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PRESBYOND laser blended vision sets one eye mainly for distance and the other mainly for reading, and costs £2,500 to £3,950 or more per eye at the UK clinics that publish a price. It is aimed at people from their mid-40s whose natural lens is still clear. In London Vision Clinic's study of 155 short-sighted patients, 96% could read small print with both eyes and no glasses a year after treatment. Optical Express and Optimax publish no laser price for reading and offer lens replacement instead. For people over 65, the Royal College of Ophthalmologists calls lens replacement the default option.
- Consultation: free to £500
- Usual age: from the mid-40s
- NHS: not usually offered
- Getting used to it: a few weeks
Watch: How blended vision sets one eye for distance and one for reading, who it suits, and what it costs. 1 min 31 s.
Read the transcript
Presbyond laser blended vision, explained.
From your 40s, the lens inside the eye stiffens, and close focus fades. This is presbyopia.
PRESBYOND sets one eye mainly for distance, and the other mainly for reading.
It also shapes both corneas for more depth of focus, so the brain merges the two images.
Numbing drops are used. In the published studies, the treatment was done as LASIK, with a thin flap lifted and laid back.
It takes about half an hour for both eyes. Most people feel pressure rather than pain.
Getting used to blended vision takes a few weeks. Glare, halos and dry eye are common early, and usually improve within a few months.
Glasses may still be needed for some activities, particularly reading in older patients.
It’s aimed at people from their mid-40s whose natural lens is still clear. With early cataract, or over 65, lens replacement is usually suggested instead.
The surgeon measures your eyes at the consultation, and tells you which treatment, if any, fits.
At the 5 clinics we checked that publish a price, it costs £2,500 to £3,950 or more per eye.
It isn’t usually offered on the NHS, because reading glasses correct presbyopia.
Compare quotes from clinics near you.
Is PRESBYOND right for me?
From your 40s the lens inside the eye stiffens and close focus fades. This is presbyopia. PRESBYOND is ZEISS software for its MEL 90 excimer laser. It corrects your dominant eye mainly for distance and the other eye mainly for near, and shapes both corneas for more depth of focus, so the brain merges the two images.
Usually suitable
- From your mid-40s, the age at which the Royal College of Ophthalmologists says surgeons often aim for distance vision in one eye and arm's-length vision in the other
- Short sight up to 8 dioptres, long sight up to 2 and astigmatism up to 2, the range ZEISS gives for PRESBYOND under its CE marking
- A clear natural lens with no sign of cataract, and a healthy eye surface
- A stable prescription, which the College defines as no change greater than 0.5 dioptres in the last two years
Usually not, or needs a different treatment
- Early cataract, or over 65: lens replacement removes the stiffening lens and any cataract in one operation, and the College calls it the default for people over 65
- Over 50 with a prescription beyond the laser range: the College says lens replacement is likely to suit
- Thin corneas or eye surface disease, which the College and clinics list as reasons laser may not suit
- A lot of night driving, or long hours at a screen: a 2007 review names blur when driving at night and the lack of a middle focus, such as for a computer, as the main limits of monovision
The surgeon measures your eyes at the consultation and tells you which treatment, if any, fits. The College's standards say surgery should not happen on the day it is recommended, and recommend a week to decide.
PRESBYOND, blended vision and Supracor prices at six UK clinics
Published prices, read from each clinic's own website on 11 October 2026. Your price depends on your prescription and is confirmed at the consultation.
| Clinic | Laser for reading, per eye | Consultation | Aftercare included | Paying monthly |
|---|---|---|---|---|
| Optegra | PRESBYOND £2,995 | Free video or phone consultation | 12 months of follow-ups, medication and out-of-hours support; any top-up if clinically needed | Finance available, minimum 10% deposit (Novuna Consumer Finance) |
| Precision Vision London | Blended vision £2,500 (laser system not named) | Free; £100 holding fee, refunded when you attend and meet eligibility checks | Consultation, scans, surgery, medication, 12 months of follow-ups and any top-up in year one | Finance available over 12 to 60 months, £250 deposit (through Ideal4Finance, a credit broker) |
| Blue Fin Vision | PRESBYOND from £2,750 | Free | All follow-up appointments and medication | Not stated |
| Centre for Sight | Supracor LASIK £2,827, usually one eye (a different laser for reading) | £500 deposit including consultation, taken off the surgery price; refunded in full if unsuitable | Full aftercare and 24-hour emergency support (Supracor page) | Finance available for up to 24 months, with a deposit (V12 Retail Finance) |
| Kingsbridge Private Hospital (Belfast) | PRESBYOND from £2,999 | Free | Follow-up appointments, number not stated; prices dated February 2026 | Finance available over 6, 10 or 12 months, no deposit (through Chrysalis Finance, a credit broker) |
| London Vision Clinic | PRESBYOND £3,450 to £3,900 | Free 30-minute consultation | A year of reviews and eye drops | Finance available over 12 to 36 months, 10% deposit (V12 Retail Finance); 0% APR representative over 36 months, example below |
Per eye, read from each clinic's website on 11 October 2026.
- Optegra PRESBYOND £2,995 Consultation: Free video or phone consultation Aftercare included: 12 months of follow-ups, medication and out-of-hours support; any top-up if clinically needed Paying monthly: Finance available, minimum 10% deposit (Novuna Consumer Finance)
- Precision Vision London Blended vision £2,500 (laser system not named) Consultation: Free; £100 holding fee, refunded when you attend and meet eligibility checks Aftercare included: Consultation, scans, surgery, medication, 12 months of follow-ups and any top-up in year one Paying monthly: Finance available over 12 to 60 months, £250 deposit (through Ideal4Finance, a credit broker)
- Blue Fin Vision PRESBYOND from £2,750 Consultation: Free Aftercare included: All follow-up appointments and medication Paying monthly: Not stated
- Centre for Sight Supracor LASIK £2,827, usually one eye (a different laser for reading) Consultation: £500 deposit including consultation, taken off the surgery price; refunded in full if unsuitable Aftercare included: Full aftercare and 24-hour emergency support (Supracor page) Paying monthly: Finance available for up to 24 months, with a deposit (V12 Retail Finance)
- Kingsbridge Private Hospital (Belfast) PRESBYOND from £2,999 Consultation: Free Aftercare included: Follow-up appointments, number not stated; prices dated February 2026 Paying monthly: Finance available over 6, 10 or 12 months, no deposit (through Chrysalis Finance, a credit broker)
- London Vision Clinic PRESBYOND £3,450 to £3,900 Consultation: Free 30-minute consultation Aftercare included: A year of reviews and eye drops Paying monthly: Finance available over 12 to 36 months, 10% deposit (V12 Retail Finance); 0% APR representative over 36 months, example below
Optical Express and Optimax publish no laser price for reading. Prices change, so confirm with the clinic.
Optical Express and Optimax publish no laser price for reading vision; what they offer instead is below. Blue Fin Vision's blog gives from £5,000 for both eyes, and London Vision Clinic's PRESBYOND page says from £3,950. Prices change, so confirm with the clinic before you book.
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What happens, from consultation to settled vision
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Consultation Free at most of the clinics listed
The clinic measures your prescription, maps your corneas and checks which eye leads. The surgeon says whether blended vision, monovision or lens replacement fits your eyes, or none. Optimax's site describes a contact lens trial that mimics monovision, and a 2007 review of monovision advises a successful lens trial before any surgery that sets the eyes differently.
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A week to decide At least a week after the recommendation
The Royal College of Ophthalmologists says surgery should not happen on the day it is recommended, and recommends a cooling-off week. Its standards say any deposit should be fully refundable within a reasonable time if you decide not to go ahead.
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Treatment day About half an hour for both eyes
Numbing drops, a clip to hold the lids open, and the laser. In the published PRESBYOND studies the treatment was done as LASIK, with a thin flap lifted and laid back. Most people feel pressure rather than pain. Someone else drives you home.
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The first days Gritty and light-sensitive for 24 to 48 hours, Optegra says
The College says LASIK patients are often back at work the day after surgery. Antibiotic and anti-inflammatory drops as prescribed, and lubricant drops often. Optegra asks PRESBYOND patients to avoid swimming and heavy exercise for about a month.
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Adjusting and settling A few weeks to adjust; up to two years to settle
Optegra says the adjustment to blended vision should last only a few weeks. Glare, halos and dry eye are common early and usually improve within a few months. The College says laser results can take up to two years to settle, and top-ups in that time are normally included in the price. In London Vision Clinic's study of long-sighted patients, the top-up rate was 22%.
Results and risks, with the study behind each figure
The three PRESBYOND studies below come from London Vision Clinic, whose founder led its development, the clinic says. The 2025 Cochrane review of surgery for presbyopia found four randomised trials, and none of them tested PRESBYOND.
- Read small print with both eyes, no glasses 96% 155 short-sighted patients at a year, J2 on a reading chart; Reinstein et al., London Vision Clinic, 2011
- See 20/20 at distance with both eyes 98% 148 patients with little or no distance prescription, at a year; Reinstein et al., London Vision Clinic, 2012
- Top-up rate in long-sighted patients 22% 129 long-sighted patients over a year; Reinstein et al., London Vision Clinic, 2009
- Satisfied after laser monovision 85.4% 294 patients at one month, up from 64.7% before surgery; Optical Express data, Peng et al., 2018
- Contact lens wearers who succeed with monovision 59% to 67% Evans, review of monovision, Ophthalmic and Physiological Optics, 2007
- Need a corneal transplant after laser vision correction Under 1 in 5,000 Royal College of Ophthalmologists, all laser treatments, 2024
J2 is a line of small print on a near-vision chart. The three London Vision Clinic studies followed the clinic's own patients with no comparison group. The monovision study used Optical Express data, and two of its authors worked for Optical Express.
What the studies show
- In all three London Vision Clinic studies, no eye lost two or more lines of distance vision measured with glasses
- In a 2026 review of 35 studies (3,186 patients), people whose eyes were set to different focus by cataract or laser surgery were about as satisfied as people with both eyes set for distance in four of six comparison studies, and more of them were free of reading glasses
- In the one trial that compared them (100 people), LASIK monovision and a bifocal lens implant showed no clear difference in freedom from reading glasses at six months, and laser may cause fewer eye side effects (Cochrane, 2025, low- to very low-certainty evidence)
- The natural lens stays in place; the College puts serious, lasting loss of vision after lens replacement at about 1 in 500 and says it is significantly more common than after laser
Worth knowing
- The College says glasses may still be needed for some activities after laser, particularly reading in older patients, and the natural lens keeps ageing, so cataract can still develop
- A 2023 meta-analysis of LASIK for presbyopia (28 studies, 15,861 eyes) found near vision improved while distance sharpness and safety fell
- The Evans review names blur when driving at night and the lack of a middle focus as monovision's main limits, notes weaker depth perception, and says surgery should follow only a successful contact lens trial
- Glare, halos and dry eye are common early after any laser treatment and usually improve within a few months, the College says
PRESBYOND, monovision or lens replacement?
Three other routes help with reading vision. Lens replacement has its own guide.
| Option | Who it usually suits | How it works | Price per eye |
|---|---|---|---|
| PRESBYOND laser blended vision | Mid-40s on, with a clear natural lens and a prescription within ZEISS's range | One eye set mainly for distance, the other mainly for near, with extra depth of focus so the two images merge | £2,500 to £3,950 or more |
| Laser monovision | Mid-40s on, once a contact lens trial shows you can adapt; Optegra lists it | One eye set for distance and the other for reading, using standard laser | No separate price published; standard laser costs £549 to £3,750 |
| Lens replacement Guide | Over 50 with a prescription beyond laser, early cataract, or over 65 | The natural lens is replaced with a multifocal lens, or with monofocal lenses set for monovision | £2,000 to £5,500 |
| Reading glasses, varifocals or contact lenses | Anyone; no surgery | Glasses for close work, varifocals for every distance, or multifocal or monovision contact lenses | Ongoing cost; NHS sight tests are free from 60 |
Prices per eye, read on 11 October 2026.
- PRESBYOND laser blended vision Who it usually suits: Mid-40s on, with a clear natural lens and a prescription within ZEISS's range How it works: One eye set mainly for distance, the other mainly for near, with extra depth of focus so the two images merge Price per eye: £2,500 to £3,950 or more
- Laser monovision Who it usually suits: Mid-40s on, once a contact lens trial shows you can adapt; Optegra lists it How it works: One eye set for distance and the other for reading, using standard laser Price per eye: No separate price published; standard laser costs £549 to £3,750
- Lens replacement Guide Who it usually suits: Over 50 with a prescription beyond laser, early cataract, or over 65 How it works: The natural lens is replaced with a multifocal lens, or with monofocal lenses set for monovision Price per eye: £2,000 to £5,500
- Reading glasses, varifocals or contact lenses Who it usually suits: Anyone; no surgery How it works: Glasses for close work, varifocals for every distance, or multifocal or monovision contact lenses Price per eye: Ongoing cost; NHS sight tests are free from 60
Lowest prices apply to some prescriptions only. Confirm with the clinic.
Per-eye prices read from clinic websites on 11 October 2026. Standard laser runs from Optical Express's LASEK (from £549; 22.8% of eyes assessed between September and December 2024 qualified) to London Vision Clinic's £3,750. Lens replacement runs from Optical Express's single-focus lens (from £2,000; 18.6% of patients assessed in 2017 qualified) to Moorfields Private's top estimate of about £5,500.
The NHS, insurance and paying monthly
NHS. Laser eye surgery and lens surgery are “not usually offered on the NHS”. The exceptions are eye conditions that could lead to loss of vision, and sight problems that glasses or contact lenses cannot correct. Reading glasses correct presbyopia, so it doesn’t qualify. NHS sight tests are free from age 60. See when the NHS pays.
Private medical insurance. The Royal College of Ophthalmologists says surgery to correct the need for glasses “is not covered by private health insurance schemes”. Check your own policy if you have one.
Paying monthly. London Vision Clinic’s representative example for PRESBYOND on both eyes is a £6,900 cash price, a £690 deposit and £6,210 of credit, then £172.50 a month for 36 months at 0% APR representative, £6,900 in total, with credit from Secure Trust Bank, trading as V12 Retail Finance. Optegra offers finance through Novuna Consumer Finance but publishes no representative example. Finance is a loan, so check the APR, lender and total before you sign. See paying monthly.
Questions people ask about PRESBYOND
For many people, for most tasks. The Royal College of Ophthalmologists says age-related loss of reading vision “can often be helped with laser vision correction”, usually by setting one eye for distance and the other for arm’s length. It also says glasses may still be needed for some activities, particularly reading in older patients. In London Vision Clinic’s study of 155 short-sighted patients, 96% read small print with both eyes and no glasses a year on.
Both set one eye for distance and the other for near. PRESBYOND also shapes each cornea for more depth of focus, which ZEISS says lets the two images fuse. Blue Fin Vision says about 97% of patients adapt to PRESBYOND, and it and London Vision Clinic both say only about 60% of people tolerate monovision. Neither names a study. A 2007 review found 59% to 67% of contact lens wearers succeed with monovision. The 2025 Cochrane review found no trial comparing the two treatments.
£2,500 to £3,950 or more per eye at the five clinics that published a blended vision price on 11 October 2026, so £5,000 to £7,900 or more for both eyes. Optegra charges £2,995 an eye, including consultations, aftercare and any top-up if clinically needed. London Vision Clinic gives £3,450 to £3,900 on its prices page and from £3,950 on its PRESBYOND page. See laser eye surgery cost.
People with early cataract, a prescription outside ZEISS’s range (short sight beyond 8 dioptres, long sight beyond 2 or astigmatism beyond 2), thin corneas, or eye surface disease. For people over 50 with a prescription beyond the laser range, or with a cataract starting, the College points to lens replacement.
Clinics set their own. Blue Fin Vision says it typically suits people aged 40 to 60, and the patients in London Vision Clinic’s three studies were 43 to 66. For people over 65, the Royal College of Ophthalmologists calls lens replacement the default, though it says laser may still suit an eye with no sign of cataract and a healthy surface. See the age limit for laser eye surgery.
It can. The College says prescriptions can change at any stage of life, so laser treatment sometimes needs repeating, and the natural lens keeps stiffening and clouding with age. Top-ups within two years are normally included in the price; later ones are usually charged. In the 2011 study, the average prescription changed by less than a tenth of a dioptre between three months and a year.
None we could find approved in the UK. When Tenpoint Therapeutics announced its MHRA application for its drop, Yuvezzi, on 13 July 2026, it said no prescription eye drops were approved for presbyopia. LENZ Therapeutics applied for its drop, Vizz, in April 2026. We found no approval for either by 11 October 2026.
Not usually. Laser eye surgery is not usually offered on the NHS, and reading glasses correct presbyopia. See when the NHS pays.
We pass your answers and contact details to a partner clinic, which the form names before you send it. The clinic calls to book a consultation (free at most partner clinics). Clinics pay us for referrals and you pay us nothing.
Related guides
Sources and how we checked the prices
Every price on this page was read from the clinic's own website on 11 October 2026. Clinical figures come from the sources below. Prices change, so confirm with the clinic before you book.
- Royal College of Ophthalmologists, Laser Vision Correction patient information, PROF/2024/499 (opens in a new tab), reviewed 3 December 2024
- Royal College of Ophthalmologists, Refractive Lens Exchange patient information, PROF/2024/498 (opens in a new tab), reviewed 3 December 2024
- Royal College of Ophthalmologists, Professional Standards for Refractive Surgery, 5.11 and 5.12 (opens in a new tab), reviewed 1 December 2024
- NHS, Laser eye surgery and lens surgery (opens in a new tab), reviewed 15 February 2024
- NHS, Free NHS eye tests and optical vouchers (opens in a new tab), reviewed 19 July 2023
Show all 36 sources Show fewer sources
- Alvarado-Villacorta et al., Surgical interventions for presbyopia, Cochrane Review CD015711 (opens in a new tab), 14 April 2025
- Reinstein, Archer and Gobbe, LASIK for myopic astigmatism and presbyopia using micro-monovision, Journal of Refractive Surgery 27(1) (opens in a new tab), January 2011
- Reinstein, Carp, Archer and Gobbe, LASIK for presbyopia in emmetropic patients using micro-monovision, Journal of Refractive Surgery 28(8) (opens in a new tab), August 2012
- Reinstein, Couch and Archer, LASIK for hyperopic astigmatism and presbyopia using micro-monovision, Journal of Refractive Surgery 25(1) (opens in a new tab), January 2009
- Peng et al., Monovision LASIK in emmetropic presbyopic patients, Clinical Ophthalmology 12 (opens in a new tab), 4 September 2018
- Evans, Monovision: a review, Ophthalmic and Physiological Optics 27(5) (opens in a new tab), September 2007
- Skov et al., Tolerance to surgically induced anisometropia, a systematic review, Acta Ophthalmologica 104(1) (opens in a new tab), February 2026
- Zhang, Cao and Qu, LASIK for presbyopia correction, systematic review and meta-analysis, Journal of Refractive Surgery 39(9) (opens in a new tab), September 2023
- ZEISS, PRESBYOND product information (indications and CE treatment range) (opens in a new tab), fetched 11 October 2026
- Tenpoint Therapeutics, UK marketing authorisation application for Yuvezzi (opens in a new tab), 13 July 2026
- Optometry Times, LENZ Therapeutics submits UK application for Vizz (opens in a new tab), 23 April 2026
- Optegra laser eye surgery costs (opens in a new tab), 11 October 2026
- Optegra PRESBYOND laser eye surgery (opens in a new tab), medically reviewed 1 September 2026
- Optegra presbyopia treatments (opens in a new tab), 11 October 2026
- Optegra lens replacement costs (opens in a new tab), 11 October 2026
- Moorfields Private, presbyopia diagnosis and treatment (opens in a new tab), 11 October 2026
- Precision Vision London pricing (opens in a new tab), 11 October 2026
- Blue Fin Vision, PRESBYOND (opens in a new tab), 11 October 2026
- Centre for Sight pricing (opens in a new tab), 11 October 2026
- Centre for Sight, Supracor LASIK (opens in a new tab), 11 October 2026
- Kingsbridge Private Hospital, PRESBYOND laser eye surgery (opens in a new tab), prices dated February 2026
- London Vision Clinic prices (opens in a new tab), 11 October 2026
- London Vision Clinic, Laser Blended Vision (opens in a new tab), 11 October 2026
- London Vision Clinic finance examples (opens in a new tab), 11 October 2026
- Optical Express lens replacement pricing (opens in a new tab), 11 October 2026
- Optical Express presbyopia surgery (opens in a new tab), 11 October 2026
- Optical Express laser eye surgery suitability (opens in a new tab), 11 October 2026
- Optical Express laser eye surgery pricing (opens in a new tab), 11 October 2026
- Optimax prices (opens in a new tab), 11 October 2026
- Optimax refractive lens exchange (opens in a new tab), 11 October 2026
- Optimax, How does monovision laser eye surgery work? (opens in a new tab), 14 January 2021
