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Cover Story

                                                                                          T HE P R E SB Y OP I A OP P OR T UNI T Y


             Among the more than two billion people with  lens options (distance-centred, near-centred, toric,

             presbyopia worldwide , it’s estimated that the global   scleral, aspheric, hybrid, extended depth of focus
             unmet need for presbyopia correction is  45 per  (EDOF),  and  nasally  decentered  optics).  As  well,
             cent . This represents an enormous market for the  practitioners are more confident in prescribing and
             eyecare community and reflects the paradigm shift  fitting them.
             that is happening in the world of presbyopia. Is it any
             wonder industry partners are pouring money into   ELECTIVE SURGICAL PROCEDURES
             R&D to create products for this category of patients?   1. Presbyopic laser refractive surgery: While there is
             Methods of correcting presbyopia are progressing   a gain in the presbyope’s near vision, monovision
             with greater opportunities for eyecare practitioners     excimer laser ablation (laser in situ keratomileusis
             (ECPs) and more choices for patients than ever    or LASIK, photorefractive keratectomy or PRK,
             before. But to date, none of them is perfect.    femtosecond lenticule extraction or FLEx, small
                                                              incision lenticule extraction or SMILE, Intralase
             SPECTACLES AND CONTACT LENSES                    Sub-Bowman’s Keratomileusis or SBK) typically
             By far the most frequently offered option remains   compromises  binocular  vision  and  sometimes
             reading glasses or spectacles with lined bifocals   even distance vision.
             or trifocals and progressive addition lenses. More
             recently, however, the multifocal contact lens market  2. The presbyopic-correcting (PC) intraocular lens
             share has grown; ECPs are prescribing them more   (IOL): This is geared more to presbyopes who
             frequently, due to technological advances in lens   want to lessen or eliminate their dependency on
             design, materials and manufacturing methods, as   glasses. The advancement of this technology over
             well as the availability of various multifocal contact   the past 10-15 years has been revolutionary with

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