Frequently Asked Questions (FAQs)
My name is Petter, and I am a doctor and specialist in eye diseases. I have been practicing eye surgery for over 20 years and have been performing laser treatment for vision correction as my daily practice since 2007. Here, I will answer any questions you may have about laser surgery.
Can you go blind or suffer serious eye damage from laser treatment?
No, the treatment is very gentle and takes place on the very outer layer of the cornea, which begins to heal quickly after treatment. The laser equipment is very safe and has advanced eye tracking technology that ensures the laser never treats the wrong area of the eye, even if sudden movements are made with the head or eyes during treatment. If this were to happen, the laser program would stop, and treatment could resume once the correct head position is achieved.
Does the treatment hurt?
Are the results of the treatment permanent?
Yes, in principle, the treatment lasts a lifetime. At the same time, we have two main phases in our visual development as humans. Before the age of 45-50, we have the same prescription for glasses at all distances, or we may not need glasses at all. After the age of 50, we have a different prescription for near vision than for distance vision.
For example, if we treat nearsightedness and astigmatism in a 25-year-old, these problems will never come back, but they will have the same need for reading glasses when they reach the age of 50 as those who were born with perfect vision. This is because the lens inside the eye that changes focus from distance to near loses all flexibility in the age range of 45-50 years.
If we correct presbyopia with laser in addition to treating the basic prescription in the eyes, with Presbyond age-adjusted laser treatment, both near and distance vision will remain stable and good, essentially for life.
In a few cases, the lens inside the eye changes many years after laser treatment. If this is due to cataracts, the public health system will cover the cost of lens replacement, and your vision will be completely restored.
Is laser treatment expensive?
Whether laser treatment is expensive is a matter of definition. If you think long-term, you save money by having laser surgery compared to the money you would spend on glasses and lenses throughout your life. Our treatments cost around 50,000 NOK for both eyes, including pre-examination, medication, and follow-up.
The price level is largely a result of costs related to high-tech medical equipment, high safety requirements, treatment licenses, and frequent maintenance of equipment. If you have read about much lower prices abroad, it is unlikely to be treatment with this generation of laser machines. Our prices are always for the best treatment on the market, with everything you need included in the price.
Can you have multiple laser treatments throughout your life?
Yes, it is fully possible to undergo laser treatment, for example for presbyopia, if you have previously had laser treatment for astigmatism, nearsightedness, or farsightedness.
It is also possible to have a follow-up treatment for previous laser surgeries where you may have regained some nearsightedness or astigmatism, which was not uncommon with previous generations of laser machines.
At our clinics, we have the latest and most precise laser technology.
What is presbyopia and can it be treated?
Presbyopia is a natural condition that occurs when the lens inside the eye loses its elasticity, and thus its ability to create a sharp image up close as well as at a distance, typically occurring in people aged 40-50. This leads to the need for reading glasses if distance vision is still good, and a progressive lens if there is also a refractive error at distance. Unfortunately, this process is not reversible. There is no cure to make the stiff lens elastic again, nor are there artificial lenses that can change their refractive power to mimic your natural lens from childhood and young adulthood.
Although you cannot regain the elastic abilities of your young lens, you can still change the optics of your eye in ways that will give you good vision both at a distance and up close again. Regardless of the method chosen – Presbyond laser surgery or Lens Exchange RLE – the main principle is to blend a near-focused image with a distance-focused image.
What is the difference between the cornea and the lens of the eye?
The human eye has two refractive media.
The outermost layer in the eye’s surface, like a windshield in front of the pupil and iris, is the cornea. It is completely transparent, and it is here where laser treatments such as Femto Second LASIK and Presbyond are performed.
Inside the eye, just behind the pupil, is the lens which is elastic but becomes stiff as one ages. Even though the lens stiffens, it remains clear and fine until around the age of 80. It is then common for the lens to lose its transparency. This is called a cataract. The lens is then replaced with a new plastic lens, which is known as cataract surgery.
What is the difference between Lens Exchange RLE and Presbyond LASIK age-adapted laser treatment?
Lens Exchange is the same surgical procedure as cataract surgery. The natural lens inside the eye is replaced with a new plastic lens. The new lens used in RLE surgery has a lot of rings cut into it, which spread the focus between distance, intermediate, and near vision. You get a clear image that is blended with a blurry image at any distance you look at. The brain learns to concentrate on the clear image and ignore the blurry one. This often requires a certain amount of adaptation time.
Presbyond LASIK age-adapted laser treatment:
With this surgery, the eye’s refraction is changed in the outermost layer of the eye (the cornea) with a gentle and very precise laser treatment, using the same equipment as Femto Second LASIK, but with slightly different software that blends a distance-focused image with a near-focused image. The optical concept is not so different from Lens Exchange RLE, but there are two important fundamental differences:
With Presbyond, we optimize the shape of the outer transparent layer of your eye, the cornea. You receive no implants, and we work only in the outer wall of the eye, not inside the eye. The laser machines we use perform the procedure very quickly, in seconds, and have a lot of electronics that ensure that the treatment is delivered accurately and with a vanishingly low degree of risk. You only need to use antibiotic drops for 5 days, and you can drive and go to work the day after the treatment.
PMP Eyecare only works with lasers and therefore does not perform lens exchange surgery. The laser treatment is very gentle and virtually risk-free. None of our patients have gone blind, and none have experienced serious complications.
What is the difference between Femto Second LASIK and Presbyond LASIK?
Femto Second LASIK
Femto Second LASIK: This laser treatment is for people between 18 and 45 years of age.
Young adults up to the age of 40 will achieve the best vision by resetting both eyes. The eye’s internal lens is still elastic and can change focus from distance to near by itself. This would often be more disruptive than helpful if Presbyond LASIK is performed too early.
This treatment is for correcting presbyopia and is for people over 45 years of age.
The dominant eye is reset and gains clear vision from about 1 meter to the horizon, while the other eye is intentionally made slightly nearsighted, typically -1.50, which compensates for visual acuity for near work between 40cm and 100cm. At the distance of about 1 meter in front of you, where you would typically have your computer screen, both eyes overlap with reasonably good visual acuity, and when looking with both eyes simultaneously, vision feels normal and good from near to distance.
Both Femto Second LASIK and Presbyond LASIK are performed in the same tissue, namely the outer layer of the eye, the cornea. Both treatments are performed using the same equipment: First, the FS laser (Zeiss Visumax), followed by the excimer laser (Zeiss MEL90). The treatments take only a few seconds to complete per eye, and the healing time is very short. You can drive and go to work the day after the treatment.
Can astigmatism be treated with surgery?
Many people have poor vision because the cornea has uneven curvature, often in combination with nearsightedness or farsightedness. With today’s laser machines, we can not only treat common corneal astigmatism but also large corneal astigmatism with great precision and safety.
Book a consultation
Dr. Petter Montagu-Pettersen also runs a general private ophthalmology practice without reimbursement. You can book an appointment for examination and control of other eye disorders.
If you have any questions about our treatments, references, methods or equipment, do not hesitate to get in touch. Call us on tel. 976 58 664 or send an email to email@example.com.
General ophthalmologist consultation: NOK 990
Short checks: NOK 750