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PRESBYOND and presbyopia

How is PRESBYOND different from lens replacement?

Independent Clinic verification in progress Medical review pending Updated

PRESBYOND reshapes the cornea with a laser and leaves the natural lens in place. Refractive lens exchange removes the natural lens and replaces it with an implant, which is intraocular surgery and is usually considered when a cataract is present or the prescription is beyond corneal treatment.

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Quick answer

PRESBYOND reshapes the cornea with a laser and leaves the natural lens in place. Refractive lens exchange removes the natural lens and replaces it with an implant, which is intraocular surgery and is usually considered when a cataract is present or the prescription is beyond corneal treatment.

A general answer about SMILE Pro, not advice about your own eyes. Only an ophthalmologist who has examined you can answer it for your case.

Topic
PRESBYOND and presbyopia
Answer length
Quick answer plus detail
Sourced
Yes

In more detail

They are different categories of operation with different risks, different recovery and different implications for the future. Neither is a general upgrade on the other.

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Sources & further reading

We prefer primary sources. Where a claim comes from a manufacturer, a single study or a regulator, it is labelled as such below.

  • Eye Health Information Patient information National Eye Institute, National Institutes of Health (US)

    Condition-by-condition eye health information from a US government research institute, written for patients rather than for clinicians.

    Used for Plain-language explanations of eye conditions and their symptoms; Healthy vision and screening guidance.

    Link checked 23 September 2026

  • Laser In Situ Keratomileusis (LASIK) Clinical reference StatPearls, NCBI Bookshelf

    The equivalent clinical reference chapter for LASIK, used so that comparisons describe both procedures symmetrically.

    Used for How LASIK creates and manages a corneal flap; LASIK complication categories.

    Link checked 22 September 2026