Dr. Manisha Mahindra brings the latest technology to North India with the “PRESBYOND” technique for LASIK.

Dr. Manisha Mahindra is an M.B.B.S., M.S. (Eye) and a Phaco & Lasik Specialist. She is an ex-resident of D.M.C & H Ludhiana. Her clinic, Mahindra Eye Center, is located near Pahwa Dharmshala, Upkar Nagar, Ludhiana. They offer cashless facility for ECHS, CGHS, government schemes, and all insurance companies.

Dr. Manisha Mahindra brings the latest technology to North India with the “PRESBYOND” technique for LASIK. If you’re tired of wearing glasses, this advanced foreign machine can help you get rid of them in less than a minute

Please note that the information provided here is based on the details you shared, and I recommend contacting Dr. Manisha Mahindra’s clinic directly for more accurate and personalized information. 

What is the PRESBYOND technique?

The PRESBYOND technique is a type of corneal refractive surgery designed to manage presbyopia, an age-related loss of accommodation. Here are the key points about PRESBYOND:

1. Working Principle:
   • PRESBYOND enhances the depth of focus by modifying the corneal surface. It combines elements of monovision and extended depth of field.
   • The goal is to create a blend zone that allows for a smooth transition from distance to intermediate to near vision between the two eyes¹.
2. Procedure Details:
   • PRESBYOND is performed using an excimer laser (such as the MEL 80 or MEL 90) and proprietary planning software.
   • It induces a small anisometropia (difference in refractive power) of up to -1.5 D.
   • By controlling spherical aberration, PRESBYOND achieves an optimal depth of focus, providing continuous focused vision across different distances²
   • 1. Clinical Outcomes:
        • Reports from multiple surgeons indicate that PRESBYOND is safe, well-tolerated, stable, and effective.
        • It is associated with high rates of spectacle independence, excellent visual quality, and maintenance of contrast sensitivity and functional stereoacuity².

     Remember that individual suitability for PRESBYOND should be assessed by an eye care professional based on various preoperative evaluations. If you’re considering this procedure, consult with an ophthalmologist to determine the best approach for your specific needs.

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   • PRESBYOND is a corneal refractive surgery technique designed to manage presbyopia, which is an age-related loss of accommodation. While it offers the chance of spectacle-free near vision without compromising intermediate and distance vision, it’s essential to consider the potential risks:
     1. Touch-Up Requirement:
        • PRESBYOND is less forgiving than standard laser procedures.
        • The most common side effect is that some patients may require a touch-up within the first three to six months after the initial procedure.
        • Beyond that, there are generally no significant long-term consequences¹.
     2. Dysphotopsia:
        • Dysphotopsia refers to visual phenomena like glare, halos, or starbursts around lights.
        • In PRESBYOND, the 6-month review revealed that no patients complained of severe glare or halos, and only 6.6% reported mild glare.
        • Overall, PRESBYOND has demonstrated safety in terms of corrected distance visual acuity (CDVA) outcomes².
        • 1. Dry Eye:
             • Like other laser eye surgeries, dry eye is a common side effect.
             • However, it tends to improve with time for most patients.

          Remember that individual experiences may vary, and it’s crucial to consult with an eye care professional to assess your suitability for PRESBYOND and discuss personalized risks and benefits.

        • How long does the recovery take after PRESBYOND?
        • The recovery time after PRESBYOND laser blended vision treatment can vary from patient to patient. Here are some key points regarding the recovery process:
          1. Rapid Visual Recovery: PRESBYOND is still a form of laser eye surgery, so patients enjoy the benefits of rapid visual recovery. After the procedure, their eyes should be nice, white, comfortable, and they will have good vision. However, there are a couple of subtleties to consider.
          2. Initial Over-Correction: Some patients, especially those with long-sightedness, may experience deliberate over-correction initially. This can make distance vision slightly blurry in the early period, but it usually relaxes out and becomes a good outcome over time.
          3. Neural Adaptation: The brain needs to adjust to the new prescription. Patients may notice glare or halos, especially at night when looking at street lights and car lights. These tend to disappear as the healing process finishes and the brain learns to focus through the new corneal prescription.
          4. Differential Input from Each Eye: PRESBYOND blended vision LASIK involves overlapping focus curves on each eye. The dominant eye typically sees very good distance to intermediate vision, while the non-dominant eye sees intermediate through near vision. Patients may experience slight discomfort as they learn to use the differential input from each eye. Lubricant drops can help during these moments.
          5. Long-Term Adaptation: In the weeks and months following treatment, these episodes become less frequent and less severe. Eventually, patients don’t think about their eyes anymore—they just have comfortable eyes and vision.
          6. Options If PRESBYOND Doesn’t Work: If PRESBYOND doesn’t work for a patient despite pre-assessments, other options like wearing glasses or further touch-up laser treatment can be considered¹².

          Remember that individual experiences may vary, and regular follow-up with the eye doctor ensures any complications are addressed and mitigated. Overall, PRESBYOND offers minimal downtime, allowing most patients to resume routine tasks within a few days

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