Location
Islamabad: Pakland Tower 3, New Blue Area, 44000
Peshawar: Opposite HMC Phase 4 Hayatabad
Hours
OPD: Monday - Saturday
NAEEM EYE HOSPITAL offers PRESBYOND Blended Vision laser surgery a clinically proven treatment to reduce or eliminate dependence on reading glasses caused by presbyopia.
Holding your smartphone further away? Squinting at restaurant menus? Presbyopia is the natural, gradual loss of your eyes' ability to focus on nearby objects. It is an unavoidable part of aging that begins in the mid-40s as the natural crystalline lens stiffens.
Around age 40–45, the eye's natural crystalline lens gradually loses elasticity and can no longer flex quickly to focus on near objects.
Presbyopia is not a disease. It affects virtually every adult eventually, even those who have had perfect distance vision their whole lives.
Reading glasses only magnify close objects as a workaround. Advanced laser treatments like PRESBYOND treat the optical cause directly.
PRESBYOND Blended Vision by ZEISS is an advanced, non-invasive laser eye procedure designed specifically for patients aged 40 and over who want to reduce or eliminate their reliance on reading glasses or bifocals. It sculpts each cornea to create an extended depth of focus, allowing both eyes to work harmoniously across all viewing distances.
Unlike old monovision which creates a disorienting gap between near and far, PRESBYOND creates an overlapping intermediate zone for effortless computer and screen vision.
Using customized wavefront laser sculpting, the cornea's spherical aberrations are tailored to expand your natural depth of focus without compromising visual quality.
Because both eyes continue to work together binocularly, stereoscopic vision and spatial awareness remain intact for driving, sports, and daily activities.
THE SCIENCE
PRESBYOND uses a laser to create a slightly different focal profile in each eye. Together, both eyes give the brain a wider overall range of sharp vision than either eye could provide alone.
The dominant eye is reshaped to prioritise distance vision. The non-dominant eye is adjusted to focus at near and intermediate distances. This is deliberate the two eyes receive complementary, overlapping focal ranges.
Unlike classic monovision where each eye targets only one distance, PRESBYOND reshapes each cornea to include a graduated transition zone. Both eyes contribute to vision across multiple distances simultaneously.
The visual cortex learns to favour whichever eye provides the sharper image for a given viewing distance. This neuroadaptation is the basis of 'blended' vision. Most patients adapt within a few weeks; some take a little longer.
Patients who adapt successfully can typically read a phone screen, work at a computer, and see in the distance all without glasses. Very fine print in dim lighting may still occasionally require reading glasses for some individuals.
PRESBYOND is a day-procedure. You arrive, are treated, and go home the same day. The full process from assessment to stable vision typically spans four to eight weeks.
A comprehensive examination evaluates corneal thickness and shape, refractive error, tear film quality, dominant eye, and overall eye health. This determines whether PRESBYOND is appropriate and what outcome is realistic for your specific anatomy.
Before surgery, many patients undergo a short monovision contact lens trial one lens for distance, one for near to simulate what blended vision feels like day-to-day. This helps both you and the surgeon evaluate your likelihood of adapting comfortably.
The excimer laser reshapes each cornea according to an individually planned profile. Anaesthetic drops are used; no general anaesthesia is required. You are awake throughout the procedure. Both eyes are treated in a single session and you go home the same day.
Vision may be blurry or fluctuating in the first day or two. Antibiotic and anti-inflammatory drops are prescribed. You will need someone to drive you home and should avoid rubbing your eyes. Most patients notice meaningful improvement within 48 hours.
Vision stabilises gradually as neuroadaptation occurs typically over four to eight weeks. Follow-up appointments at NAEEM EYE HOSPITAL monitor your healing and visual progress. Most patients achieve functional independence from glasses within this period, though full adaptation timelines vary.
TREATMENT OPTIONS
Several surgical options exist for presbyopia. The right choice depends on your age, corneal anatomy, degree of presbyopia, and lifestyle priorities. This table is for general information only a clinical assessment is required to determine what is suitable for you individually.
| CONSIDERATION | PRESBYONDRecommended | REFRACTIVE LENS EXCHANGE | CLASSIC MONOVISION |
|---|---|---|---|
| How it works | Laser reshapes cornea to create a graduated blend zone | Natural lens removed and replaced with a multifocal or extended-range IOL | Laser reshapes cornea one eye fully for distance, other for near |
| Invasiveness | Corneal surface only no entry into the eye | Intraocular surgery (same category as cataract surgery) | Corneal surface only |
| Suitable age | Typically 40–65 | Typically 50+ or when cataracts present | Any presbyopic patient with suitable corneas |
| Adaptation required | Yes neuroadaptation over several weeks | Some adjustment depending on IOL type chosen | Yes often more demanding than PRESBYOND blend zone |
| Spectacle independence | Most patients significantly reduce dependence; some still need glasses for fine tasks | High rate of spectacle independence, depending on IOL selected | Variable similar to PRESBYOND; outcomes differ by patient |
| Reversibility | Enhancement (retreatment) possible; not fully reversible | Permanent the natural lens cannot be restored | Not reversible once laser treatment performed |
For detailed information on specific procedures, see Refractive Lens Exchange and Cataract Surgery. This comparison is informational and does not constitute medical advice.
Each eye is treated differently to create a blend zone one optimised for distance, the other for near vision, working in harmony.
The majority of suitable patients can significantly reduce or eliminate their dependence on reading glasses after treatment.
PRESBYOND is a ZEISS-certified procedure with over 15 years of clinical data supporting its safety and effectiveness worldwide.
Most patients notice improved vision within 24–48 hours, with full adaptation to blended vision typically within a few weeks.
Read real patient experiences from those who chose ZEISS PRESBYOND Blended Vision at NAEEM EYE HOSPITAL to overcome reading glasses and achieve natural vision.
Mohib Rehman
Since undergoing PRESBYOND laser treatment at NAEEM EYE HOSPITAL, I can now comfortably read text and see nearby objects without glasses while enjoying clear distance vision. Even during my first-week follow-up, I was delighted with the improvement in my vision. I am very happy with the results!
Asmat Ali Khan
I chose PRESBYOND at NAEEM EYE HOSPITAL to reduce my dependence on both reading and distance glasses. The procedure was quick and painless, and I can now see clearly both up close and at a distance. Choosing PRESBYOND was one of the best decisions I have ever made!
Sajid Khan (USA)
I relied on reading glasses for 37 years, especially during my office work, and constantly reaching for them became frustrating. I travelled all the way from America to NAEEM EYE HOSPITAL for PRESBYOND laser treatment, and it was absolutely worth it! I can now comfortably read up close and enjoy clear distance vision without depending on glasses.
Arif Khan (UK)
I travelled from the UK to NAEEM EYE HOSPITAL for PRESBYOND laser treatment because I wanted to reduce my dependence on reading glasses. I can now comfortably read up close and see clearly at a distance without constantly reaching for my glasses. The results have exceeded my expectations, and I am extremely satisfied with my vision!
Everything you need to know about PRESBYOND Blended Vision eligibility, recovery time, safety, and consultation costs in Pakistan.
Our ophthalmic team is available to assist you.