PRESBYOND Laser Blended Vision: Surgery & Treatment

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PRESBYOND® Laser Blended Vision is an advanced, customized laser eye surgery designed to treat presbyopia—the age-related loss of near vision that typically begins after age 40. Unlike traditional monovision or reading glasses, this procedure uses a Femto-LASIK technique to reshape the cornea to create a "blend zone" for both eyes, allowing for clear vision at near, intermediate, and far distances. It is used to reduce or eliminate dependency on reading glasses and bifocals. 

Summary of PRESBYOND Laser Eye Surgery


  • Purpose: Treats presbyopia (needing reading glasses) while correcting existing myopia (near-sightedness), hyperopia (far-sightedness), or astigmatism.
  • Procedure: A fast (10-15 mins per eye), painless procedure using a laser to create a "blended" effect. One eye (dominant) is corrected for mainly distance, while the other is corrected for intermediate/near, with a specialized "blend zone" that helps the brain merge images naturally.
  • How it Works: Unlike conventional LASIK, PRESBYOND induces natural spherical aberrations to increase the depth of field in both eyes, making the adjustment easier for the brain compared to traditional monovision.
  • Recovery: Most patients notice an improvement within 24-48 hours and return to work within 2-3 days.
  • Suitability: Ideal for active individuals over 40-45 who want to be spectacle-free.

FAQ


Is PRESBYOND the same as traditional monovision?

No. Traditional monovision has a sharp transition, often causing a "blur zone" between near and far. PRESBYOND creates a "blend zone," allowing a smooth overlap of vision.

Is the procedure painful?

No, the procedure is painless, as numbing eye drops are applied beforehand. Some patients might feel mild pressure during the procedure. 

Are the results permanent?

While PRESBYOND is long-lasting, it does not stop the natural ageing process of the eye. However, most patients maintain sufficient reading vision for the rest of their lives. If needed, a follow-up ("enhancement") procedure can be done in the future. 

How long does it take for my brain to adjust?

While initial visual improvement is immediate, it can take anywhere from a few weeks up to 4–6 months for the brain to fully neuro-adapt to the new "blended" vision. 

What are the risks?

Risks are similar to standard LASIK, including temporary dry eyes, light sensitivity, or glare/halos at night.

Can I still wear reading glasses if I need to?

Yes. Even though the goal is to be spectacle-free, some patients might still need light reading glasses for extremely fine print or very low-light conditions. 

How does it compare to refractive lens exchange (RLE)?

PRESBYOND is less invasive because it reshapes the surface of the eye (cornea) and does not remove the natural lens. It also avoids the risk of retinal detachments associated with internal lens replacement surgery. 

Dr James Beatty doing eye surgery on a patient
Testimonials
  • Pleased to confirm that I had both my eyes operated for cataracts. This was the best decision ever going for this procedure.
  • Ons is reeds jare pasiente by dr Beatty en ons het intussen afgetree en verhuis. Steeds ry ons vir ons besoeke daarheen en sien elke keer uit om daar te kuier!
  • I wanted you to know that I got my eyes checked and it came out as 20/20! You did a great job. The guy who checked my eyes said whoever did it really knew what they were doing :)   Anyway, thanks for doing such a good job! Glad you were able to open up just in time before we left for the states.  
  • Roger 12/11/20
    I will definitely recommend dr Beatty. I am so happy with my Lasik.
    Roger 12/11/20
  • Mev Botha
    Ek is regtig baie dankbaar en opgewonde om so mooi duidelik te  kan sien. 13/11/2020
    Mev Botha
  • Margaret
    Thank you for always helping me on such short notice. James is the best!
    Margaret
  • Morne
    Julle is 'n great span met die beste dokter.
    Morne
  • Constance
    Thank you ladies for always being so helpful and friendly:)
    Constance
  • Lauren
    Doctor Beatty is hands-down one of the best Ophthalmologist I have ever seen in my 35 years of life!
    Lauren
  • Gary
    Such a  privilege to have doctor Beatty  as my Ophthalmologist.
    Gary
  • SONJA H
    Ek was besoeker by julle kamers tydens my vakansie in die Kaap. Ek is julle is so dankbaar vir die vinnige hulp en goeie diens.
    SONJA H
  • John
    Lovely ladies and best doctor. Love you all and looking forwards seeing you next year for my follow-up.
    John
  • Yolandie
    Altyd so lekker om by julle te gaan kuier en almal is so vriendelik en behulpsaam.
    Yolandie
  • Megan
    I am so happy with the results after I had Lasik done. Best money spent ever.
    Megan
  • Zelda
    Thank you doctor Beatty and staff for your good service and for you all being so friendly:)
    Zelda
  • Best decision and results after I had my Lasik done by doctor Beatty!
  • Always looking forward seeing doctor Beatty for my check-up once a year.
  • Thom
    I could not believe my eyes!
    Thom
  • Barry
    Very impressed with Dr Beatty, the hospital and aftercare was excellent.
    Barry
  • Alma
    Julle dames lag altyd, so lekker om hierheen te kom! Puik diens.
    Alma
  • Mr "A"
    Thank you for professional service and excellent aftercare.
    Mr "A"
  • Johann
    Julle diens is uitstekend en almal is altyd baie vriendelik.
    Johann
  • Rene van Tonder

    I have been a patient of Dr Beatty since 25 April 2013. I then followed him after moving practice to the new building in Paardevlei and I have not looked back.

    At Somerset Eye Clinic, vision becomes a reality. Though advanced imaging and state-of-the-art technology, Dr Beatty diagnosed my eye problem timeously, thereby arrested the disease in it's earliest stages. Dr Beatty also practices the most sophisticated surgical techniques for the treatment of patients and remains on par with international research and developments in the field of ophthalmology.

    The dedicated team of ophthalmic assistants and administrators are handpicked to optimise practice management, functioning and patient care. Visiting Dr Beatty's practice feels like dealing with trusted, loyal family. Dr Beatty's gentle, patient, kind and caring manner, fosters patient loyalty, respect and long-term engagement.

    I am a strong advocate for his practice and a patient for life.

    Rene van Tonder
  • Pieter Moelich

    I was lucky enough to find Dr Beatty via a referral and I would refer him to anyone interested in Lasik / PRK eye surgery. The entire experience, which can be scary, was really pleasant with his and his staffs professional advise and care before, during and after the surgery. I am very thankful to be able to look at the world and go about my day to day activities without the hassle of glasses or contact lenses.

    Pieter Moelich
  • Elsabe de la Port

    Who it may concern

    About nine months ago Dr Beatty removed cataracts from both my eyes.

    The procedures were successful and I do recommend this particular specialist. He is always professional and it was a relaxed experience.

    The admin personnel are always friendly and professional.

    Thanks.

    Elsabe de la Port