PresbyLASIK Eye Surgery

Highly skilled surgeons at the Angeles Health Mexico Vision Center have helped hundreds of patients obtain improved vision with the PresbyLASIK procedure, the latest advancement in laser eye surgery that allows patients to correct presbyopia, a reduced ability to focus on near objects that often develops with age.

The cost of personalized PresbyLASIK at Angeles Health is about $4,750 for both eyes, though prices can vary from patient to patient.

Our Medical Travel Price: $5,200.00
Typical price in the USA: Not available in USA

Usually beginning at about age 40, a reduction in the eye’s natural ability to focus flexibly results in many people needing to wear bifocals or multi-focal contact lenses to manage seeing clearly at distances both near and far. This condition, in which the eyes exhibit a progressively diminished capacity to focus on near objects with age, is called presbyopia. Recent advances in corneal ablation technique using Excimer lasers allow ophthalmologists to correct for presbyopia, giving patients the ability to see near objects clearly without glasses or contact lenses.

In general, presbyopia surgery, also known as PresbyLASIK, and Multi-focal LASIK, applies the principles of LASIK surgery to create a multi-focal corneal surface, with a central area which is hyper positive for near vision, leaving the mid-peripheral cornea for far vision. PresbyLASIK, or Multi-focal LASIK, which allows patients to retain binocular vision, is currently under clinical trials in the US and has not yet been approved for general treatment by the FDA. However, many ophthalmologists are hopeful that trial data and the success of the technique in other countries will help make the procedure available soon to US presbyopia patients.

Just as multi-focal contact lenses and other artificial lenses are offered with different designs, many different approaches are used in multi-focal LASIK treatment to determine exactly how the cornea should be shaped to achieve the best correction for presbyopia.

Some surgeons believe multi-focal correction is optimized when the central part of the cornea is dedicated to distance vision with the surrounding corneal tissue being shaped for intermediate and near vision.

Other surgeons prefer to shape the central cornea for good near vision and designate the surrounding zone for distance and intermediate vision. Patients should discuss the pros and cons of each approach with their surgeon to determine which may be right for them.

Multi-focal LASIK typically is performed on both eyes, but also can be applied only to the non-dominant eye for a modified monovision correction. The other eye would then be treated with LASIK distance correction only if necessary.

Our Facilities at Angeles Hospital

What to expect from PresbyLASIK Surgery?

As with all LASIK procedures, the patient’s eyes are first examined thoroughly for any condition that might prevent surgery or hinder its effectiveness before subjecting the cornea to laser ablation. In many cases a Wavefront exam is performed to precisely map the patient’s eyes and create a detailed guide for the surgeon to use in creating the multi-focal corneal zones needed to correct for presbyopia.

The surgeon then uses an Excimer laser to reshape the cornea into different zones for near, far and intermediate vision. After surgery, the brain then selects which zone it needs to see through to obtain the clearest vision, depending on whether an object is near or far away.

Because light is bent or refracted differently in each zone of the cornea, PresbyLASIK allows patients with presbyopia to regain optimum vision at all distances — like the way multi-focal contact lenses correct for presbyopia. However, because multi-focal contact lenses resting on the surface of the eye can move and cause distorted vision, many patients are dissatisfied using contact lenses in the long run. PresbyLASIK, on the other hand, creates fixed, stationary zones directly on the surface of the cornea.

Because light is bent or refracted differently in each zone of the cornea, PresbyLASIK allows patients with presbyopia to regain optimum vision at all distances — like the way multi-focal contact lenses correct for presbyopia. However, because multi-focal contact lenses resting on the surface of the eye can move and cause distorted vision, many patients are dissatisfied using contact lenses in the long run. PresbyLASIK, on the other hand, creates fixed, stationary zones directly on the surface of the cornea.

Some surgeons believe multi-focal correction is optimized when the central part of the cornea is dedicated to distance vision with the surrounding corneal tissue being shaped for intermediate and near vision.

Other surgeons prefer to shape the central cornea for good near vision and designate the surrounding zone for distance and intermediate vision. Patients should discuss the pros and cons of each approach with their surgeon to determine which may be right for them.

Multi-focal LASIK typically is performed on both eyes, but also can be applied only to the non-dominant eye for a modified monovision correction. The other eye would then be treated with LASIK distance correction only if necessary.

Are you an ideal candidate for PresbyLASIK Surgery at Angeles Tijuana?

Presbyopia is the one of the most common age-related aliments. While traditional methods such as spectacle glasses or contact lenses are still the most widely used solutions for correcting the problem, PresbyLASIK offers some patients the opportunity to overcome the condition’s limitations with surgery.

Because the procedure is relatively new and little established clinical data exists to support an accepted protocol for its application, the characteristics and baseline factors necessary to predict which procedure will yield the best results for any given individual are a subject of some debate.

It may be, for instance, that young, very active individuals in their early- to mid-40s are the ideal candidates for this procedure. Eventually the data may show it is better for a young person who is not so active. The indications for different surgical choices remain to be sorted out and opinions differ in the medical community as to the precise indications for a successful procedure.

For example, some surgeons believe creating a multi-focal cornea is the best option to correct presbyopia plus any refractive defect–for instance, to correct presbyopia and myopia at the same time. Patients who cannot see at near distances without their glasses when they are myopic can thus obtain the option to not wear glasses for near vision after surgery.

Surgeons with relatively extensive experience performing PresbyLASIK outside the US have found the procedure effective for treating patients with accommodative vision loss up to 2.00 diameters, though many stress that one of the most important characteristics of patients who have had successful surgeries is adequate pupil size. In patients with adequate pupils these surgeons have found PresbyLASIK provides good vision for both distance and near vision bilaterally: 20/20 or better for distance and J3 or better for near vision.

Ultimately, anyone suffering from difficulty with age-related vision loss should discuss with their surgeon the different options available through PresbyLASIK to determine whether the procedure might be an appropriate solution for them.

Benefits and Risks of PresbyLASIK Surgery?

Benefits of PresbyLASIK Surgery

Benefits of successful PresbyLASIK include an immediate improvement in vision, freedom from dependence on costly corrective eyewear such as glasses and contact lenses and wider opportunities for social and recreational activities as well as career improvements.

Obtaining immediate results is the most widely hailed benefit of this surgery, aside from the fact that it is painless and takes in most cases just minutes to perform. Although many patients do notice improvement in their vision minutes after the procedure is complete, it can take up to six months to achieve the optimal results. That said, it is common for many patients to have near-perfect vision within a day after the surgery.

Possible Complications

Some risks are known to be unique to PresbyLASIK. Patients undergoing LASIK to correct only for presbyopia might experience a tendency towards blurred distance vision after the procedure, a condition that could be lifelong and possibly require additional surgery or the wearing of glasses or contact lenses for distance vision.

PresbyLASIK patients also have a higher risk of developing reduced contrast sensitivity and experiencing halo effects at night. In the case of losing contrast sensitivity, patients could find it difficult to distinguish certain objects against similar background colors. In many cases, however, reduced contrast sensitivity may only be temporary.

Other general risks of LASIK surgery include:

  • Under correction and Overcorrection
  • Dry Eye
  • Regression
  • Corneal Abrasion
  • Flap Complications
  • Epithelial Ingrowth

As with any surgery, patients considering PresbyLASIK should discuss thoroughly with their doctor all the possible risks and complications before deciding to undergo the procedure.

Why choose Angeles Hospital Tijuana for your PresbyLASIK Surgery?

PresbyLASIK surgery is considered experimental and is presently available in U.S. clinics only to participants in formal clinical trials to investigate the safety and effectiveness of this procedure.

Surgeons in the Vision Center at Angeles Health Mexico, however, have helped hundreds of patients obtain improved vision with the procedure.

The average cost for personalized PresbyLASIK at Angeles Health is $4,750 for both eyes, though an individual patient’s cost may vary according to his or her specific patient characteristics.

As well as cost savings Angeles Hospital Tijuana offers PresbyLASIK patients a multidisciplinary team of specialists who help them fully understand and manage all the challenges they face in reclaiming their vision. Our hospital and medical technologies represent healthcare standards that are second to none.

PresbyLASIK patients at Angeles Health Mexico receive the expert care of highly skilled ophthalmologists, physicians, nurses and physical therapists in our Vision Center. Our PresbyLASIK procedures are performed with the VIISX Star S4 Excimer laser, a state-of-the-art FDA approved laser capable of making the finest degrees of corneal ablation possible.

We strive for surgical success and work towards our patients leaving hospital fully prepared to reclaim healthy, active lives with superior vision.

What’s included in the Angeles Hospital Tijuana, PresbyLASIK Surgery Package?

All PresbyLASIK surgery patients at Angeles Health Mexico are assigned a dedicated Case Manager to guide them through their pre- and post-surgery medical travel experience The PresbyLASIK Surgery Package at Angeles Hospital Tijuana includes:

All pre-surgery testing and exams. Patient needs to stay at least 1-2 days for proper follow up. All procedure costs: Ophthalmologist, surgeon, anesthesia, equipment, nursing care. A dedicated Case Management team to guide your pre- and post-surgery medical travel experience. Pre-surgery consult set-up if needed.

 

  • Airport transfer for both arrival and departure.
  • All pre-surgery testing and exams.
  • Patient needs to stay at least 1-2 days for proper follow up.
  • All procedure costs: Ophthalmologist, surgeon, anesthesia, equipment, nursing care.
  • A dedicated Case Management team to guide your pre- and post-surgery medical travel experience.
  • Pre-surgery consult set-up if needed.
  • Airport transfer for both arrival and departure.

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