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4130 Truxel Road, Suite D Sacramento, CA 95834

4130 Truxel Road, Suite D Sacramento, CA 95834
916.928.8383

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Home » Our Services » Your Eye Health » Vision Surgery » Surgery for Presbyopia

Surgery for Presbyopia

Presbyopia is a common age-related condition in which near vision worsens due to the hardening of the lens of our eye. It causes people to have difficulty reading and performing other tasks that require sharp and focused close vision.

Symptoms begin around the age of 40 when you begin to see people with untreated presbyopia holding books, magazines, newspapers, and menus at arm’s length in order to focus properly and avoid eye strain. Other symptoms include headaches or fatigue when trying to focus on something at close range.

Causes of Presbyopia

During our youth, the lens of our eye and the muscles that control it are flexible and soft, allowing us to focus on close objects and shift focus from close to distant objects without difficulty. As the eye ages however, both the lens and the muscle fibers begin to harden, making near vision a greater challenge.

Surgical Treatment for Presbyopia

The most common form of treatment for presbyopia is wearing reading glasses, bifocals or progressive lenses. Bifocal and multifocals are also available in contact lenses for those who prefer to be glasses-free. A third option, however, is a number of surgical procedures that allow you the freedom of correcting your near vision without the use of glasses or contact lenses.

LASIK

Monovision LASIK

Monovision is a technique that began with presbyopia-correcting contact lenses designed for individuals with presbyopia and nearsightedness or astigmatism. Each eye gets a different lens power – one lens is used in the dominant eye to correct for distance vision and the other for near vision. The eyes adapt to the two lens powers by learning to use the appropriate eye for the necessary distance power. Monovision LASIK surgery is based on the same principle of correcting each eye for a different refractive power and has shown just as high if not higher success rates than the contact lens technique. Usually, patients will try out monovision with contacts first to ensure that it works and that the eyes adapt properly.

PresbyLASIK

PresbyLASIK is a procedure that is currently available in Canada and Europe and undergoing clinical trials in the United States. As opposed to monovision LASIK, this procedure is a multifocal alternative in which different rings of refractive power are created on the cornea, similar to multifocal lenses. This provides vision correction at all distances simultaneously.

Conductive Keratoplasty (CK)

Conductive Keratoplasty uses radio waves via a hand-held instrument to mold the corneal surface to improve near vision. The procedure can be done on one eye using the monovision principle and is a good solution for those that do not need vision correction for nearsightedness or astigmatism. The effects of CK, however are not permanent and the improvement in near vision will diminish over time.

Corneal Inlays or Onlays

Corneal inlays and onlays involve surgically implanting a small lens into the eye to increase focus and near vision. The distinction between inlays and onlays is in where the lens is placed on the eye.

Refractive Lens Exchange

In refractive lens exchange the eye’s hardened lens is replaced with an artificial lens called an intraocular lens (IOL) to provide multifocal vision. This surgery is similar to and often done in conjunction with cataract surgery.

We are happy to announce that beginning May 11th, we will resume patient care!  Out of an abundance of caution, and guidance from various health agencies including the CMS, CDC, and CDPH, we will be following various safety protocols to protect the health and safety of our patients and staff.  The following protocols apply whether you are coming in for an eye exam, coming to pick out new glasses, or picking up glasses or contacts. Prior to entry there are 3 important steps:

1.  Bring your own mask: You must bring your own mask or face covering!  It is required to be worn at all times within the office (we are unable to provide masks from the office; if you do not bring a mask, we will have to reschedule your visit for a later date).

2.  Body temperature reading: Staff will be administering thermometer readings, and must be within normal range for entry into the office.

3.  Attest to good health: You must attest to good health, with no symptoms of fever, cough, shortness of breath, chills, sore throat, loss of taste/smell, and have not had contact with another person with COVID19 in the past 14 days.

 In addition, we will include limiting the number of patients in the office.  Therefore, you may be asked to call the office upon arrival, and may need to wait outside or in your car until you are called into the office.  Only patients will be allowed in the office (please have spouses, relatives, and friends wait outside of the office).  Exceptions include minors and dependents...may be accompanied by one adult parent or caretaker.

Sincerely,

The Natomas Optometry Team