LASIK Eye Surgery and Presbyopia

20 Jul 2013

I’ve had LASIK eye surgery, so now do I have to wear reading glasses?

For anyone who has undergone LASIK, finding out that you may need reading glasses can come as a bit of a blow. Presbyopia, unlike long or shortsightedness, is not a refractive problem, but merely a sign that your eyes are getting old and not working as well as they used to.

While LASIK corrects the shape of the cornea which was the cause of your initial vision problem, presbyopia is a completely unrelated condition and is caused by the lens and the ciliary muscles surrounding it thickening and losing flexibility.

So what are my options as a post-LASIK patient?

The good news is that even after excimer laser ablation of the cornea, you may still be suitable for a further corrective procedure that will counteract your presbyopia.

Will I have the same procedure as any other presbyopic patient?

Yes. If you are deemed suitable for the KAMRA inlay, which is similar to a super-slim transparent lens, you will undergo the same procedure as any other presbyopic patient. The procedure, which is only available in Northern Ireland at Optilase clinics, will see the KAMRA inlay will be implanted in the cornea of your non-dominant eye.

If presbyopia isn’t a refractive problem, why is the inlay placed in the cornea?

The KAMRA inlay is placed just under the outer surface of the cornea, at a depth of no more than 0.2mm. The inlay is 3.2mm in diameter and has an inner aperture spanning 1.6mm and it is implanted into the body of the cornea so it can function through the principle of a pinhole effect. Light that enters the eye is focused through the 1.6mm centre opening which allows you to see near objects clearly.

So the procedure is somewhat similar to LASIK?

The KAMRA inlay procedure uses some similar techniques that you may have experienced during LASIK surgery, but there are innate differences too. The KAMRA inlay procedure used a femtosecond laser to make the initial incision rather than an excimer laser. Also, the KAMRA inlay does not remove any corneal tissue or change the shape of the cornea. The KAMRA inlay simply blends into the cornea and works in harmony with the biological properties of the eye.

How do I find out if I’m suitable for the KAMRA inlay?

To outline your exact presbyopic needs as a post-LASIK patient, you can talk to a highly qualified member of staff at Optilase. To book your free consultation now, call 0800 0121 565 or visit


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