What is presbyopia?
The ability to focus on objects close to you gradually weakens with age.
This is a natural change that many people experience, and it becomes easier to notice it from around the age of 40.
- Do myopic people get presbyopia?
- A nearsighted person has a point that can be seen with the naked eye nearby, so if you remove your glasses, you can see your hand.Therefore, presbyopia may be difficult to feel, but everyone can develop presbyopia depending on their age.
How to correct presbyopia
Around the age of 40, both those who have had good eyesight and those who have had bad eyes will begin to experience difficulty seeing.
Nowadays, there are various correction methods other than reading glasses, but there are various causes of difficulty in seeing, and the correction method that suits your work, hobby, lifestyle, etc. is also different.
We recommend that you first consult an ophthalmologist and consult with a doctor or an orthoptist.
Pilocarpine eye drops
This treatment method uses pilocarpine eye drops, which have a miotic (pupil narrowing) effect, and is expected to have the effect of widening the range of focus (depth of focus), making it easier to see nearby objects, just like when you narrow the aperture of a camera.
Although this varies from person to person, it is thought that a single dose of eye drops can assist with near vision for around six hours.
At our clinic, we self-prescribe two types of pilocarpine, 0.4% and 1.25%, which are the same concentrations as those approved in the U.S. We select the concentration based on the patient's eye condition.
Cost
[Caution] For those who wish to use pilocarpine eye drops to treat presbyopia
- ● Cannot be used in conjunction with insurance treatment
- Presbyopia treatment is not approved in Japan and is a private medical treatment. According to national rules, you cannot receive an "insured consultation" for dry eyes, styes, etc. on the same day, and all consultations and prescriptions must be paid for out of pocket.
- ● If you have other symptoms, please visit the doctor on another day.
- If you would like to be examined for other problems, please come back on another day.
Risks/side effects
- Relatively common side effects
- Headache, redness, pain when applying eye drops, temporary blurred vision or changes in vision.
- Caution due to small pupils
- You may find it difficult to see in dark places.
- Serious Side Effects
- Rarely, retinal tears and retinal detachment have been reported.
- Those who cannot use pilocarpine eye drops
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- ・People who are allergic to pilocarpine (Sanpilo)
- - People with retinal diseases such as retinal tears or retinal detachment
At our clinic, we first conduct an examination to confirm whether the cause of your vision problems is presbyopia before prescribing. We then check the condition of your retina, and when prescribing for the first time, we apply eye drops in the clinic and monitor your progress for about 30 minutes before prescribing.
Depending on the condition of your eyes, we may suggest treatment for cataracts or other conditions (such as dry eyes).
The doctor will make a decision on whether to continue the prescription after evaluating your vision and checking the severity of side effects.
Reading glasses and progressive glasses
- Reading glassesRecommended for
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- ● Do a lot of detailed work, such as reading or sewing.
- ● I want to try something simple first.
- Progressive glassesRecommended for
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- ● I don't want to change my glasses depending on my work or driving.
- ● I want to enjoy wearing glasses as a fashion statement.
Recently, some eyeglass stores have eyeglass manufacturing technicians (level 1) on staff.Eyeglass craftsmen are nationally certified professionals who take into account the condition of your eyes and your lifestyle, and who not only select the prescription but also the frame and adjust the fitting.This is especially recommended for those considering getting bifocal glasses.
You can find out where your nearest eyeglass store employs eyeglass craftsmen here.
Presbyopia-friendly ICL
While regular ICLs are primarily used to correct myopia and astigmatism, new ICLs have been developed that are also designed to treat presbyopia.
This is collectively calledPresbyopia-friendly ICLThere are two types of them:
1. EVO VivaTM ICL
(EVO+ EDOF ICL)
These refractive lenses are provided by STAAR Surgical. They are designed to maintain natural vision and are suitable for mild to moderate presbyopia. There are no astigmatism models.
2.IPCL Multifocal
These are diffractive lenses provided by Care Group. You can choose the power for near vision, making them easy to match to the degree of presbyopia. Astigmatism can also be corrected.
Comparison of ICLs for presbyopia
Demerit
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- Glare and halos at night are more noticeable compared to conventional ICLs (especially with IPCLs)
- ・Due to the progression of presbyopia, vision may become more difficult after surgery than it was at the beginning.
- ・There is a possibility that contrast (clarity) in the distance will decrease.
Cost
*This is a private treatment.
Surgical flow
Period of discontinuation of contact lens wear
- Hard contact lenses
- From 3 days before the adaptive test
- Soft contact lenses
(with astigmatism) - From the day before the adaptive test
- Soft contact lenses
(no astigmatism) - From the day before the adaptive test
01
Adaptive test (about 3 hours)
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[Complete reservation system] Entry from online reservation (free)
- Belongings
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- ・Glasses, contact lenses
- ・Insurance card or My Number card
(*If an eye disease is found, we will switch to insurance treatment.)
(*Those who are eligible for medical assistance cannot use our private medical services.) - ・Those who know the schedule (If you wish to have surgery, we will schedule it)
- Watching video(* If you read it in advance, you can shorten the hospital stay on the day.)
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-
Which myopia correction is right for you?
Guide to choice
(10 minutes 16 seconds) -
ICL adaptation video
(21 minutes 03 seconds)
-
Checkpoints before deciding on ICL surgery
(13 minutes 45 seconds) -
Crossroads between ICL satisfied and dissatisfied cases
(14 minutes 13 seconds) -
Removal of ICL Are you not thinking about it easily?
(3 minutes 30 seconds) -
Life after ICL surgery
(10 minutes 28 seconds)
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- Adaptive test
- We will conduct a thorough examination to determine whether the patient's eye condition is suitable for Comfort ICL.
Test contents: refraction test, visual acuity test, corneal shape analysis, intraocular pressure test, corneal endothelial cell test, slit lamp microscopy, fundus test, anterior chamber depth test, etc.
- Cypresin test (approximately 1 hours)Discerning Point
- In order to prevent overcorrection, we have been particular about cypresin testing and have been thorough since we opened our clinic.
"Cypresin ophthalmic solution" (hereinafter referred to as Cypresin) has a parasympathetic effect that acts on the ciliary muscle that adjusts the focus of the eye, removing excess eye tension and achieving correct refraction (myopia, farsightedness, astigmatism). used to inspect.Cypress resin may cause symptoms such as difficulty focusing and glare for 2 to 3 days after the test, but please understand that this is a necessary condition to avoid overcorrection.
【please note】
It will be difficult to see your hands for a few days and you will feel the glare, so pleasePlease refrain from driving.*If you have plans to drive, you may come back to the hospital at a later date.
- Blood sampling
- A blood test will be done to check if there are any problems with the operation on the patient's whole body.
- CounselingDiscerning Point
- A counselor will kindly answer any questions or concerns you may have about the surgery based on the data from each patient's fitness test.If you have any questions, please ask your doctor during your consultation.At our hospital, we provide explanations so that everyone can understand and undergo surgery.
- Watching video(* If you read it in advance, you can shorten the hospital stay on the day.)
-
-
Instructions before ICL surgery
(11 minutes 27 seconds)
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Period of discontinuation of contact lens wear
- Hard contact lenses
- From 3 weeks before the preoperative examination
- Soft contact lenses
(with astigmatism) - From 1 weeks before the preoperative examination
- Soft contact lenses
(no astigmatism) - From 1 weeks before the preoperative examination
02
Application + preoperative examination + payment (about 2 hours)
*If you cancel after applying for surgery, we will refund the surgery fee minus a cancellation fee of 200,000 yen for one eye and 400,000 yen for both eyes.
- preoperative examination
- We will perform an examination to determine the lens power and order the lenses based on the results.
- Preoperative explanation
- We will explain the surgery and give you eye drops to start 3 days before the surgery.You can use contact lenses up to 3 days before surgery.
*In most cases, lenses arrive within 1 to 2 months after ordering, but depending on the lens, it may take more than 2 months.
Payment
Preoperative eye drops
- Stop wearing contact lenses and start using eye drops 3 days before surgery.
- Antibiotic eye drops will be started to reduce the bacterial load.
Be sure to apply the drops to the eye of the person undergoing surgery four times a day.
03
Surgery (4-5 hours)
*Surgery takes about 10 minutes per eye
- After your surgery, you will rest in the recovery room.
- In the recovery room, where you wait before and after surgery, you can relax your mind and body with comfortable sofas and aromatherapy.
- Reliable "How do you call"
- The surgeon will call you to confirm your health condition, and we will provide safe post-operative care.
04
Examination the next day (about 30 minutes)
- Shampoo service (reservation required)Discerning Point
- After surgery, thorough eye protection is required.For this reason, it is normal for patients to refrain from washing their hair while looking down, but at our hospital, we have installed an automatic hair washing machine for post-surgery patients to use.You can wash your hair with your head facing upwards like in a hair salon, so you can use it while protecting your eyes.
*Please note that depending on the reservation situation, you may not be able to use this service.
09
1 year check-up (about 30 minutes)
- mydriatic examination
- Since people with strong myopia are more prone to eye diseases, we recommend that you open your pupils to check your eyes after surgery.If you wish, please refrain from coming to the hospital by car.
- Easy-to-understand test resultsDiscerning Point
- We will give you a document (passport) that summarizes the test results before and after surgery.
At the check-up one year after surgery, we will give you a document (passport) summarizing the pre- and post-surgery test results.
ICL・SMILE
Monovision
Monovision is a method of using a difference in the power of each eye to compensate for the range of vision for near and far objects. There are three types of difference in power: monovision, mini monovision, and micro monovision, and the smaller the difference, the more natural the vision tends to be.
- Comparison with ICL and IPCL for presbyopia
-
- ● Less susceptible to glare and halos at night
- ● Less contrast loss
- Disadvantages of monovision
-
- ● Wear glasses when driving at night or working at close range for long periods of time.
may be necessary - ● You may feel discomfort due to the difference between the left and right sides.
- ● Wear glasses when driving at night or working at close range for long periods of time.
- Preoperative simulation
- The most important thing about monovision is to let you experience what your vision will be like after surgery.
At our clinic, we prescribe soft contact lenses with the expected postoperative strength before surgery, and have patients try them on in their daily lives for a certain period of time before making a final decision on the degree of difference between the left and right lenses.
- Costs and procedure leading up to surgery
Nagoya Eye Clinic's Presbyopia Treatment
At Nagoya Eye Clinic, we propose the most appropriate treatment method for each patient based on their lifestyle and eye condition, based on test results and interviews during consultations.
We will support you in achieving long-lasting, comfortable vision.
For vision correction from your 40s
For the presbyopic generation,
Choosing the best ICL lens
-
- ICL is possible even after the age of 40
- How to choose lenses for presbyopia such as EVO Viva/IPCL
- How to use monovision (a method of shifting the focus of one eye at a time)
- Designing prescriptions to suit your lifestyle
- ICL is possible even for people in their 40s and older
- ICL is an effective option even at the age when presbyopia begins.
The important thing is to be clear about what kind of look you want.
- The evolution of presbyopia-friendly lenses
- EVO Viva and IPCL are also considerate of the surrounding area.
You can aim for "just right" vision both near and far.
- The monovision option
- With monovision, which changes the focus of each eye at a time, preoperative simulation is the key to success.
- How it looks depends on your lifestyle
- ● For those who prioritize hand, sports, and driving
● People who do a lot of PC work
By coordinating with your doctor to find the right power design for you,
You can achieve a satisfactory finish.
