Correcting Presbyopia in Prior LASIK Patients

If you have undergone laser refractive surgery in the past, you will know firsthand the transformative impact it had on your lifestyle in terms of eliminating the need to wear glasses or contact lenses.

 

However, presbyopia is not a refractive error and is simply an unavoidable side effect of the aging process on the lens that affects the vast majority of the population over the age of 40.

 

The initial decline of near vision is slight, but after the age of 45 the change becomes more apparent as the lens rapidly loses its flexibility and its accommodative ability to focus clearly on close objects.

Getting the Presbia corneal inlay after LASIK

LASIK eye surgery to correct near or farsightedness will have removed some corneal tissue through cell ablation, but this does not necessarily prevent you from undergoing further corrective procedures such as a corneal inlay to treat presbyopia.

 

The Presbia microlens available at Optilase can be used on presbyopic patients provided they are considered viable candidates during the free consultation process.

 

Placed in your non-dominant eye, the inlay does not remove any corneal tissue; but instead has been developed to permanently sit in the cornea.

Corneal thickness and implantation

One of the most important considerations that will influence eligibility for the Presbia microlens on prior LASIK patients is corneal thickness since it has previously been reshaped.

 

The average cornea is 550 microns deep and houses six different tissue layers with different functions. The stroma which is the middle layer accounts for 95% of corneal thickness and becomes home to the corneal inlay.

 

The Presbia microlens is usually implanted at a depth of 200 microns.

Creation of corneal pocket

The Presbia microlens requires a small pocket to be created using a femtosecond laser, but this is unlikely to cause any damage to the initial flap was created.

 

More often than not the pocket will be created beneath the original flap and then the microlens is easily slotted into the stroma using a special custom-made device.

Central positioning

It is vital the Presbia microlens is positioned in the centre of your line of sight. Usually patients will be asked to fixate on a certain point in the distance, often a blinking light, to ensure correct placement.

 

If you suffer from presbyopia having already undergone refractive laser surgery, call to book a free consultation to explore your options on +353 1 223 8821 or visit www.optilase.com/presbia-reading-vision-solution/

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Patient Reviews

Renata Gomes
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Renata Gomes
June 2, 2026

I couldn't finish the process without leaving a review for this amazing team. Thank you all for helping me see so clearly without needing glasses. This month marks 3 months since I had LASIK, and it has truly been life-changing. Wearing glasses always bothered me because I enjoy sports, and even contact lenses were often uncomfortable. The whole journey started with Clare Hegarty at South William Street. Thank you so much, Clare, for your care and attention. As a Senior Optometrist, you gave me hope. At first, the process seemed almost too easy, which made me a little nervous, but it turned out to be one of the best decisions I have ever made. Thank you as well to Thomas Materman. Your clear, simple, and direct explanation of the procedure made me feel comfortable and confident throughout the process. Thank you to the entire Optilase team. Three months later, it feels as if I never had surgery at all—except that I can now see perfectly. I have experienced no negative side effects, and I am delighted with the results. I highly recommend Optilase to anyone considering LASIK surgery.☘️☘️☘️

Blaithin Cox
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Blaithin Cox
May 30, 2026

Couldn't be happier with my experience of the Lasek eye surgery. I had consultations in St William Street and surgery in Carrickmines, staff in both clinics were friendly, professional, and excellent staff their job. I would recommend Optilase to anyone considering laser eye surgery.

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April 29, 2026

Staff are lovely here and provide a great service

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Shane Guihen
April 20, 2026

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Katie Corcoran
April 13, 2026

Excellent service. I found optilase really great to deal with- they were so professional and well organised before and during the laser eye surgery. They were also very friendly and the aftercare was great.

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Roisin Mitchell
April 7, 2026

I had a great experience and Optilase getting laser eye surgery, it was without a doubt the best money I ever spent and wish I did it years ago! I rave about it to anyone who'll listen. From my initial consultation to the surgery itself in Dublin and the aftercare in Galway I couldn't rate it highly enough. The staff were so professional, informative, friendly and attentative throughout the whole process. Extremely happy customer!

amnnau
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amnnau
April 3, 2026

Got my PRK surgery with optilase couldnt be happier! I was cared for in each step even post surgery, give me a call or message if you need referral

Amy Phelan
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Amy Phelan
April 2, 2026

Had such an amazing experience with Optilase in Cork. Such a brilliant team, they all made me feel so relaxed and explained everything so well. They reassured me so much on the day of my surgery, and I never felt rushed with any questions. I would highly recommend Optilase to anyone even considering laser eye surgery. I am the most nervous and skeptical person and it’s truly the best thing I ever did, there is honestly nothing to be worried about!! I had zero pain whatsoever and my vision was clear by that evening and 100% perfect the next morning, it’s truly amazing! Wish I got it done years ago. I have so much freedom now without contact lenses or glasses, it’s so hard to believe my vision is fixed!!

Helen Sanfey
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Helen Sanfey
April 2, 2026

My experience has been amazing. Everything was super professional and I was handled with complete care. My vision is perfect now and has changed everything for me.

Chloe Kearney
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Chloe Kearney
March 5, 2026

Had a consultation done today couldn’t fault the team at optilase the were very informative answer all the questions I had very quick and professional would definitely recommend

Barry Neville
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Barry Neville
March 3, 2026

Very professional, and very customer focused

Timmy Kelleher
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Timmy Kelleher
February 18, 2026

I got the refractive lens surgery in December and from my first appointment to the last post op appointment I was looked after with great care, and I would recommend this company to anyone

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