Presbyopia: understanding and choosing correction in Annecy

Why near vision declines

The lens, located behind the pupil, gradually loses its flexibility. The eye can no longer “accommodate”, meaning change shape to focus at near distances. This process progresses until around age 60, then stabilises.

Vision correction options

• Glasses : near-vision lenses, or progressive lenses that correct vision at all distances.
• Contact lenses that are multifocal, or a ‘monovision’ technique that shares the roles between the two eyes.
• Surgery : replacing the lens with a multifocal or extended depth-of-focus implant (see lens implants and lens surgery), or presbyopia laser treatments such as SUPRACOR on Teneo 2 at Annecy Laser Vision (see below).

Presbyopia lasers: SUPRACOR with the Teneo 2

At Annecy Laser Vision, the Teneo 2 excimer laser enables SUPRACOR treatment. This LASIK-type technique reshapes the corneal surface to provide depth of focus: it helps with reading at near distances without glasses while retaining distance vision. It is intended for people with presbyopia whose corneas and eyes are suitable, without significant cataract, after a comprehensive assessment (topography, corneal thickness, dry eye, retina). Like all surgery, it involves possible compromises (contrast or night vision, possible retreatment), which are discussed before the decision. Glasses sometimes remain useful in specific situations, such as prolonged reading in dim light.

What about eye drops?

Eye drops that reduce pupil size (a “pinhole” effect) are being studied to temporarily improve near vision. Their availability in France and their side effects are detailed in our article Presbyopia: where do drops that replace glasses stand?.

When should I seek advice?

An eye examination is advised at the first signs to confirm presbyopia and screen for other diseases (glaucoma, cataract, retinal disease) that also appear at this age. Sudden vision loss is not presbyopia: seek advice promptly.