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PRESBYOND explained

In these toggles we explain what you need to know about PRESBYOND

Do you do any of the following?

  • Increasingly you have to move things into the light to see them.
  • You take things to the window to see them properly.
  • You can only see up close when you put your reading glasses on.
  • Sound like you? PRESBYOND vision correction may be the perfect solution for you.

We will carry out a detailed ophthalmic assessment to assess whether or not you could adapt to PRESBYOND vision. Most people can adapt.

Even if you have had LASIK or cataract surgery previously, it is still possible to have PRESBYOND.

PRESBYOND is laser vision correction that significantly reduces the need for reading glasses.

The laser re-profiles the cornea to bring both eyes into the optical state that gives the best-blended vision. It does this by extending the range of focus (depth of field) of each of your eyes so that your brain can make out all the details. Subsequently, you can see objects clearly in the near, intermediate and distance range, without glasses or contacts.

PRESBYOND consists of two stages. The first stage is the laser correction itself, and the second is the brain relearning to use the new vision. This adaptation period usually lasts for a few weeks or months at most.

Most people who have had PRESBYOND are spectacle independent for all distances.

Assuming you are suitable and wish to proceed, you can select a date for your procedure. It is usual to have both eyes operated on the same day.


  • You will have greater freedom
  • Your natural vision will be restored
  • You will be able to do the things you love to do without having to grab your glasses or lenses first

Is PRESBYOND the same as multifocal implants surgery?

No. With PRESBYOND, we do not enter into the eye, and so the natural lens is left in place. Instead, the procedure is carried out by the laser on your cornea.

I have been diagnosed with cataracts. Can I have PRESBYOND?

Yes. A cataract is caused by clouding of the natural lens. If you have cataracts, it is, of course, necessary to have these removed first.

You will have a monofocal implant inserted at the time of your cataract surgery. Afterwards, you will only require conventional spectacles for reading.

Then, once your eyes have settled, it is possible to have a preoperative assessment for PRESBYOND.

It is best to wait at least 3 to 6 months after cataract surgery before proceeding with PRESBYOND laser surgery.

What if I have PRESBYOND and later develop cataracts?

Having PRESBYOND surgery in no way affects cataract surgery. If you require cataract surgery at a later time, it is possible to have the cataract removed, and the vision will return to normal. You will remain independent of glasses.

What happens if I can’t get used to the vision after PRESBYOND?

We can reverse PRESBYOND laser vision correction with a second laser treatment.

Why do our patients choose PRESBYOND?

The answer is simple – they want to escape limitations and take charge of their life

Clear vision at every distance

Reading this with specs on? Everyone’s vision changes as they age. Now, you can have safe and effective laser eye surgery aimed at reducing the need for all those specs.

Life-changing results

PRESBYOND can help you feel like you’re winning the battle against ageing. Pause the clock on your eyes and regain that youthful confidence that you never knew you had lost.

Wave goodbye to your reading glasses and varifocals

A sense of freedom and convenience washes over you. Any anxiety surrounding your vision and dependency on lenses has left. You feel younger and reinvigorated.

Set an example

Your friends will be impressed by your bravery and proactive approach to life. With your new vision, you’re more able to accomplish your goals and are even ready to set more challenging ones in the future.

Remove restraints

No more accepting and tolerating ‘your lot’ in life. Your eyes can finally keep up with you.

What do our patients say?

We are proud to make a meaningful difference to our patients lives

Brilliant experience with My-iClinic for laser eye surgery. The team are clearly experts in the area, and I felt well looked after through the entire process. Honest, friendly and professional, I thoroughly recommend My-iClinic for anyone considering laser corrective surgery.

Ms Priti Patel

I had a really satisfactory experience with my-iClinic and am quite happy with the results of the surgery and the aftercare. I would like to recommend it to anyone who wants to have any kind of eye surgery with them. Absolutely brilliant.?

Lex Bhagad

I was struggling with a viral conjunctivitis. After 2 visits to Moorfields and the condition getting worse, I was recommended to My-iClinic. I felt instantly looked after, and was seen almost daily due to the severity of the virus. It has now been 4 weeks and I am well on the mend thanks to the care and patience of Mr Bolger. I also found the pricing of this practice extremely reasonable unlike most of private practice medicine.

Beverly Herman

I’d highly recommend this clinic because of its nice, friendly and experienced team; they all are very professional in every aspect, you would get the best advise here! Also, the clinic looks very modern from the inside and you will just feel very comfortable and relaxed throughout the whole process in a place like this.

Valeriy Stepanov

Who we can help

We do our best to understand your needs and aims so we can offer you the best vision correction options


Having to wear vision correction gets in the way of your lifestyle and is burning a hole in your finances. You feel frustrated and inconvenienced by contacts or glasses and you’d very much like to be rid of them. Importantly, you don’t want to subject the safety of your eyes to a cheap deal and you don’t want to pay more than what’s fair.

man reading book


You own multiple pairs of reading glasses or varifocals. While they’re a fact of ageing, you don’t feel like you should need them yet. You’d really like to get rid of them but you’re nowhere near ready for cataract surgery. If only there was a procedure as safe and effective as LASIK, but for someone like you…

My-iClinic is financially accessible to anyone who wants the best available treatment

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Which best describes you?


“I can only see clearly when I wear my glasses or contact lenses”

woman with glasses
Find out more

“I find that I have to use my reading glasses more and more”

man reading with glasses
Find out more

“I can’t see as well as I used to, I think there may be a problem…”

women hugging
Find out more

Book a free screening to see if you can be free of glasses and contact lenses

The best way to find out if laser eye treatment is right for you is to have an in-person assessment. You’ll get a clear answer from our experts on your suitability and vision correction options
Get Free Laser Screening

Affiliations and memberships

We are happy to be associated with the following esteemed organisations

Even more information about PRESBYOND

Learn more about the treatments we offer
Learn more


We can reverse Presbyond laser vision correction with a 2nd laser treatment.
We will carry out a detailed ophthalmic assessment to assess whether or not you can adapt to Presbyond. Most people have no difficulty adapting to Presbyond vision.
No. With PRESBYOND, your natural lens is left in place as we do not enter into the eye. The procedure is carried out by a laser on the surface of the cornea.
Having Presbyond surgery in no way affects cataract surgery if you require it at a later time. After we remove your cataracts, your vision should return to normal, and you should remain independent of glasses.

Choosing a vision correction clinic is hard. We’ve made it easy with this cheatsheet.

Save hours of research by getting this free report comparing every top London laser eye surgery clinic
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Compare with other relevant eye conditions

Eye conditions are frequently misunderstood, so here’s a quick overview of the ones we most commonly treat


Astigmatism is caused by abnormalities in the cornea and the lens.

If you have astigmatism, the front of your eye is not a perfectly round shape like a football. Instead, it is more oval like a rugby ball. This gives the front of your eye an asymmetric curvature, so light scatters as it goes into your eye. This produces a jagged and slightly distorted image. Learn more about astigmatism here.

Treatments for astigmatism


A cataract is the clouding of your natural eye lens.

The natural lens is just behind the pupil of your eye, and it helps to make a clear image on your retina. Usually, this lens is crystal clear.

As a cataract develops, the lens becomes increasingly milky, causing a greenish cloudiness. It may also cause a glare in bright lights and change in the focus of the eyes, needing a frequent replacement of your glasses. Eventually, the sight does not improve with a change of glasses. Find more information on cataracts here.

Treatments for cataract


Glaucoma is a condition that causes the pressure inside the eye to be too high. If left untreated, this excessive pressure can damage the nerve that carries the vision to the brain; in severe cases, this can lead to blindness. Learn more about glaucoma here.

Treatments for glaucoma

  • Eye drops
  • Eye surgery

Hyperopia / Long-sightedness

Long-sighted – also known as hypermetropia or hyperopia – is when you cannot see things up close. It’s exactly the opposite problem to short-sightedness. Learn more about long-sightedness here.

Treatments for long-sightedness


Keratoconus is an eye condition that affects the shape of your eye. Rather than your eye growing in a sphere shape, it grows in a cone-shape causing your cornea to progressively thin and bulge.

Keratoconus can cause significant visual impairment, or it can go unnoticed, and your vision remains normal. Learn more about keratoconus here.

Treatments for keratoconus

  • Corneal cross-linking
  • Contacts
  • Eye glasses

Lazy eyes

The usual cause of having a lazy eye is when the eye is very out of focus as a child. This leads to the brain ignoring the image from that eye, and the brain doesn’t upload the software necessary to analyse the vision. Learn more about lazy eye here.


The treatment of amblyopia or lazy eye is to patch the good eye in order to force the lazy eye to work harder.

Treatment is only effective in children under the age of seven.

Myopia / Short-sightedness

If you are short-sighted (also known as myopic) you can see things that are up close but can struggle to see things further away. This is because light entering the eye is focused in front of the retina when it should focus on the retina. It focuses too soon. Learn more about short-sightedness here.

Treatments for short-sightedness


Usually, between the ages of about 45 and 55, the autofocus mechanism in our eye gradually fails. When this happens, we have to increasingly rely on glasses to read computer screens or printed matter. Learn more about presbyopia here.

Treatments for presbyopia

  • Reading glasses
  • Refractive lens exchange

For more information about laser eye surgery…

Educate yourself further by reading the links below

The NHS provides an overview of laser eye surgery, including any risks that may be involved. Click here for more information.

The Royal College of Ophthalmologists provides a guide on laser vision correction and has everything you need to know before a consultation. Click here for more information.

The NCBI has a great abstract on the conditions treated with laser vision correction, as well as what the treatment entails. Click here for more information.

WebMD has a handy guide on laser eye surgery. Click here for more information.

About the experts

Meet the My-iClinic founders, Mr John Bolger and Ms Bola Odufuwa. Two consultant eye surgeons who made it their life goal to make your life better.


Bola Odufuwa

Consultant Ophthalmologist
Clinic Director

Bola Odufuwa is a consultant ophthalmologist at The Royal Free Hospital and My-iClinic. Her specialities include cataract, glaucoma, paediatric, and laser refractive surgery. Bola has had extensive training at Moorfields Eye Hospital, London, where she gained expertise in the management of various eye conditions.

Bola Odufuwa’s special interests include optimal refractive outcomes following cataract surgery, non-penetrating glaucoma surgery, and assessment eyesight in children with special needs: particularly dyslexia and autism.


Mr John Bolger

Consultant Ophthalmologist
Clinic Director

John Bolger is a Consultant Ophthalmologist and Clinic Director at My-iClinic. His specialities include ophthalmology, laser refractive surgery (SMILE, Presbyond, LASIK, PRK, PTK), refractive lens exchange (RLE), cataract surgery, glaucoma treatment and macular degeneration.

Over the course of his career, John Bolger has carried out over 35,000 cataract operations, 20 of which were for eye surgeons. He has also taught over 1500 young ophthalmologists worldwide as they begin their surgical careers.

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