Wien · Linz · Zürich

Presbyopia is the age-related need for reading glasses

  • You can correct this common visual error with our ultra-precise Swiss-optmised eye treatments

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Discover everything you need to know about presbyopia and how we treat it below

Do you find that the text in a newspaper or on your phone is getting smaller and smaller? Perhaps you need to hold them further away to read them. If this is the case, you most likely have presbyopia.

Presbyopia is a form of ametropia which means the age-related need for reading glasses. It usually begins around the age of 45 and can be accompanied by recurring headaches.

Every individual has a loss of vision to some degree between the ages of 40 and 60. The lens simply loses elasticity due to calcification, and the eye loses its ability to adapt to environmental conditions. It can no longer switch optimally between long and short distances.

The good news is, we can significantly reduce or even eliminate the need for reading glasses through surgical methods.

Presbyopia is not a disease but rather a physiological ageing process. It is dynamic, which means that your vision will deteriorate even more as you age.

The lens ages

Presbyopia occurs because the eye’s lens, like the entire human organism, ages over the years. Limescale deposits reduce the elasticity of the lens. From around the middle of life, the lens loses its ability to accommodate. This means that it can no longer easily switch between near and far vision.

Presbyopia: Standstill at 60

By the way, presbyopia affects everyone without exception – regardless of whether you had poor vision before. However, accommodation does not deteriorate continuously until the end of life. Rather, it comes to a standstill around the age of 60.

Before the procedure – preliminary examinations

At the beginning of your first visit to us, we conduct a comprehensive examination. Here we record any previous illnesses, any past operations, and any medications that you take. We will also discuss your presbyopia and how it affects your life, and what we can do to help you.

Complete eye check

We will thoroughly examine your eyes and take note of your exact visual acuity and degree of presbyopia. We will also examine your retina and measure the pressure inside your eye to determine if any other eye diseases present. We then measure the eye very precisely. This includes optical biometrics, which is the most precise examination method. It measures the axial length and sections of the eyeball. We also record the corneal curvature.

All this is done contact-free with a laser. This method is exceptionally safe and accurate.

Corneal examination

We also carefully examine and measure the cornea. The cornea is the “window” of the eye – light falls through it. Together with the lens, the cornea represents the optical system.

For an optimal correction of presbyopia, we make an exact map of the cornea. Using a corneal topography, we can measure the anterior and posterior walls and the thickness of the cornea very precisely. This examination serves to determine all anatomical properties of the cornea. The refractive power of the eyes is derived from this “map”, which plays a vital role in the corrective operation.

Soon, we will also be offering anterior segment optical coherence tomography. This examination is contactless and can be compared to an ultrasound examination. However, laser light is not used for this purpose.

Wavefront investigation

Finally, we will carry out a wavefront examination. Here we send a light beam into the eye to focus precisely on the retina. From this point, a light wavefront propagates through the lens and cornea. With the help of this examination method, we can determine precisely where the laser should be applied to optimise eyesight.

“No, I don’t want glasses”

If you dislike reading glasses, varifocals or trifocals, you have several options to correct your presbyopia. At EyeLaser, we offer various options for correcting presbyopia. Together we will choose the most suitable process for you.

These procedures are available to you at EyeLaser for correcting presbyopia:

Monovision, either with:

Laser surgery

We can treat age-related long-sightedness with a laser treatment called PresbyMax or monovision. This means we create one short-sighted eye and one normal-sighted eye (for good distance vision).

The advantage of laser eye surgery for presbyopia is the minimally invasive procedure. In contrast to lens surgery, we don’t need to open the eye, and the laser treatment is limited to the cornea. As a rule, people between 40 and 65 are usually suitable for this type of treatment.

Lens surgery 

We can perform lens surgery with a variety of different, individually adapted lenses. We offer the right lens for every form of ametropia:

  • Monofocal lenses – For one point of focus which is usually set for your distance vision
  • Toric lenses – For correcting astigmatism
  • EDOF lenses – The latest generation of multifocal lenses for near, mid-range and far vision
  • Toric trifocal lenses –  To correct presbyopia and astigmatism
  • Phakic lenses – Lenses that are implanted into the eye to correct vision without taking out the natural lens
Do I have presbyopia already?

You can easily test whether you have presbyopia. Concentrate on reading a text close up, then quickly look at the window, a picture or the TV set that is further away. If it takes a few seconds for your eyes to adjust to distance vision (until you can see clearly again), then you should seek professional help.

Tired of the hassle of reading glasses or varifocals?

Choose the option below that sounds most like you to discover your best treatment

You’re 40 – 55+ and reading glasses make you feel old and cumbersome

Are your eyes struggling to keep up with your lifestyle? Maybe you have a pair of glasses for every occasion but when you need them they’re either broken or missing?

Discover the best treatment to free you from the embarrassment and hassle of reading glasses..

You’re 55 plus and experiencing dull and clouded vision

If your vision is hazy or blurred (even with glasses); if colours appear dull or faded; or if you’re having increasing difficulty seeing at night, it’s likely you have a cataract.

Discover the best treatment to restore your visual clarity (AND remove your need for glasses!)

Break free from the hassle of reading glasses if you’re over 45

After 40, most of us need reading glasses (even if we’ve never needed glasses before!) Freedom from reading glasses is possible but not everyone’s eyes can be treated. Book an assessment below to find out if you’re suitable for reading glasses treatment:

3 steps to freedom from reading glasses

Rewind the clock on your eyes with our Swiss method for exceptional eye surgery outcomes

Contact us

Not everyone is suitable for laser eye surgery.

The first step is to find out if you’re a good candidate. Give us a call in Vienna or Linz. You can also book a suitability assessment online.

Pay us a visit

Here we’ll triple-check your eyes and take the time to listen to your needs and expectations. Once we’ve found the best treatment for you, you’ll feel confident and reassured on your next steps

Enjoy hassle-free vision

Once we’ve treated you at our state-of-the-art clinic, you’ll admire our handy work as you experience exceptional natural vision – without the inconvenience of reading glasses and contact lenses

How much do our reading glasses surgery patients love us?

94.76% to be precise (we’re Swiss. We measure everything). But don’t take our word for it…

Highly recommended!

I got lens implants a year ago. It’s just great not to need glasses anymore. I am very grateful for this option. Everything was very professional – the contact, the examination, the surgery and the follow-up. A great service is provided here.

DocFinder User

A world better quality of life thanks to lens implants.

From the first free consultation to the detailed examinations to the day of the operation, I have found all assessments to be thoroughly positive. Even if you have a very pronounced defective vision, you are at the right place here and in competent hands. I am now one of those who would recommend Dr Derhartunian with a clear conscience. Many thanks to the doctor and his whole team for the excellent treatment.

DocFinder User

Everything according to my expectations

I had a lens exchange (trifocal lenses) to correct presbyopia at EYELASER in Vienna. The preliminary check-up and consultation were very attentive. The operation was painless, and I could already see well the next day. I can see perfectly now!

Thank you, Dr Victor Derhartunian and Dr Paul Jirák, for everything!

M. A.

Forgot that I had an operation!

For 31 years, I had visual aids – mainly contact lenses. The reviews here finally convinced me to see Dr Derhartunian. The examinations had to be very precise as a correct result was very difficult due to my severe visual defects. The operation was short and painless. And now, after 3 years? Everything is perfect – I still see wonderfully, have no problems, no dryness – I almost forgot that I had surgery!

I highly recommend Dr Derhartunian – so much quality of life from this one short procedure!

DocFinder User

Fully satisfied

From the receptionist/doctor’s assistant to Dr Derhartunian and the surgeon, Dr Jirak, I can recommend this practice to everyone. I was informed in detail about all the risks, and during the consultation, I knew that I was in the right hands. The operation on both eyes took about 45 minutes. I had no pain during the operation or afterwards. Extensive aftercare. I can only recommend this to anyone who decides to take such a step. A big thank you and happy holidays to the whole team.

DocFinder User

In good hands from the first moment

I was completely thrilled with the care I received and felt very well looked after from the first contact. The result fully met my expectations. My short-sightedness and presbyopia were corrected. I can only give it the best rating!

E. S. S.

I am simply thrilled

As a colleague with a different perspective, I can absolutely recommend Dr Dehartunian! Apart from the fact that Dr Dehartunian’s practice is stunning, the professional competence and efficiency in the treatment process are also impressive. I cannot imagine a nicer and more committed colleague and refractory surgical ophthalmologist I trust. The treatment was quick and not painful both during and after the procedure. The after-care was just as attentive as before.

I have not yet made a better decision in my life than to place myself in the hands of Dr Dehartunian! I am simply thrilled!

Gerrit Moser

Absolutely recommendable clinic

Thanks to the two doctors’ first-class preparation and surgery, the surgery situation was well tolerable even for a patient with anxiety. The three follow-up visits were thorough and informative and gave me the chance to ask any questions. It was always possible to ask about any problems (which were not problems at all!).

Conclusion: absolutely recommendable clinic and many thanks to all involved!

H. F.

Very satisfied with the services of the practice.

Both assessments and organisation went smoothly, very short waiting times, reception and premises, everything top. But even better than the organisation was personal care. No questions remained unanswered. Dr Derhartunian took lots of time for personal conversation. There was no feeling of time pressure. Professional, competent, courteous. Keep it up! I definitely recommend the practice and Dr. Derhartunian!

A. N.

Spectacle-free after 32 years

I wore glasses for 32 years because of severe myopia. Most recently, I also had presbyopia. I had been thinking about having my eyes lasered for a while. But everything that has to do with my eyes is fraught with fear for me. The consultation at EyeLaser was very professional. The procedure itself only took a few minutes. After three days, I could have gone back to work, but I allowed myself a week’s holiday.

Since then, I have enjoyed life without visual aids. I don’t even need reading glasses. I am finally free of glasses after 32 years.

Thank you, Dr Derhartunian and his team!

DocFinder User

This decision was one of the best I have made in my life

Two things that absolutely convinced me here: the surgery result and how they handled me perfectly. Very friendly reception, top professional medical information before, during and after the surgery. Dr Derhartunian approaches the patient, listens carefully to what the patient expects and outlines the procedure and the effects of the surgery perfectly. To be able to live without glasses after 40 years is a gift.

My thanks to Dr Derhartunian!

T. W.

Very happy

The whole team is warm, competent and helpful.

Have already had both eyes operated on and multifocal lenses fitted. I am very happy with it.

G. S.

We have replaced the images of real patients who provided these testimonials to protect their privacy.

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Links to authoritative resources on presbyopic laser surgery

Follow the links below for more information on presbyopic laser surgery

Alterssichtigkeit trifft früher oder später jeden. Meist beginnt sie ab einem Alter von 50 Jahren, bei Kurzsichtigen etwas später. Klicken Sie hier, um mehr zu lesen.

Wie ist es, wenn man kurzsichtig ist, sich aber altersbedingte Weitsichtigkeit allmählich bemerkbar macht? Klicken Sie hier, um mehr zu lesen.

Ziel der Studie war es, eine gute visuelle Rehabilitation mit Monovision oder trifokalen Intraokularlinsen nachzuweisen. Patienten mit Monovision (n=52) erreichen in der Ferne und Nähe einen hohen binokularen unkorrigierten Visus. Klicken Sie hier, um mehr zu lesen.

Discover which reading glasses treatment is right for you with this 1-minute quiz

Things like age, eye shape, history and lifestyle make an eye treatment perfect for one person, but not another. Find out which treatment (if any) could free you from your reading glasses

Winners of the Patients’ Choice Awards 2012 to 2021

We have been awarded first place nine times for customer satisfaction

Get to know the eye experts

Discover Austria’s most popular laser eye surgeons in the heart of Vienna and Linz

Dr. Victor Derhartunian

Ophthalmologist, Refractive surgery specialist


After learning his trade from the two pioneers of laser surgery,
Dr Victor Derhartunian is among the leading surgeons in Europe. He heads the practice in Vienna and can advise his patients in 5 languages.

Dr. Paul Jirak

Ophthalmologist, Refractive surgery specialist


Dr. Paul Jirak is a co-founder of one of the most renowned centers for laser eye surgery in Austria and has been treating patients in Linz since 2014. He specialises in ophthalmology, optometry, eye surgery and eye lasers.

Assoc. Prof. Priv. Doz. Dr. Christina Leydolt

Ophthalmologist, Lens & cataract surgery specialist


Dr. Leydolt is an ophthalmologist specialised in cataract and lens surgery. She leads a research group with this focus, trains young surgeons and gives international and national lectures.