Presbyopia correction

After we turn 40, changes in eyesight start occurring. People who previously had no problems with their vision or were shortsighted suddenly become farsighted and “the hands become too short.” Many have to, in addition to glasses for reading and working on the computer, also wear glasses for watching TV, driving, the movies, etc. Doing sports, staying on the beach in the summer and skiing in the winter become problematic. 

Patients can cure the so-called presbyopia, i.e. they will no longer need to wear glasses after undergoing the surgery of implantation of the multifocal intraocular lens or the intraocular lens with an extended range of vision (Symfony). 

The operation is fast, safe, effective and painless and the patient can continue with their daily activities after 3-5 days.

We approach each patient individually in order to select the intraocular lenses in accordance with the specific needs and lifestyle of each individual (work on the computer, reading, driving a car). 

Age related farsightedness (presbyopia)

Presbyopia or age related farsightedness is part of the natural aging process of the eye. It begins to emerge in the early forties. It is caused by a reduction in ability of the eye muscles that flex our natural lens (the lens has the shape of a disc for viewing at a distance, it resembles a sphere when look at close objects). Also with age event changes in the structure of the lens occur, and it loses the elasticity which it had in youth.

There are several possibilities for correcting age related farsightedness. One option is to wear glasses or contact lenses. Today, an increasing number of patients opt for surgical correction of age related farsightedness. It is a surgical procedure in which the natural lens of the eye is replaced by an artificial lens that allows excellent vision at different distances. By resolving the need for wearing glasses it significantly improves the quality of life. 


The main symptom of presbyopia is difficulty to focus the image and blurred vision when looking at near objects, the person most often realizes that it exists when the letters during reading become blurred and too small. Longer attempts to read or look at close objects lead to stress and eye fatigue, often accompanied by tearing, sometimes even headaches. These disturbances become more pronounced in low light conditions. 

How to correct age related farsightedness?

Age related farsightedness can be corrected by installing a multifocal intraocular lens or lenses with extended vision range (the so called Symfony lenses). The selection of the optimum lens for each patient depends on the health of the eye and the visual needs of each patient.

Multifocal Intraocular Lenses

Advances in technology have incited the development of multifocal intraocular lenses that have 2 or 3 focuses and enable the patient to have good vision at different distances without glasses. Most multifocal lenses are bifocals. These lenses provide good distance vision and good near vision, but somewhat weaker vision at medium range distances (80-100 cm).

The latest generation of multifocal lenses are trifocal lenses, which with good distance vision and close vision also provide a good vision on the middle distance, which is especially important for patients that work at the computer.

“Symfony” lenses with extended range of vision

This is the first intraocular lens in the world that has the so called extended range of vision and enables the patients to achieve good vision without glasses for near, middle (for computer users) and distance vision. Its special design allows a new form of refraction of light that extends the focus of the eye resulting in an extended range of vision at all distances and a better contrast sensitivity than any of the currently used lenses. The biggest advantage of Symfony lenses compared to multifocal lenses is that there is a significant reduction in smaller vision disturbances such as glaring of lights during night driving.

Detailed eye examination

Refraction, visual acuity measurement, eye pressure measurement, evaluation of posterior segment – examination of anterior and posterior segment.




Оptical coherent topography on anterior segment or posterior segment.

YAG laser capsulotomy

Treatment of secondary cataract. Price for one eye.

Implantation of monofocal lens (MA)

Monofocal three-piece acrylic intraocular lens. Price for one eye.

Implantation of monofocal lens (SA)

Monofocal one-piece acrylic intraocular lens. Price for one eye.

Implantation of monofocal lens (SN)

Monofocal aspheric yellow intraocular lens. Price for one eye.

Implantation of monofocal toric lens

Intraocular lens for correction of diopter and astigmatism. Price for one eye.

Implantation of multifocal lens

Intraocular lens for correction of diopter. Price for one eye.

Implantation of multifocal toric lens

Intraocular lens for correction of diopter and astigmatism. Price for one eye.

Prices are in MKD.