have an acceptable vision from afar but enhancing near vision. Thus, using both eyes, as in normal life, a good vision is obtained from far and near, it is what we call monovision.
The treatment of presbyopia with laser has been done for several years, with acceptable results but, it is in the last two years when it has experienced a major breakthrough with the new hyperprolate fit aspheric ablation lasers. The results are very effective with a high level of security, allowing its readjustment over time.
Services
With laser treatment for presbyopia we eliminate the possible need for glasses from afar for those who were already nearsighted, hypermetropic or asymptomatic and, at the same time, eliminated presbyopia, enhancing the physiological mechanism of ocular dominance.
As one hand predominates over the other, the eyes have a "dominance", so that with the dominant eye we see clearer, especially from afar, so when we aim we usually close one eye, the non-dominant.
Presbyopia operation with intraocular lenses
En Área Oftalmológica Avanzada we perform the Presbyopia operation with intraocular lenses in cases where the lens has not only lost elasticity, reason for presbyopia, but soon it will be opacifying. In these cases it is preferable to choose to replace it, with an operation very similar to that of the Cataracts, and implant a multifocal intraocular lens.
These Lenses divide the incoming light into several focuses: far, intermediate and near, so that the brain selects the most optimal according to the distance at which the object we want to see is located, similar to the adjustment of focus that is made in the accommodation, now the shape of the lens no longer varies but instead Look for the optimal focus.
Intracorneal implants or inlays
The third option is the "inlays”And basically of two types that are implanted in the cornea:
- Glasses.
- Annular systems
Both types seek to enhance the phenomenon of dominance, a more powerful eye for far and the other for near, similar to what we do with the laser, the monovision.
Pros and cons of presbyopia operation
It should be noted that despite the fact that the three options allow us to improve the situation, none of these treatments or others bring us back to the vision we had for the 20 years.
The truth is that all these methods have their pros and cons.
Pros and cons of laser
In the treatments that we enhance one eye to see well from afar and another to see correctly up close, you have to be cautious when looking for the limits because it can deteriorate the vision in relief, so necessary for many activities of the current life and more now with everything that comes to us from the virtual vision and the 3D.
If we do this using a laser, we must consider the factors associated with this surgery, in addition to the need for a laser that allows perform hyperprolate aspherical treatments, something very new that most lasers do not have yet.
Pros and cons of intraocular lenses
Regarding intraocular lenses, it is still an “invasive” surgery, a lens must be implanted inside the eye and that implies special operating and patient control conditions.
Moreover, the multifocal lenses can cause halos of lights or reflections that bother for activities such as driving, so you have to study beforehand in which patients can be implanted and in which not, as well as what type of lens is the most appropriate in each case.
That is, it takes a very specific technology and surgeons with great experience to select the most appropriate in each patient.
When to operate presbyopia?
Before making the decision to operate presbyopia, it is vital to attend an ophthalmologic consultation where the medical specialist assesses the condition of the lens and the degree of difficulty of the person to focus on nearby objects. Likewise, it is also vital to assess the patient's health status and rule out that he suffers from diseases like diabetes, what completely cancels the possibility of performing the surgery
Usually the ophthalmologist considers the presbyopia operation when the person's quality of life has deteriorated considerably because of eyestrain and also has other refractive defects such as myopia or astigmatism.
Price of presbyopia operation
El presbyopia operation price It will depend on the treatment indicated by the specialist. In any case, the most common surgery due to its excellent results is the option of implanting a multifocal intraocular lens to correct presbyopia. In this case, the price of the presbyopia operation with a multifocal lens included in the price is 2.249 euros per eye.
The price includes:
- All surgical expenses included.
- Premium multifocal intraocular lens.
- Possibility of financing up to 12 months at 0% interest.
En Área Oftalmológica Avanzada We are aware that not all patients can afford the intervention, therefore, we have adapted financing plans for each circumstance.
The importance of the center and the surgeon
The reality is that the ophthalmologist meets every day with patients who are happy and others who are not, regardless of what they see.
In the consultation we find patients with visions, or rather very similar visual acuities that have very different sensations. Some say that they see well and others that see badly, then, why these differences of appreciation, if when looking at the letters (visual acuity), they are giving similar levels, even around one hundred percent.
The answer is that the vision is something much more complex than the simple amount of vision, the visual acuity that we measure in the consultations. Today we know that many neurophosiological and neuropsychological factors play in vision.
This new conception is basic to understand the result, the effectiveness of a new treatment and this we see very directly in the case of presbyopia.
