What is presbyopia?

Alterssichtigkeit
  • Cause: With increasing age, the lens of the eye loses its elasticity and can no longer adjust to proximity.
  • Typical age: Onset usually between 40-45 years, with increasing deterioration.

Symptoms: Blurred vision at close range, texts have to be held further away, headaches or tiredness when reading.

The progressive lens trap: Why new glasses are often not the solution

Many patients come to us because they can no longer tolerate the side effects of their expensive progressive glasses. Presbyopia suddenly dictates your posture:

PresbyMAX Augenlasern
  • The Neck Syndrome (Cervical Spine): To see clearly on a PC screen through the narrow, lower part of progressive lenses, you have to tilt your head back slightly. Chronic tension and headaches are the result.
  • The “swimming effect” & accident risk: When walking down stairs, the steps blur because you are looking at the floor through the reading zone. You have to lower your head unnaturally.
  • Sporting limitations: When playing golf, tennis, or skiing, the rigid vision zones of the glasses massively disrupt hand-eye coordination.

We don’t prescribe stronger glasses that you have to “get used to.” We reconstruct the optical dynamics directly within your eye.

The EyeLaser Triage: Laser, implant, or lens exchange?

The treatment goal is freedom from glasses. The path there depends decisively on age and anatomy. We offer you the most modern procedures in Europe in 3 stages:

PresbyMAX Premium-Linsen

Phase 1: Corneal solutions (Approx. 45 to 55 years)

Your own lens is stiffer but still completely clear. Here, we work on the corneal surface:

Option A: PresbyMAX (Laser Blended Vision)

  • Optical balance: Our 7D Schwind Amaris laser modulates the cornea so that the depth of field is extremely expanded. One eye is optimized for distance, the other slightly for near vision.
  • Safety through simulation: Before we operate, we simulate the PresbyMAX effect exactly with special contact lenses. You test the visual sensation in everyday life.
Begleitperson nach der Katarakt-Operation

Option B: The game changer “Allotex TransForm” (100% biocompatible & reversible)

  • For patients who do not want permanent tissue removal by a laser, we exclusively offer the Allotex TransForm implant.
  • The technology: A tiny, wafer-thin optical inlay made of sterile, natural human corneal collagen (no artificial plastic!) is gently placed under the top layer of the cornea. It changes the refractive power so that you can read perfectly again.
  • Your biggest advantage: Because it is 100% biocompatible, it is not rejected by the eye as a foreign body. And most importantly: It is fully reversible. Should your eye change significantly in 10 years, the inlay can be easily removed in just a few minutes.

Phase 2: The lens exchange path (From approx. 55 years)

The lens is rigid and may begin to cloud microscopically. A laser on the cornea would not be sustainable here. We rely on refractive lens exchange (RLE).

  • Femto-laser instead of scalpel (FLACS): We offer lens exchange as a laser-assisted option upon request. A high-precision femtosecond laser opens the lens capsule with micrometer accuracy, without blades.
  • Double protection: This high-tech lens lasts a lifetime, never changes again, and protects you 100% from future cataracts.

Correct your presbyopia and enjoy a life without glasses and contact lenses

Discover why your reading vision deteriorates with age

The medical masterclass: EDOF, multifocal, and absolute transparency

For lens exchange, we are independent of manufacturers and select the lens from the global market that fits you perfectly:

Augenlaser

1. EDOF vs. Multifocal (Trifocal)

  • Trifocal lenses: Provide freedom from glasses for distance, PC distance, and near vision. Compromise: Slight light rings (halos) may occur at night.
  • EDOF lenses (Extended Depth of Focus): Seamless vision from distance to the dashboard, with extremely reduced halo risk. Ideal for frequent night drivers. For very small print (package inserts), reading glasses may still be needed.
Glaskörpertrübung (Floater) im Auge

2. The neuroadaptation factor

Your eye provides a new optical signal from day one. Your brain needs time to process these new images perfectly. This neurological learning process (neuroadaptation) takes between 3 and 6 months.

3. Absolute transparency: Posterior capsule opacification

We do not hide medical facts. Months or years after a lens exchange, the body’s own capsule can cloud slightly ( Afterstar). This is normal. The solution? We “polish” the capsule in our practice in a painless, 60-second treatment with the YAG laser. Afterwards, your vision is immediately and forever crystal clear again.

Which treatment method is right for you?

Comparison: Ideal for · Special feature & technology · Limitations
Method Ideal for Special feature & technology Limitations
Allotex TransForm Age 45-55 (good distance vision) 100% natural corneal inlay. Reversible! No plastic. Eye must be largely free of refractive errors (emmetropic) for distance.
PresbyMAX (Laser) Age approx. 45–55 years Increases the corneal depth of field. Can be simulated in advance! Lens continues to age.
Lens exchange (EDOF) Age 55+ (night drivers) Seamless vision (distance to PC). No nocturnal halos. Reading glasses may be needed for tiny print.
Lens exchange (Trifocal) Age 55+ (reading focus) Replaces the natural lens. Glasses-free at all distances. Slight light rings (halos) possible during night driving.

The EyeLaser suitability check: The traffic-light system for your eyes

ReLEx SMILE in Wien – Die Methode erklärt, die Zukunft erleben

🟢 Green Light (Ideal Conditions):

  • Healthy retina and healthy optic nerve.
  • Realistic expectations regarding neuroadaptation.
  • From approx. 45 years (PresbyMAX / Allotex) or from approx. 55 years (lens exchange).

🟡 Yellow light (special procedures & medical clarification required):

  • Dry eyes: The tear film must be treated before any procedure (e.g., IPL light therapy).
  • Previous laser surgery (LASIK) in youth: A lens exchange is possible but requires complex special calculations for the new lens.

🔴 Red light (No refractive surgery with multifocal lenses possible):

  • Advanced macular degeneration (AMD).
  • Advanced glaucoma with visual field loss.
    (In these cases, often only medically indicated cataract surgery with standard lenses is useful).
Dr. Victor Derhartunian

“The treatment of presbyopia is the supreme discipline of eye surgery. Today, we offer technologies that were unthinkable a few years ago – from reversible biological Allotex implants to robot-assisted femto lens exchange. My task is to work with you to find out if your brain, your anatomy, and your lifestyle harmonize perfectly with this new optics. Absolute transparency is the foundation for your lifelong satisfaction.”
– Dr. med. univ. Victor Derhartunian, FEBO

Your path to a life without progressive and reading glasses begins today

Do not leave your eyesight to chance. Invest in the highest Austrian quality standards, biological Allotex implants, state-of-the-art laser technology, and the outstanding surgical experience of Dr. Derhartunian.

100% non-binding. No hidden costs. Practice in a prime location in the heart of Vienna.

Book your suitability check in Vienna online in 15 minutes now

Frequently Asked Questions (FAQ) about presbyopia in Vienna

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