Researchers studying the human eye have long been puzzled by the condition of presbyopia. It has plagued millions, yet it has been difficult to firmly establish exactly why it occurs and how it might be effectively treated.

However, new schools of thought may have produced a solution to the presbyopic dilemma. This comes in the form of LASER-P™ with or without LASIK-HP™ or vice versa.





Would you like to rejuvenate and prolong the “youth” of the natural focusing mechanism of your eyes, eliminate or decrease your dependency on reading glasses, and restore “New Balanced Vision”™ to both eyes for near, intermediate, and distance vision? LASER-P™ WITH OR WITHOUT LASIK-HP™ may be the answer.

We are presently doing clinical studies in Juarez, Mexico on a revolutionary bilateral procedure that we refer to as “NEW BALANCED VISION”™ to correct near, intermediate, and distance vision in both eyes. The procedure utilizes LASER-P™ with or without LASIK-HP™. When these procedures are performed in both eyes, one is able to regain or restore “NEW BALANCED VISION”™ to both eyes for near, intermediate, and distance vision in the majority of cases. This has been a huge breakthrough for most of our presbyopic patients. By employing these revolutionary surgical techniques together we are able to essentially avoid “mono-vision” and “blended-vision”. Our goal for the patient with the aging eye or presbyopia is to correct distance, intermediate, and near vision in both eyes and leave the eyes with “NEW BALANCED VISION”™.

LASER-P™ = LASER-PresBioptics™
LASIK-HP™ = LASIK-HYPERPROLATE™


Have you noticed that your newspaper, menu, and watch have been getting blurrier lately?
Do you find yourself holding things farther and farther back in order to see them clearly? You are most likely struggling with the effects of presbyopia, an age-related eye condition that affects 4 out of 5 adults over age 40.

Presbyopia makes seeing near objects more difficult and also makes it more difficult to adjust from distance to near vision and back again. The word “presby” refers to something old or aging and “opia” refers to the eye or oculus. In the past, presbyopia was believed to be caused by a general loss of flexibility in the crystalline lens (focusing lens) in the eye. More recently, however, ophthalmologists have begun to consider an alternate view of presbyopia. In the newer school of thought, the problem is thought to lie in the fact that the crystalline lens of the eye continues to grow (albeit very slowly) throughout our lives. As the lens grows, it crowds the surrounding ciliary muscles, making it more difficult for the lens to adjust itself for seeing near objects. Also, as we age the surrounding white coat of the eye (sclera) tends to stiffen and compress the underlying focusing mechanism resulting in restricted mobility.

LASER-PresBioptics™ or Laser-P™ is relatively straightforward. The eyes are first numbed with anesthetic eye drops. Tiny temporary dye marks are then made on the white scleral coat of the eye in the four oblique quadrants to help guide Dr. Maddox. Again, the sclera is the white coat of the eye that becomes increasingly dehydrated, harder (sclerotic) and stiffer as we age. The sclerotic nature of the aging sclera may compress and decrease the mobility of other underlying structures concerned with the inflow and outflow of nutrients and fluids to and from the eye. Furthermore, the sclera may also restrict and diminish the strength of the ciliary muscle “pump” complex which is responsible for focusing the natural lens of the eye for objects near, intermediate and far. At the same time, the focusing lens complex within the eye continues to grow or enlarge and becomes crowded within it's own occupying space. This further decreases it's ability to focus properly and to quickly change it's focusing power for varying distances. Dr. Maddox uses a state-of-the-art 2.94 Erbium YAG laser (Infra-Red spectrum) to make tiny scleral relaxing “laser micro-dots” in the hardened sclera in a procedure called LASER-PresBioptics™ or LASER-P™. We hypothesize that by making these strategic series of scleral relaxing “laser micro-dot” patterns we are not only able to create an increase in the strength and mobility of the ciliary muscle “pump” complex of the eye (focusing mechanism) but we are also able to increase the inflow and outflow of important nutrients and fluids to and from the underlying vital structures of the eye. In addition, by increasing the mobility of the structures beneath the hardened sclera, this can allow the special functions of the eye that are responsible for focusing the lens to work more efficiently.

All of this translates into restoring the natural functions of the eye that enable us to see near, intermediate, and distant objects and to decrease our dependence on artificial aides such as glasses for near and intermediate visual tasks.

LASER-P™ alone generally takes 10 minutes or less per eye. Side effects include temporary redness, dryness, and mild to moderate discomfort.

LASER-P™ can be combined with LASIK-HP™ (or LASIK-HYPERPROLATE™) or vice versa. With the combination of the two procedures one can achieve even better near and intermediate vision results vs. one without the other in most cases. We are recommending the combined procedure in the majority of cases in order to get maximum benefit.

The “NEW BALANCED VISION”™ procedure is incredibly exciting. If you are tired of having to wear glasses or struggle to see close up, LASER-P™ alone or combined with LASIK-HP™ may be for you. Please contact Dr. Maddox today or call the office at 915-881-8100 to find out whether you are a candidate.

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Dr. Maddox Office
601 Sunland Park Dr. Building 2
El Paso, Texas 79912
915.881.8100

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