Multifocal Lenses for Presbyopia Treatment

The implantation of Multifocal Intraocular Lenses is a superior method for the correction of presbyopia and allows for a life without glasses.

Presbyopia typically develops between the ages of 40 and 50: small print becomes increasingly hard to read, and you become dependent on reading glasses. Even if you have suffered from nearsightedness or farsightedness earlier in your life, you will eventually develop presbyopia, and will need bifocals or several glasses.


The implantation of the multifocal lens, also known as multifocal intraocular lens, is a safe, precise, and tested procedure for the correction of presbyopia. Basically, the natural lens of the eye is replaced with an artificial lens. This Refractive Lens Exchange (RLE) is a proven procedure as it has been used for decades in cataract treatments.


The multifocal lens is a highly developed artificial lens with several focal points, and it thereby enables clear vision in various distances – without the need for glasses. This well tolerated lens can permanently stay in the eye and is not visible. EuroEyes has performed most intraocular lens implants in Germany and can prove many years of experience.

The Procedure

Multifocal Lens Treatment Steps



Preparing the Eye
This outpatient procedure typically lasts 10 minutes per eye. Eye drop anesthetics create a pain free procedure. The eye is opened with a key-hole incision in the corneal periphery that heals without a suture.



Removing the Lens
The fibrous lens capsule behind the pupil is opened in a circular manner and the eys's lens core is removed. The capsule then functions as supporting tissue for the implanted artificial lens. Each patient receives a custom-made artificial lens implant that has lifetime durability.



Multifocal Lens

All patients receive a custom-made artificial lens, manufactured especially for their eye. This well-tolerated artificial lens has lifelong durability and is not visible. 



Implanting the Artificial Lens
The surgeon inserts the injector holding the artificial lens through the key-hole incision into the eye. The lens unfolds and is positioned by the surgeon into the vacant lens capsule. The lens corrects presbyopia in addition to other existing vision disorders (near-, farsightedness and astigmatism).


Unique Features of the Multifocal Lens

  • “State of the art” technology to optimize your vision
  • Experienced high-volume German surgeons
  • Lifelong freedom from glasses and contact lenses
  • Functional vision at all distances
  • Prevention of cataracts

Clinical studies show that 90% of all patients who had multifocal lenses implanted in both eyes, no longer needs glasses: tasks like reading, shopping, computer work, driving, and even shaving and applying make-up are finally possible again without any glasses.




Premium Lens Implants With the Highest Quality Standards

  • Excellent optical quality
  • Reduced light scatter
  • Reduced glare problems
  • Better contrast vision under poor lighting



Treatment Procedure

1. MIOL Suitability Assessment

  • All relevant eye parameters are measured
  • Diagnosis of your suitability for the MIOL
  • Consultation on your optimal MIOL treatment




2. Pre-treatment Examination

  • A thorough preliminary medical examination is carried out
  • Our Ophthalmologist and specialist in refractive surgery explains all aspects of your treatment
  • Detailed measurements are performed
  • The examination lasts approx. 2 hours
  • Cease contact lens wear one week (soft lenses) or two weeks (hard lenses) beforehand
  • Your personal after-care set will be explained to you in detail


3. On the Day of Your Treatment

  • Bring someone to accompany you
  • Wear comfortable clothes
  • Remove any makeup and avoid wearing perfume
  • Eat a light meal beforehand
  • A mild tranquiliser will be offered to you
  • The total duration of this outpatient surgery will be 10 - 15 minutes per eye over 2 days (1 day per eye)
  • The treated eye will be protected by an eye bandage until the next day


4. After Your MIOL Treatment

  • Do not rub your eyes in the days after treatment
  • Antibiotic eye drops are to be used in the first weeks
  • Artificial tear eye drops to be used as required
  • Resume work after 2 - 4 days as needed
  • No sporting activities for 3 days
  • No swimming or sauna for 2 weeks
  • Examinations after 1 day – 1 week – 1 to 3 months
  • Driving can be resumed after approx. 1 week



Lens Types

Two different lens types exist: bifocals, that can simultaneously correct an astigmatism, and trifocal intraocular lenses, which enable vision in all distances.

Bifocal lenses have two focal points, one for up close and one for far away, so that one can drive, watch TV, and do sports without glasses. To focus in the intermediate distance it might still be necessary to use a pair of glasses (e.g. when working on a computer screen).

Trifocal Lenses are the new generation of multifocal intraocular lenses. These lenses have 3 focal points and offer outstanding quality of vision, both in close, medium and long distances, due to innovative light distribution. The focal point for the medium distances, for example, makes it possible to work on the computer without any glasses. 

Lens Features

The Characteristics of the Latest Generation of Lenses are Excellent and Provide the Highest Quality


  • We only use the newest generation of multifocal lenses.They have a patented high performance optic and give you the ability to see both in the close, middle and distant range without needing glasses.
  • The premium multifocal lenses are made with computer-controlled diamond tools.
    For you, this means the highest possible precision and optical premium quality.
  • The optics of the lenses are manufactured using the patented SMP technology:
    Through a special process, glare phenomena, that normally always occur in multifocal lenses, will be reduced to an absolute minimum. The positive effect is less glare and less halos! Also the aspheric optics ensure an enhanced image quality and improved contrast sensitivity.
  • Lenses protect the sensitive retina
    and an extended light protection filter can be included in addition to a UV filter. In ophthalmology, this protection is applied particularly for the prevention of macular degeneration (AMD).


Whether presbyopia or cataract, nearsightedness, farsightedness or astigmatism, clinical studies show that 90% of the treated patient after implantation of multifocal lenses no longer need glasses.


PreLEX stands for Presbyopic Refractive Lens Exchange. It is the procedure of choice for those patients over 40 who have not yet developed cataracts but are having trouble seeing distance and near without the use of glasses or contact lenses. While LASIK improves distance vision, those under 40 can still see up close with their natural focusing abilities. However, those over 40 have difficulty with near vision because their natural lens is becoming less flexible, so LASIK would not benefit their near vision. This is the area of visual problems that the PreLEX procedure addresses.

PreLEX removes the natural lens that has not yet become a cataract and replaces it with a multifocal lens implant, allowing the patient to see distance, intermediate, and near clearly. Both eyes need PreLEX treatment before full benefits are seen. It’s the same type of procedure that is performed for cataract surgery patients, who need a new lens because their natural lens has become cloudy and opaque.


Are You a Candidate for PreLEX?

PreLEX is primarily designed for presbyopia patients, but it can also correct vision in patients who do not medically qualify for LASIK eye surgery or PRK (Photorefractive Keratectomy).

You may be a good candidate for PreLEX if:

You’d like to depend less on bifocals or reading glasses, you have early signs of cataracts, you have moderate to severe myopia or hyperopia. After carefully examining your eyes, EuroEyes doctors will recommend the best lens for your unique needs.


The Advantages of PreLEX

Almost everyone who undergoes PreLEX will not need glasses for distance vision, and most patients will not need reading glasses either. Another major advantage of PreLEX is that it prevents cataracts, since they cannot form in an artificial lens.

Other benefits of the PreLEX procedure include:

  • Minimal side effects
  • Fast vision stabilization
  • Proven history of success
  • PreLEX is one of the safest treatments of its kind

If you have presbyopia, or if you have been told you are not a candidate for other types of refractive surgery, contact EuroEyes today to schedule a free PreLEX screening.


Precision Thanks to Laser

To enable an even greater accuracy and perfection, EuroEyes uses the LenSx ® femtosecond laser for the surgical procedure, which takes several essential steps of the lens surgery that were previously performed manually by the surgeon.


This laser eye treatment used for lens exchange, allows a painless and precise dissection of different layers of tissue in the eye. It thus offers two advantages over the manual technique: first of all, the lens exchange is precise because the multifocal lens can be positioned accurately, and second of all, safer because the laser incisions are more precise than hand-guided incisions.


EuroEyes is one of the first LASIK clinical groups in Germany to apply the LenSx® in the field of laser lens exchange.

Frequently Asked Questions about Multifocal Lenses