Often patients are told that corneal refractive surgery is not possible for presbyopia. However, there are solutions like Presbyond laser blended vision and Allotex inlays. Both are performed via LASIK surgery. At iSurgeon, we offer both procedures and recommend specific procedures based on refractive and anatomical findings. Allotex inlay is suitable for patients who want to reduce their need for reading glasses and still maintain distance vision. These corneal inlays (known as lenticules) are obtained from natural corneal tissue making them biocompatible, safe, effective, and reversible. Each inlay is custom-shaped to match your individual eye. Allotex can be used in combination with laser refractive procedures such as LASIK (which is used to correct distance vision) to reduce your reliance on reading glasses, multifocal or bifocal glasses by addressing both near and distance vision needs. Benefits of Allotex: - Natural and biocompatible: Allotex is made from human donor tissue which means it is naturally compatible with your eye and well-tolerated over the long term. - Minimally invasive: Allotex does not require major surgery, making recovery smoother and faster. - Seamless integration: The inlay is specially designed to fit naturally within your eye, working well with your existing eye structures. - Reversible: If needed, the procedure can be safely reversed. - Reduced dependence on glasses: Allotex can significantly improve near vision, making you less dependent on reading glasses, bifocals, or multifocals. Suitable candidates for Allotex: - Plano presbyopes to +2.50 - Myopes -0.25 to -3.00 - Cylinder up to -2.00

What is CAIRS? Many patients with keratoconus struggle with reduced best corrected visual acuity or may be contact lens intolerant. While cross-linking only stops progression it does not improve vision. Fortunately, there are other solutions to improve a patients best possible corrected vision. One such option is CAIRS (Corneal Allogenic Intrastromal Ring Segments). This minimally invasive procedure involves implanting corneal donor tissue segments into the cornea to flatten the cone and regularise the cornea. As a result, it can allow for a more stable refraction, improved contact lens tolerance, and in some cases may even achieve functional vision with spectacles alone. It is different from PMMA rings (Intacts/Kerra-ring), having no risk of extrusion, it is biocompatible and therefore safer and more effective. Who is a suitable candidate for CAIRS? - BCVA less than 0.5 (6/12 or worse) - Contact lens intolerance - Patients wishing to avoid a full-thickness corneal transplant - Previously cross-linked patients - Previous corneal transplant patient