The Medical Facts: Explained Clearly and Simply

How PresbyMAX divides the cornea

How PresbyMAX divides the cornea: Centre Near: reading, phone, Transition Intermediate: screen, Periphery Distance: road, TVCentreNear: reading, phoneTransitionIntermediate: screenPeripheryDistance: road, TV
Schematic illustration. The zones merge smoothly and are calculated individually for each eye. The brain combines the images of both eyes.
SCHWIND AMARIS 1050RS excimer laser with treatment head and control monitor

In brief

What
PresbyMAX reshapes the cornea with the excimer laser so that it serves distance and near vision at the same time. It is based on Femto-LASIK.
For whom
Presbyopia from about 45, often combined with short- or long-sightedness; clear natural lens without incipient cataract.
Duration
About 15 minutes per eye.
Back to work
Usually after 2 to 3 days; the brain adapts to the new vision over 2 to 12 weeks.
Price
€3,000 per eye, fixed price incl. 12 months of aftercare and re-treatment within 12 months. From €58/month.
Not suitable
Incipient cataract (then lens exchange), keratoconus, thin cornea, unstable prescription.

What Exactly is Presbyopia (Age-Related Farsightedness)?

Presbyopia is not a disease, but a natural process. From the age of 40, the eye’s lens loses elasticity. It can no longer flex as easily to focus on near objects (accommodation). The result: letters blur, reading becomes strenuous, and reading glasses become necessary.

Person in a white coat pointing at a cross-section model of the eye

PresbyMAX®: the Intelligent Solution for Sharp Vision at all Distances

Instead of just creating a “reading window,” the PresbyMAX® treatment reshapes your cornea according to a multifocal principle – similar to high-quality varifocal glasses, but invisible on your eye.

  • Center of the cornea: Optimized for excellent near vision.
  • Outer area: Maintained for clear distance vision.
  • Seamless transition: Ensures sharp vision in the intermediate range (e.g., computer).

Your brain effortlessly combines the visual impressions from both eyes into a single, clear overall image. This process (neuroadaptation) occurs quite naturally within a few weeks.

Advantages of PresbyMAX®

Smiling patient lying under a surgical microscope, with a masked doctor beside her
  • Proven technology with thousands of treatments worldwide
  • Permanent alternative to reading or progressive glasses
  • Works regardless of glasses type
  • Performed at EyeLaser Vienna with the most modern Schwind ATOS femtosecond laser

Discover why PresbyMAX gives your life a new lease of life

Turn back the clock for your eyes and enjoy glasses-free vision with this ultra-precise treatment

Your Transparent Path to Freedom from Glasses in Vienna

Safety and clarity are our top priorities. From the initial examination to the aftercare, you’ll know exactly what to expect.

The Costs: A Fair Investment in your Quality of Life

A PresbyMAX® treatment is a one-time investment that pays off over many years.

  • Approximate price: approx. €3,900 – €6,500 for both eyes (depending on the exact method).
  • All inclusive: All preliminary and follow-up examinations in the first year.
  • Transparency: You will receive a binding cost estimate before the treatment.
  • Financing: Flexible installment payment options are available upon request.

The Process in 5 Easy Steps

Free Eligibility Check

Comprehensive Eye Analysis (approx. 30 min.)

Personal Consultation

We’ll discuss your results and answer all your questions.

The treatment

Painless, outpatient, and takes just approx. 15 minutes for both eyes.

Aftercare

Next-day check-up and a clear recovery plan.

Your New Vision Experience

Enjoy significantly improved vision in a short time.

Who is PresbyMAX® Suitable for?

Smiling older couple sitting close together on a light-coloured sofa
  • People aged around 40 and above who want to get rid of their reading glasses
  • Patients who constantly alternate between distance and near vision in daily life
  • Active people who desire more freedom during sports or travel

Your healing

How your healing after PresbyMAX progresses

Realistic guide values from practice. Your personal course is closely monitored at the follow-up checks.

SURGERY DAY

A few hours of watering and burning, then rapid improvement.

DAY 1

Follow-up check at the clinic; first clear improvement in near vision.

WEEK 1–2

Everyday life and screen work possible. The new visual profile still feels unfamiliar at first.

WEEK 2–12

Neuroadaptation: the brain gets used to the multifocal profile. Near and distance vision improve step by step.

MONTH 3–6

Full adaptation; fine-tuning now, if needed.

Transparency

What are the risks, and how do we manage them?

Honesty is part of good medicine. We discuss these points openly before every treatment:

iAdaptation phase of 2 to 12 weeks in which contrasts may appear softer.
iDry eyes for weeks to a few months; well treatable and temporary.
iHalos at night, more common than with a pure distance correction; they usually subside.
iFine-tuning is needed more often than with distance-only laser treatment; re-treatment within 12 months is included in the fixed price.
Your safety net: Should a re-treatment be necessary within 12 months, it is included in the fixed price at EyeLaser Vienna. And for emergencies you receive the surgeon’s personal mobile number, around the clock, including weekends.

Honestly asked

What if …? The most common worries before PresbyMAX

Almost everyone who comes to us has the same questions in mind and does not always dare to ask them. Here are the honest answers.

“Does it hurt?”

No. The eye is numbed with drops. While the laser creates the corneal flap, you feel pressure for about 20 seconds, not pain. In the afternoon the eyes burn and water for a few hours; by the evening it is usually over.

“What if I don’t get used to the new vision?”

The brain learns to select distance and near from the new corneal profile. For most people this takes two to twelve weeks; during this time contrasts may appear a little softer. We choose the strength of the near effect at the preliminary examination according to your daily life, and it can be adjusted in a re-treatment.

“Could I go blind?”

The laser works exclusively on the cornea, a few tenths of a millimetre deep. The retina and optic nerve, which are decisive for sight, are not touched. The real, very rare risk is an infection. Against that stand a sterile theatre, antibiotic drops and the check the next day, at which we see any problem early.

“What if the result isn’t right?”

Fine-tuning is more often useful with PresbyMAX than with a pure distance correction, because two distances are balanced. Re-treatment within 12 months is included in the fixed price. We do not guarantee a medical result, but we stand behind it.

“Does it last forever?”

The corneal shape remains. Presbyopia, however, continues to progress over the years, which is why we build in a reserve for the near effect. If a cataract develops later, lens exchange remains possible; the corneal profile is then included in the lens calculation.

“I can’t bring myself to decide.”

You don’t have to today. The first step is a preliminary examination with the chief surgeon, without obligation. Only the measurements show whether PresbyMAX is the right method for you at all. After that you have as much time to think as you need. Nobody is pushed into an appointment here.

We answer further questions in the FAQ below or in person at the suitability check.

Seeing is Believing: Real Results from Vienna

The best proof of a treatment’s success is the real experiences of our patients. See for yourself what change is possible and why our lead surgeon, Dr. Derhartunian, trusts the precision of PresbyMAX®.

Older woman with blue eyes, a smiling man blurred in the background

“Constantly searching for my glasses in meetings was tedious. Now I can present myself confidently again. One of the best decisions of my life.”
– Markus T., Business Consultant from Döbling

“Finally being able to spontaneously read the hiking map in the Vienna Woods again, without rummaging through my backpack. That’s pure quality of life for me.”
– Claudia B., Architect from Neubau

The EyeLaser Traffic Light: Am I a Good Candidate?

Older woman with blue eyes, a smiling man blurred in the background

🟢 Green Light: You are over 40, healthy, and want to get rid of your reading glasses.
🟡 Yellow Light: For dry eyes or thin corneas, a detailed assessment is necessary.
🔴 Red Light: For advanced cataracts, there are better alternatives such as lens replacement, which we also provide honest advice on.

Comparison: PresbyMAX® vs. Other Procedures

Comparison: PresbyMAX® (our choice) · Lens replacement
Criterion PresbyMAX® (our choice) Lens replacement
Principle Laser shapes the cornea Artificial lens replaces the natural one
Ideal for Age 40-60, without cataracts Age >55, with cataracts
Advantage Minimally invasive, natural lens remains Permanent solution, prevents cataracts
Safety Extremely high, proven procedure Very safe, routine surgery

The Next Step is Yours

You have seen the real stories and understood the facts. If you are ready to start your own success story, we are here for you. The first step is simple, free, and without obligation.

Book your eligibility assessment now at our clinic directly on Operngasse and find out what your life without reading glasses could look like.

Make an appointment now

Frequently Asked Questions about PresbyMAX®

From What Age is PresbyMAX® Treatment Advisable in Vienna?

The treatment is ideal for individuals aged approximately 40 to 45, as soon as reading glasses are regularly needed in everyday life – whether reading a newspaper (“Die Presse” or “Kronen Zeitung”), on a smartphone, or working on a computer. The decisive factor is not age alone, but the personal desire for independence from reading glasses.

Is the Laser Treatment Painful?

No. Thanks to highly effective anesthetic eye drops, the procedure itself is completely pain-free. You may feel slight pressure, but no pain. After the treatment, a slight foreign body sensation or watery eyes may occur for a few hours, which is normal and subsides quickly.

When Can I Return to Work after the Procedure, Especially on the Computer?

Most of our patients from the greater Vienna area can return to their workplace after just 1-2 days. Screen work may still be a bit strenuous during the first few days. Regular breaks and the use of moisturizing eye drops help significantly.

When can I resume sports – for example, hiking, swimming in the Old Danube, or skiing?

Light activities like hiking on Kahlenberg are often possible after just 3-4 days. You should wait about 2 weeks for swimming (due to risk of infection) and intensive sports. Skiing is recommended again after approximately 3 weeks, initially with well-fitting sunglasses or ski goggles to protect against wind and sun.

How permanent is the result? What happens if I develop a cataract later?

The reshaping of the cornea performed by the laser is permanent. However, the natural aging of your eye continues to progress. Should you develop a cataract decades later, which is a normal aging process, it can be operated on without problems. The previous laser treatment does not pose an obstacle.

Does Health Insurance (ÖGK or Private) Cover the Costs of the Treatment?

Laser treatment for presbyopia is considered an elective procedure (cosmetic procedure) in Austria. Therefore, the costs are generally not covered by social security (e.g., ÖGK). However, many private health insurance companies (supplementary insurance) partially or fully cover refractive surgery. We recommend clarifying this with your insurance in advance; we would be happy to provide you with a detailed cost estimate.

How safe is the procedure? What if I blink or move my eye during the laser treatment?

Safety is extremely high. Our SCHWIND AMARIS 1050RS laser features an intelligent 7D eye-tracking system. This registers the position of your eye 1050 times per second and compensates for even the slightest involuntary movement in real-time. Should you blink too much or move your head, the laser stops immediately and resumes at the exact same spot as soon as the eye is back in position.

How realistic is 100% glasses-free vision? Will I never need glasses again?

Our goal is for you to manage without reading glasses in everyday life. However, it is realistic that for very fine work, extremely small print, or in poor lighting conditions (e.g., reading a menu in a dimly lit restaurant), you might optionally find a very weak reading aid comfortable.

How does night vision change? Should I expect halos or glare effects when driving?

In the first weeks and months after the procedure, there may be increased sensitivity to glare or the perception of halos around light sources at night. This is a normal side effect of the healing process, as the brain adapts to the new, multifocal vision. For the vast majority of patients, these effects completely subside.

What happens if my cornea is too thin for PresbyMAX®? Are there alternatives?

Safety is our absolute priority. Should your corneal thickness be insufficient for a PresbyMAX® treatment, we will honestly advise against it. In such cases, we will comprehensively advise you on excellent alternatives, such as a refractive lens exchange with a modern multifocal or EDOF lens.

Why Does EyeLaser Vienna Use SCHWIND Technology and not another System?

After careful consideration, we chose SCHWIND’s German high-tech platform because, in our opinion, it offers the highest precision, safety (7D eye-tracking), and the best customization options. This allows us to tailor the treatment precisely to the unique parameters of each individual eye to achieve the best possible results.

I already have somewhat dry eyes. Is laser treatment even possible then?

Dry eyes are an important factor. In our comprehensive preliminary examination, we analyze your tear film very precisely. For a mildly dry eye, treatment can often be performed after appropriate pre-treatment. For a severely pronounced dry eye syndrome, a lens exchange may be the better alternative. We will advise you on this with absolute transparency.

Aren't the Costs of Approx. €4,000 – €6,000 Very High Compared to Glasses?

At first glance, it may seem so. However, consider it a long-term investment in your quality of life and freedom. Calculate the costs for high-quality varifocal and reading glasses that you would buy over the next 10-15 years. Ultimately, laser treatment is often the more economical and, above all, more comfortable solution.

What should I expect on the day of treatment at your clinic in Operngasse? Do I need to bring someone?

Please plan for approximately 2 hours at our clinic on the day of treatment. The procedure itself only takes a few minutes. We strongly recommend that you arrange for someone to pick you up or take a taxi after the treatment, as you are not allowed to drive yourself immediately afterwards. You will receive protective sunglasses from us and can then rest comfortably at home.

Is a Touch-Up Procedure Possible if the Result is not Perfect?

Yes. Your satisfaction is our priority. In the rare event that a slight residual refractive error remains after complete healing that bothers you, a touch-up procedure (enhancement) is possible without problems in most cases. This is part of our quality promise to you.

What patients say

Reviews

4.9 out of 5 from 244 Google reviewsAll reviews on Google →Patient stories with video →

“From the very first moment I felt in the best hands with Dr. Derhartunian. The whole team is incredibly friendly, well organised and really takes time for every patient.”

Ralf P. · Google review (translated from German), July 2026

“I am very happy that I made this decision. One year after the operation everything is in perfect order. Getting up in the morning and no longer needing glasses is a completely different feeling.”

Oskar · Patient story after laser eye surgery, eyelaser.at
Book an appointment Vienna

Read on

What comes next?

PresbyMAX is the laser solution for presbyopia. The lens-based alternatives and the way to an appointment:

4,9 von 5 – über 240 Google-Bewertungen für EyeLaser Wien & Linz