Presbyond/ Laser Blended Vision

Laser Blended Vision is a revolutionary treatment for presbyopia. Presbyopia literally translates as ‘old eye’. Unfortunately, ageing affects the eye just as it affects every other part of the body. Starting in early middle age, the lens inside the eye begins to lose its ability to change shape ‘zoom’ from distance to near and back.

As we can’t avoid ageing, nobody is immune to developing presbyopia, and if left unchecked, inevitably leads to the need for reading glasses, bifocals, or varifocals.

What is Laser Blended Vision?

Blended vision is a term, which is placed on a very special kind of Laser Eye Surgery, which we use to correct not only someone’s distance vision but also their near vision, their reading vision. This applies to people who are generally in their 40s or older that have, what is called, aging eye or presbyopia to use the agreed term.

The laser eye procedure to correct presbyopia or ‘ageing eyes’ involves a technique called Laser Blended Vision. The technique can be employed using either LASIK or PRK; whichever is most appropriate for the patient. With this technique, one eye is treated to view objects mainly at distance, but a little up close, and the other is treated to view objects mainly up close, but a little at distance. The brain puts the two images together and enables the individual to see distance and near without effort. In most cases, the brain is able to compensate and you will experience an excellent depth of focus and overall visual acuity, without the need to wear glasses or contact lenses.

Laser Blended Vision has been adopted by Carl Zeiss Meditec and programmed into their lasers, so clinics around the world are now able to offer this option.

Benefits for you

Laser Blended Vision adjusts each eye in slightly different ways: one eye is adjusted to see mostly at distance, and a little close up, while the other is the opposite: mostly up close, and a little at distance.

The brain compensates for this change almost instantly, combining the two images to give much greater depth of vision, and an all-round improvement in visual acuity that means most patients can throw away those infuriating reading glasses.

  • Over 98% of Laser Blended Vision patients can read normal newsprint (‘N8’).
  • Over 90% of Laser Blended Vision patients can read the small print on medicine bottle inserts.

Am I suitable?

Laser Blended Vision is suitable in general for anyone with presbyopia who is also a candidate for corneal laser eye surgery; myopia (short-sightedness) up to -8.50D with astigmatism, hyperopia (long-sightedness) up to +6.00D with astigmatism and patients who have emmetropia (good distance vision) but only need reading glasses for computers or near vision might all be eligible.

Laser Blended Vision can also be performed after cataract surgery in order to increase the independence from spectacles. Assessment is with our expert optometrist. This normally takes an hour. Our optometrist will perform various eligibity tests and measurements and may be able to advise you on what is likely to be the best treatment option for you. The dominant eye is determined and vision tested to identify the level of correction required for distance and near on the dominant eye and non-dominant eye.


During the surgery, a corneal flap is created, during which there can be a sensation of slight pressure on the eye during the procedure. The corneal flap is then lifted and the laser correction is done – an ultra thin flap can be created for treatment of very high prescriptions. The flap is replaced and the speculum is removed. The other eye is treated next. The software data for each eye is stored in the Carl Zeiss Meditc MEL 90 laser and delivered by the eye-tracker controlled computer generated excimer laser pulses. The laser time for each eye is usually under 30 seconds. The entire procedure takes approximately 20 minutes for both eyes and the visual recovery is rapid and there is very little discomfort afterwards, usually described as if contact lenses had been left in for too long. The flap seals down usually within a few hours and the early postoperative recovery period usually about 7 days during which care is needed to not rub eyes and to wear eye shields during the night. The results are almost instantly available to the patient, where objects and people will seem more in focus, and most people can return to work the next day after their postoperative day 1 check.

Your Journey

We have designed our eye surgery pathway to give you adequate space to consider your options without any pressure to sign up for any treatment.

The first step is to call us

Nuffield directly on 0300 790 6190
Mr Anandan’s Secretary Sue Da Silva on 07900210191 or email

There is no obligation and we will be very pleased to give you information about all vision correction options, answer your questions and organise your suitability assessment.

Suitability Assessment

Assessment is with our expert optometrist. This normally takes an hour. Our optometrist will perform various eligibity tests and measurements and may be able to advise you on what is likely to be the best treatment option for you. At this visit our team will take you through our process, and give you our range of fees and affordable payment and finance options.

You will be given written information guides for the relevant procedures. Our optometrists can also organise an appointment for you to see our surgeon Mr Anandan for your comprehensive vision surgery consultation.

Consultation with Mr Anandan

The consultation with Mr Anandan is the defining stage of the process. The consultation includes a full and comprehensive assessment of your eyes and general health. Mr Anandan will then make his recommendation as to what in his professional opinion is the best vision correction surgery option for you, and explain the reasons behind that recommendation. You will be encouraged to ask questions and your queries will be answered fully. You will leave the consultation with an excellent understanding of all the issues relevant to your treatment to make an informed choice.

Aftercare is an extremely important part of your laser eye surgery treatment. After the treatment, your eyes are very sensitive, so protecting them is critical to ensure you reduce the risks of complications, and see the best results possible.
At LVCND, we are proud to offer a well-rounded after care programme to all our laser eye surgery patients to ensure that every individual gets back on their feet, complication free, and in no time at all.

Each laser eye surgery treatment has different recovery periods, however the following guidance will give you a broad understanding of the laser eye surgery aftercare process.

After your treatment, you will be required to stay in the hospital, until you feel completely comfortable to make your way home. It is against the law to drive immediately after, so make sure you have organised transport, or have a family member or friend with you, to help you get home.

Try to avoid having a shower immediately following your treatment, and during the first day of your recovery. We also advise not going into work for 1 – 2 days after your treatment, especially following LASIK, ReLEx SMILE or LASEK, to give your eyes the best chance to fully heal.

No matter where you work, your eyes will be exposed to different types of strain, so if you do need to venture outside try to stay close to home, just in case you feel any discomfort.

During the first few days of your aftercare, you may be required to attend a follow-up exam. During this appointment, Mr Anandan will review your eye health and determine if you will be able to drive and use gadgets, such as mobile phones and tablets. On average, most patients will be back on the road within the first couple of days, however we highly recommend waiting at least a week before exposing your eyes to smart phones and computers.

During the first week, it is crucial that you reduce the chances of exposing your eyes to irritation. For instance, do not wear any eye make-up, apply any products around your eyes, or get soap or water in your eyes. Try to avoid being around smoke or people who smoke. This is also the case for dust as this can increase the temptation and chances of rubbing your eyes. Rubbing your eyes during the first stages of aftercare can cause severe discomfort and increases the risk of complications.

After day 3, your eyes will have recovered enough for you to start exercising again, such as going on the treadmill or going on a bike ride. However, we advise waiting at least a week before practicing yoga and aerobic exercises. If you weight lift, we advise waiting at least two weeks before continuing with your exercise routine. Weight lifting adds strain to lots of your muscles, including your eyes, so it is best to allow as long as possible for the eyes to recover before participating in this sort of exercise training.

After a month, your eyes will be well on the road to recovery and will have adjusted enough to enjoy sports such as tennis, football, swimming, cricket and snowboarding. We advise waiting at least a month after your procedure before using a steam room or sauna.

If you are planning on travelling or going on holiday soon after your laser eye surgery, we recommend waiting at least 10 days before taking a trip away. However, the longer you can wait to travel, the more time your eyes will have to heal and there will be a minimal risk of complications.

We understand that every individual is different, so understanding how best to look after your eyes after your treatment is crucial. If you have any other questions regarding your recovery, please do not hesitate to get in touch with a member of our team.

Contact details

Laser co-ordinator on 08006 125 175
Or Nuffield direct on 0300 790 6190
Or Mr Anandan’s Secretary Sue Da Silva on 07900210191 or email



Blended laser treatment for Presbyopia

£2,495 per eye


Nuffield Health Derby Hospital. 
Rykneld Road, 
DE23 4SN

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