
You are past forty and your near vision is not what it used to be. Everything that is close in your vision becomes a difficulty in your daily life. You must then accept, more or less, the different compromises that this entails, blurred vision, wearing small glasses, or even progressive lenses. You are suffering from presbyopia, but rest assured, solutions exist!
Presbyopia is a common condition that occurs when the eye’s ability to focus on near objects decreases with age. This condition can cause difficulties for daily activities, which involve near vision.
Our presbyopia center offers customized solutions to treat this difficulty, using advanced technologies such as the SupraCor.
We pride ourselves on providing high quality eye care and working closely with our patients to offer you the best possible treatment options to improve your vision and quality of life.
Am I operable?
Presbyopia is a common phenomenon that usually occurs from the age of 40. It is characterized by a gradual loss of the eye’s ability to focus on near objects. This is due to a decrease in the flexibility of the lens of the eye, which makes it more difficult to focus on close objects.
Symptoms of presbyopia can include difficulty seeing up close, eye strain, headaches. Presbyopia can affect the quality of life of those affected, as it can limit their ability to perform common tasks, such as reading, computer use and smartphone use and many more in mink from close.
Fortunately, there are several treatment options for presbyopia.
Your ophthalmologist can help you choose the best treatment option for your individual needs.
Visual defects
There are several methods of correcting presbyopia, depending on the severity of the symptoms and individual preferences. Treatment options may include:
1. GLASSES OR CONTACT LENSES
Glasses or contact lenses can correct presbyopia by changing the way light enters the eye to improve the eye’s ability to focus on nearby objects. These are simple methods, but sometimes restrictive.
2. REFRACTIVE LASER SURGERY
This is a surgical procedure that uses lasers to change the shape of the cornea of the eye and improve the eye’s ability to focus on nearby objects. Two methods exist, monovision and binocular vision. Different laser techniques are used for monovision such as PKR, Smile, Lasik. To preserve binocular vision, Femto LASIK SupraCor is our preferred technique.
3. REFRACTIVE LENS SURGERY
Refractive lens surgery is a vision correction technique that involves replacing the eye’s natural lens. It is commonly used to treat cataracts, but it can also be used to treat a clear lens, which can correct presbyopia, farsightedness, myopia and astigmatism in patients who do not have cataracts.
100% laser correction for presbyopia
LASIK
SupraCor presbyopia surgery is a refractive surgery technique that aims to correct presbyopia by using a laser to change the shape of the cornea of the eye. This refractive surgery technique is also known as presbyLASIK or multifocal LASIK.
In addition, it can correct other existing visual defects, myopia, hyperopia and astigmatism.
The Supracor technique is a laser refractive surgery procedure developed by Dr. Jean-Jacques Chaubard and the Bausch + Lomb laboratory to treat presbyopia, a visual problem linked to aging that results in a loss of ability to focus up close. Dr. David Suchocki, collaborator and then successor of Dr. Jean-Jacques Chaubard, gives us a detailed description of the technical aspects of Supracor and an in-depth comparison with monovision:
Supracor
1. Working principle
The Supracor uses an excimer laser to reshape the cornea in a multifocal manner. Unlike single-vision correction procedures, the Supracor targets different areas of the cornea, creating specific optical profiles to enable clear vision at different distances, including up close.
Photographers are familiar with hyperfocal settings, which allow you to obtain the sharpness of a nearby object and the sharpness of the landscape in the background. The Supracor is the creation of a hyperfocal, with increased depth of field and preservation of stereoscopic parallax, i.e. 3D vision.
2. Personalized multifocal correction
Each patient undergoes a thorough corneal, refraction and vision evaluation. Laser settings are then customized to meet each individual’s specific visual needs.
It is then possible to correct, in association with presbyopia, myopia, astigmatism and hyperopia.
3. Reduced dependence on glasses
The main goal of the Supracor is to significantly reduce reliance on reading glasses post-operatively, providing overall improved vision at different focus levels, both far and near.
monovision
1. Working principle
Monovision is an approach where one eye is corrected for distance vision, while the other eye is corrected for near vision. This visual asymmetry is deliberate and allows the eyes to work together to provide sharp vision at different distances.
2. Adaptation to visual asymmetry
Some patients adapt quickly to monovision, while others may experience an adjustment period during which the brain learns to use the corrected eye for different distances. Depth of field is not preserved.
3. Daily use
Monovision can be adapted for everyday use, but some patients may experience problems with depth or visual perception. Fit may vary from person to person.
Detailed comparison
1. Multifocal correction vs. monocular asymmetry
Supracor offers multifocal correction within each eye, while monovision creates a difference in correction between the two eyes.
2. Customization vs. generalization
Supracor is customized to each patient’s individual characteristics, while monovision is based on a standard asymmetry between the two eyes.
3. Adaptation and tolerance
Adaptation to monovision can vary considerably from one individual to another, while the Supracor is designed to offer a more predictable solution that’s easier to get used to.
4. Eyeglass dependency
Supracor eliminates dependence on glasses at all distances, whereas monovision may still require glasses for certain specific activities, especially if high visual acuity is required, such as driving.
In conclusion, as you can see, Vision Léman Laser has opted for Supracor, given its many advantages, and reserves monovision for very specific and rare cases, respecting various individual factors such as personal preferences, the patient’s lifestyle and tolerance to visual modifications.

Conclusion
As you can see, presbyopia is part of the natural aging of the eye, which loses its ability to accommodate. It is then necessary to mourn the loss of good close-up vision and to accept the compromises that will make it possible to correct this defect. For those who do not accept glasses or contact lenses, an alternative exists and allows for long-term correction of presbyopia, 100% laser on the surface of the eye.
It is important to discuss the pros and cons of each option with your ophthalmologist, to define your goals, to determine which technique is best suited to your individual needs.