Presbyopia Implant in Beverly Hills

Presbyopia Implant Beverly Hills | Presbyopic Surgeon LA

Presbyopia Implant in Beverly Hills – Rejuvenate Your Vision

Presbyopia Implant in Beverly Hills
Presbyopia Implant in Beverly Hills – Rejuvenate Your Vision

Are you tired of juggling multiple pairs of glasses just to see your phone, computer, and dashboard? Presbyopia – the age-related loss of near focus – can be frustrating and limiting. If you’re in your 40s, 50s, or 60s, you might have noticed reading small print isn’t as easy as it used to be. The good news is you don’t have to live with this “middle-age vision blues”. At Khanna Vision Institute in Beverly Hills, we offer a breakthrough solution: the Presbyopic Implant in Eye (PIE) procedure, also known as the presbyopia implant. This advanced technique can free you from reading glasses and bifocals, helping you see clearly at all distances once again. Let’s explore how PIE works, why it’s superior to other options, and how it can change your life – all with the compassionate, expert care of Dr. Rajesh Khanna.

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What is Presbyopia?

Presbyopia is a natural part of aging that affects the eye’s ability to focus on close objects. Around age 45, the crystalline lens inside our eye begins to stiffen and lose flexibility. As a result, you might find yourself holding books or menus at arm’s length to see them clearly. Small text becomes blurry, especially in low light. This condition happens to everyone eventually – even people who had perfect vision or LASIK earlier in life will develop presbyopia as they age. It’s often first noticed when reading fine print, threading a needle, or working at the computer for long periods. Essentially, the eye’s lens can no longer accommodate (change shape) enough to focus up close.

Ophthalmologists sometimes refer to presbyopia as part of “dysfunctional lens syndrome” – a progressive aging of the natural lens. In early stages (presbyopia), the lens is clear but inflexible. Later, the lens may develop cataracts (cloudiness). The key point is that presbyopia is not a disease, but it can be quite a nuisance. Reading glasses or bifocals are a common quick fix, but they’re inconvenient and easy to lose or break. Fortunately, modern vision science has developed a permanent fix to rejuvenate the eye’s focusing power: presbyopia implants.

Presbyopic Implant in Eye (PIE): A Permanent Solution to Presbyopia

🎥 Watch: Dr. Rajesh Khanna explains how the Presbyopic Implant in Eye (PIE) procedure restores clear vision at all distances.

Presbyopic Implant in Eye (PIE) is a state-of-the-art procedure to permanently correct presbyopia by replacing the eye’s aging natural lens with a new high-tech artificial lens. In essence, it’s the same type of procedure as cataract surgery – but done earlier, before a cataract develops, to eliminate your dependency on glasses or contacts. You might also hear it called refractive lens exchange (RLE) or simply a presbyopia implant surgery. After PIE, **there is no need for any visual aids for the rest of your life**! Imagine that – once the procedure is done, you can wake up and see clearly at near, intermediate, and far distances without reaching for glasses.

What Our Patients Say

"Dr. Khanna is an absolute expert. I chose to have PIE surgery and cataract surgery with Dr. Khanna. I only trust him! With PIE surgery I no longer need distance or reading glasses. I have never seen better in MY LIFE!"

- Charles S.
★★★★★

"The procedure is very fast and painless. Dr. Khanna and his team were amazing. They worked with my budget and were great at explaining the surgery/prescriptions and recovery time."

- Tammy P.
★★★★★

During the PIE procedure, Dr. Khanna makes a tiny micro-incision (typically about 2-3 mm, often assisted by a laser for precision) in the eye. Through this opening, the eye’s natural lens (which has become dysfunctional and inflexible) is gently removed. This is pain-free, thanks to numbing anesthetic drops and advanced technology that uses ultrasound or laser to break up the lens safely. Once the old lens is out, a new **presbyopia-correcting intraocular lens** (IOL) is inserted into the eye. The new lens unfolds and sits securely in the eye’s lens capsule – the same place your natural lens used to be. The entire procedure is typically done in about 10-15 minutes per eye, and it’s an outpatient surgery (no hospital stay; you go home the same day).

The artificial lens implant is **biocompatible**, meaning your body accepts it as if it were part of you. Once in place, it provides clear focusing power. Depending on the type of lens chosen, you’ll be able to see far away, at computer distance, and up close in a seamless way. Essentially, we are exchanging the old “camera lens” of your eye with a new, youthful one. And an incredible bonus: by removing the dysfunctional natural lens now, PIE prevents you from ever getting cataracts in the future. It’s truly a rejuvenation for your eyes – hence Dr. Khanna’s book title “Rejuvenate Aging Eyes” which is all about the miracle of PIE!

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  • Clear vision at all distances: Enjoy near, intermediate, and far vision without glasses. Presbyopic implants are designed to provide a full range of focus, so you can read a text message, work on a computer, and drive a car with equal clarity. No more switching between reading glasses and distance glasses – it’s like turning back the clock on your eyes.
  • Permanent solution with no cataracts: PIE is a one-and-done procedure. The new lens does not age or turn cloudy like a natural lens can, so your vision remains stable. You won’t have to worry about cataract surgery in your 70s because the cause of cataracts (your natural lens) is already gone. Many patients love knowing they’ve “future-proofed” their vision.
  • Improved quality of life: Think of all the daily hassles presbyopia causes: fumbling for glasses in the middle of the night, carrying readers to restaurants, straining to see your dashboard or grocery labels. After PIE, those annoyances disappear. Activities like swimming, jogging, or yoga are simpler without glasses or contacts. Even traveling is easier when you don’t need a bag full of eyewear. Patients often tell us they feel younger and more independent after getting presbyopic implants.
  • Quick, painless recovery: The PIE procedure typically takes only minutes, and it’s virtually painless (you’ll just feel slight pressure at most). We use eye-drop anesthesia – no injections or general anesthesia needed. After surgery, vision improves rapidly over the next few days. Most people resume normal activities within a day or two. It’s amazing to see patients read a text message or newspaper the very next day without glasses, with tears of joy in their eyes because it’s the first time in years they can do that.
  • Customized to your needs: One size does not fit all in vision correction. There are many types of presbyopia-correcting lenses, and Dr. Khanna is skilled in all of them. During your consultation, he will learn about your work, hobbies, and visual preferences. Are you an avid reader? A golfer? Do you do a lot of night driving? By understanding your lifestyle, we can choose a lens that best fits you. This tailored approach maximizes your satisfaction. It’s not just about seeing 20/20 on an eye chart – it’s about loving how you see in real life.
  • High patient satisfaction: PIE has an excellent success rate. At Khanna Vision Institute, we’ve performed presbyopic implant surgery on countless patients, including doctors, engineers, teachers, and celebrities. The vast majority are thrilled with the results, often saying it’s the best decision they ever made. As one patient, Charles S., said in his 5-star review: “With PIE surgery I no longer need distance or reading glasses. I have never seen better in MY LIFE!” Such testimonials speak volumes about the life-changing potential of this procedure.

By choosing a presbyopia implant, you’re choosing freedom – freedom from the constant on-and-off of glasses and the limitations they impose. You’ll be able to engage in your favorite activities spontaneously, whether it’s reading a menu in a dim restaurant, playing tennis, or simply seeing your grandchildren’s faces clearly when they hand you a drawing. The confidence and convenience that come with clear vision are truly priceless.

Video: This video captures the life-changing journey of Charles and Tammy from Beverly Hills, Los Angeles, California. Both struggled with presbyopia and the frustration of switching between reading and distance glasses—until they found Khanna Vision Institute. After receiving presbyopic implants in the eye, their vision was fully restored. Now, Charles reads without glasses for the first time in years, while Tammy smiles as she texts her grandchildren with crystal-clear vision. Standing together at the end, they share a joyful glance. “It’s not just about seeing clearly,” Charles says. “It’s about living freely.” Tammy adds, “This was the best gift we ever gave ourselves.”

Why Choose Khanna Vision Institute for Presbyopia Correction?

Dr. Khanna Performing Presbyopia Implant Surgery in Beverly Hills, Los Angeles, California
Dr. Khanna Performing Presbyopia Implant Surgery – Trusted Vision Correction in Beverly Hills, CA

Experience and Expertise: Dr. Rajesh Khanna is a renowned ophthalmologist with over 25 years of experience in vision correction. He has been at the forefront of presbyopia treatments and has even written the book on PIE (literally) – Rejuvenate Aging Eyes – The Miracle of PIE. This wealth of knowledge means you’ll be in exceptionally skilled hands. Dr. Khanna has performed thousands of eye surgeries and pioneered techniques that make the procedure safer and results more precise. He lectures other eye surgeons and stays up-to-date with the latest advancements in lens technology. When it comes to something as precious as your eyesight, you want a surgeon who is both an expert and a teacher in the field.

Personalized Care: At Khanna Vision Institute, we treat you like family. We understand that deciding on eye surgery can be a big step, and it’s normal to feel nervous or have many questions. Our team takes the time to listen and educate. We follow a consultative, compassionate approach, including principles of the NEPQ (Neuro-Emotional Persuasion Questions) methodology to truly understand your needs and concerns. From the moment you walk into our Beverly Hills or Westlake Village office, you’ll notice our warm, friendly atmosphere. We want you to feel comfortable and confident every step of the way. You’ll never be rushed – whether it’s during your hour-long initial consultation or a follow-up phone call, we make sure all your questions are answered.

State-of-the-Art Technology: We have invested in cutting-edge technology to ensure the best outcomes. From advanced diagnostic equipment (like IOLMaster and Pentacam scanners that take precise measurements of your eyes) to the latest surgical platforms (femtosecond laser-assisted lens removal, Centurion phacoemulsification systems, etc.), we use top-notch tools for top-notch results. We also offer the full spectrum of FDA-approved presbyopia-correcting lenses – and even some in clinical trials – so you’re not limited in your options. Our goal is to deliver razor-sharp vision tailored to you, and having the right technology helps make that happen.

Trusted by Patients Just Like You: Nothing speaks louder than success stories from people who were once in your shoes. We are proud of the hundreds of 5-star reviews and heartfelt testimonials we’ve received. Our patients include other physicians (who have trusted Dr. Khanna with their own eyes), busy professionals who need reliable vision, and individuals who simply wanted to enjoy life without barriers. They often remark on how easy the process was and how amazed they are at the improvement in their vision. We’ve included a couple of their stories here:

Person enjoying his lifestyle after Presbyopic Implant in Beverly Hills, Los Angeles, California.

★ ★ ★ ★ ★ – Charles S.
"Dr. Khanna is an absolute expert. I chose to have PIE surgery and cataract surgery with Dr. Khanna. I only trust him! With PIE surgery I no longer need distance or reading glasses. I have never seen better in MY LIFE!"

★ ★ ★ ★ ★ – Tammy P.
"The procedure is very fast and painless. Dr. Khanna and his team were amazing. They worked with my budget and were great at explaining the surgery, prescriptions, and recovery time. I’m so happy with my results – it’s life-changing!"

These are just a glimpse of the many success stories. Our happiest moments are seeing patients’ reactions at their post-op visits – reading the eye chart line they never thought they’d see again, or telling us how they went out to dinner and could read the menu without any glasses. We live for those moments.

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Advanced Presbyopia-Correcting Lens Technologies

One of the key factors in a successful presbyopia implant outcome is choosing the right lens implant technology for each patient. There have been remarkable advances in lens designs over the past few years, giving us many tools to customize your vision. Dr. Khanna will recommend the lens (or combination of lenses) that best suits your visual needs, because no single lens is perfect for everyone. Here are some of the exciting presbyopia-correcting lenses we offer:

Tecnis Multifocal Odyssey™ (Johnson & Johnson Vision)

Tecnis Odyssey is Johnson & Johnson’s latest full-range multifocal IOL, and it’s making waves for its performance. Built on the proven Tecnis platform, the Odyssey lens gives patients crisp vision at every distance – near, intermediate, and far – with exceptional contrast. In fact, it provides twice the contrast in low-light conditions compared to the PanOptix trifocal, according to company data. That means sharper vision for night driving or reading in dim light. The Odyssey uses a unique diffractive design that eliminates gaps between focal points, providing a continuous, uninterrupted range of vision. Early results are excellent: 94% of patients in studies said they were satisfied with their vision without glasses after getting Odyssey implants. This lens also comes in toric versions (to correct astigmatism) so even those with astigmatism can achieve spectacle independence. If you want a premium lens that delivers precise vision in any lighting, Tecnis Odyssey is a top contender. Dr. Khanna, who stays at the forefront of new technology, is excited to offer this next-generation lens to his patients.

Alcon PanOptix Trifocal Lens

The PanOptix lens by Alcon is famous for being the first FDA-approved trifocal lens in the United States. It’s considered a “jack-of-all-trades” lens that provides clear vision up close, at arm’s length (computer distance), and far away. PanOptix has a clever diffractive ring design on its surface which splits incoming light into three focal points. This allows it to focus at around 40 cm (near), 60 cm (intermediate), and optical infinity (distance) all at once. For patients, that translates into the ability to switch from reading a book, to working on a laptop, to driving, without missing a beat. One area where PanOptix shines is intermediate vision – many patients find their computer vision is exceptionally good, which is ideal if you work at a screen often. PanOptix is sometimes described as providing a more “continuous” range of vision with minimal blind spots. The lens material is a hydrophobic acrylic with Alcon’s blue-light filtering chromophore (though a clear version is available for those who prefer maximum brightness). It also comes in a toric version for astigmatism. A fun fact: although called a trifocal, PanOptix actually has four focal points in its design but is engineered to behave like a trifocal – this engineering trick improves distance clarity while still giving multiple focal points. Dr. Khanna often recommends PanOptix for patients who desire strong all-around vision and especially if their daily tasks include a lot of intermediate range work like cooking, computer use, or socializing (6-10 feet distance activities).

Bausch + Lomb enVista Envy™ Trifocal

EnVista Envy is the newest presbyopia-correcting IOL from Bausch + Lomb, and it represents the cutting edge in trifocal technology. Approved by the FDA in late 2024, the enVista Envy lens is designed to provide a continuous range of vision (hence the term “full range of vision IOL”) similar to other trifocals, but with a special emphasis on minimizing visual side effects. It features B+L’s proprietary ActivSync™ Optic for intelligent energy distribution and ClearPath™ technology to reduce light scatter. In simpler terms, these technologies help give clear vision in various lighting conditions and cut down phenomena like glare and halos. Clinical trials in the U.S. have been very promising: about 86% of patients reported little to no problems with glare, halos, or starbursts at night, which is a significant improvement over older multifocal designs. Additionally, over 93% of patients were moderately to completely satisfied with their vision post-surgery. EnVista Envy also has a toric option for astigmatism. If you’re someone who drives at night often or is particularly sensitive to light artifacts, the Envy trifocal may be an excellent choice. Dr. Khanna is among the first surgeons to offer this lens in Southern California and is impressed by the clarity and patient feedback so far.

PhysIOL (BVI) FineVision Tri-Focal

FineVision is a trifocal lens that has been popular in Europe and other parts of the world for over a decade, known as one of the first trifocal IOLs introduced (by PhysIOL). Now under BVI Medical, FineVision has several versions (such as FineVision Micro-F and FineVision HP). FineVision lenses split light into three focal points to give a full range of vision, similar in concept to PanOptix. Patients have reported excellent near vision with FineVision – often able to read very small print – while still maintaining good distance sight. One of the newer models, FineVision Triumf, even combines trifocality with EDOF (Extended Depth of Focus) principles to further smooth out the vision range. While FineVision is awaiting FDA approval (BVI completed enrollment of a US clinical trial for FineVision in 2023), Dr. Khanna keeps a close eye on this technology. In select cases or clinical trials, patients in the U.S. might access it. It’s part of our commitment to offer the very best – we leave no stone unturned in the quest for visual perfection.

RxSight Light Adjustable Lens (LAL)

The Light Adjustable Lens is truly a game-changer in the world of lens implants. It’s the only lens implant that lets us fine-tune your prescription after it’s inside your eye. How does that work? The LAL is made of a special photosensitive material. After your surgery, once you’ve healed up (usually 2-3 weeks later), you return to the clinic for a series of painless UV-light treatments. During these sessions, Dr. Khanna uses a precise UV light beam to adjust the shape (and thus the focusing power) of the lens while it’s in your eye, based on your feedback and vision tests. We can literally dial in your vision to your liking. Want to be a little sharper in one eye for reading? We can do that. Prefer a touch more distance clarity? We can do that too. Once you’re happy with the vision, a final “lock-in” light treatment secures the lens power. The result is customized vision that often exceeds what standard pre-manufactured lenses can deliver. Patients love the flexibility – it’s like having a trial-and-error opportunity, but without an “error” because we adjust until it’s just right. The only extra responsibility with LAL is that you must wear special UV-blocking glasses for a few weeks during the adjustment period to prevent unintended UV exposure from changing the lens. But for those who desire the most precise outcome possible, the Light Adjustable Lens is unmatched. Khanna Vision Institute is proud to offer this high-tech option for discerning patients.

AcuFocus IC-8 Apthera™ Pinhole Lens

The IC-8 Apthera is a novel approach to solving presbyopia, different from multifocal or trifocal designs. Instead of splitting light into multiple foci, the IC-8 uses the principle of a pinhole to extend depth of field. Think of how squinting your eyes helps bring things into focus – that’s the pinhole effect. The IC-8 lens has a small central aperture (or pinhole) that allows focused rays through and blocks unfocused rays on the periphery. By doing so, it gives a very broad range of vision from near to far in that eye. Typically, this lens is implanted in one eye (usually the non-dominant eye), and a standard monofocal lens is placed in the other eye for crisp distance vision. Together, this gives a blended vision without noticeable compromise – the brain merges the inputs. The advantage of the IC-8 is that it can provide a continuous range without any rings or diffractive zones, meaning no halos or glare from the lens itself. It’s a great option for patients who, for example, have mild corneal imperfections or large pupils where multifocal rings could be problematic. The IC-8 (marketed as Apthera in the U.S.) received FDA approval in 2022 and has been integrated into practices like ours for those special cases where a pinhole strategy is beneficial. If you’ve been told you have irregular corneas or you’re extremely sensitive to night vision disturbances, Dr. Khanna might consider the IC-8 for your presbyopia correction.

Other Lifestyle Lens Implants

The list doesn’t end there. We also utilize Extended Depth of Focus (EDOF) lenses such as the Alcon Vivity and J&J Tecnis Symfony. These lenses are designed to provide a stretched range of vision (mainly distance and intermediate, and some near) with minimal optical artifacts. For example, the Vivity lens uses a novel non-diffractive design (X-Wave technology) to give you a continuous range from far to about arm’s length, with very low risk of halos. Some patients prefer EDOF lenses if they do a lot of night driving or if they can tolerate mild reading glasses for very fine print but want the sharpest, most contrast-rich vision for everything else. Additionally, the classic Crystalens accommodative lens (and its toric version Trulign) is another option. Crystalens has hinges that allow it to move forward and backward slightly in the eye, using the eye’s focusing muscle to provide some zoom capability. It tends to have no rings, so halos are minimal, and it preserves contrast well. While it doesn’t give as much near power as a trifocal, it can be great for people who prioritize night vision and have mild near needs. In fact, Crystalens can be particularly useful for patients who had prior LASIK or RK surgery where corneas are altered, as those eyes sometimes do better with an accommodating or EDOF lens than a multifocal.

In summary: Today’s presbyopia implants offer a menu of choices – multifocal, trifocal, EDOF, accommodating, small-aperture – and each has its own strengths. Dr. Khanna’s philosophy is that the best lens is the one that best matches the patient’s eyes and lifestyle. That’s why our process is very individualized. We’ll guide you through the options that make sense for you and help you make an informed decision. Rest assured, whatever lens you choose, you’ll be getting the highest quality implant and surgical care.

PIE vs. LASIK vs. Cataract Surgery: How Do They Compare?

It’s common for patients to ask how a presbyopia implant procedure (PIE) stacks up against other vision correction options. Many people have heard of LASIK, and of course cataract surgery is a familiar concept to those over 60. Let’s break down the differences in a simple comparison. While all these procedures aim to improve vision, they do so in very different ways and for different purposes. Here’s a quick overview:

FeaturePresbyopia Implant (PIE)LASIK (for Presbyopia)Standard Cataract Surgery
What it treats Aging lens & presbyopia – replaces dysfunctional lens to restore full vision range (near, intermediate, distance) Cornea shape – uses laser on cornea for monovision or blended vision (to compensate for presbyopia) Cloudy lens (cataract) – replaces lens once it’s significantly opaque, usually with a basic clear lens unless upgraded
Typical age group 45+ (elective vision enhancement for presbyopia or early cataract) Mostly 40s-50s for monovision LASIK (or younger if doing it before presbyopia and using readers later) 65+ (when cataracts affect vision enough to warrant surgery)
Vision after procedure Ideally glasses-free at all distances. Both eyes work together (binocular vision preserved). Often one eye is set for distance, one for near (monovision). This sacrifices some depth perception and mid-range clarity. Some do “blended vision” with a smaller difference between eyes. If a standard monofocal lens is used (most common in basic cataract surgery), you get good distance OR near in each eye, but not both. Many cataract patients still need reading glasses unless they choose a presbyopia-correcting lens (which essentially turns their cataract surgery into a PIE procedure!).
Effect on future cataracts Eliminates cataract risk entirely – you’ve already exchanged the lens, so you won’t get cataracts later. Does not prevent cataracts. You’ll likely need cataract surgery in the future when the lens clouds. Resolves existing cataract; no more cataract in that eye (lens is already replaced).
Surgical method Lens replacement via tiny intraocular surgery (often laser-assisted); no corneal flap or significant tissue removal on the cornea. Laser reshapes the cornea’s surface; a flap is created on the cornea (in LASIK). It’s entirely external to the eye’s interior. Lens replacement (same surgical method as PIE, possibly using ultrasound or laser to remove lens). If basic, usually done with blade or ultrasound (phacoemulsification). If laser cataract surgery, similar tech as PIE.
Recovery Quick – vision often improves within a day, with some adjustment over a few weeks. Mild eye drop regimen for a few weeks. Little to no pain (perhaps slight scratchy feeling). Quick – functional vision usually next day. Dryness or halos can occur early on. Flap heals over weeks. Need drops for a couple of weeks. Quick – similar to PIE. If no complications, clear vision in days, with standard post-op drops. If choosing a multifocal lens in cataract surgery, adaptation similar to PIE.
Risks/Side Effects Similar to cataract surgery: low risk of infection, inflammation, or lens issues. Possible halos if multifocal lens (usually temporary). Retinal detachment is a rare risk in high myopes (as with any lens surgery). Overall very safe. Dry eye or glare/halo at night (especially if pushing one eye for near). Risk of flap complications or corneal ectasia (bulging) in very rare cases. Generally very safe as well. Monovision LASIK can cause imbalance or dizziness in some if they can’t adapt. Same risks as PIE: infection, bleeding (rare), lens capsule opacity (sometimes needing laser touch-up later), etc. If a premium lens is used, same adaptation to halos applies. Cataract surgery is one of the safest surgeries, like PIE.
Outcome if no presbyopia-correcting lens N/A – PIE by definition uses a presbyopia-correcting lens. (If a monofocal were used, it’s essentially just early cataract surgery with monofocal lens, which wouldn’t give near vision – we wouldn’t call that PIE.) If standard LASIK (both eyes distance), you’d still need reading glasses. If monovision LASIK, you reduce glasses but at cost of depth perception. If monofocal lens is chosen in cataract surgery, you’d need glasses for either near or distance. Many cataract patients get one eye for distance, one for near (monovision) if they don’t opt for multifocal lens.
Ideal candidate 45-65 years old who wants freedom from glasses and possibly has early lens changes. Also high hyperopes or myopes where LASIK is not suitable. Someone who values full-range vision and is proactive about vision correction. Younger presbyopes who aren’t ready for lens surgery or those who only want a mild improvement (e.g., keep one eye slightly nearsighted). Also people in their 40s who never needed glasses but now need readers – they might try LASIK monovision. However, many in this category are now opting for PIE for a more complete solution. Someone 60+ with significant cataract affecting vision. If they only care about getting rid of the cataract and don’t mind glasses, standard cataract surgery is fine. If they want to be glasses-free, then it essentially becomes the same as PIE with a multifocal/EDOF lens choice.

As you can see, PIE offers a comprehensive solution especially suited for the mid-life individual who wants to fix their vision for good. LASIK is a wonderful procedure for the right person, but for presbyopia it usually means monovision, which only partially addresses the problem and can have compromises (loss of depth, etc.). Plus, LASIK doesn’t stop the aging of the lens – so you’ll likely still face cataracts down the road and possibly need a lens surgery later in life. PIE tackles the root cause by updating the lens of your eye to a new model, so to speak.

And if you’re wondering about safety: both LASIK and lens replacement (PIE/cataract) are extremely safe with modern techniques. It’s not uncommon for patients to do LASIK in their younger days and then choose PIE in their 50s or 60s when presbyopia hits or if they become dissatisfied with readers. In fact, if you’ve had LASIK before, you can still undergo PIE safely. We just do some extra calculations to account for the changed cornea. Dr. Khanna has performed PIE on many post-LASIK patients who wanted that final freedom from glasses. It’s like finishing the journey that LASIK started – first you got rid of distance glasses, now you get rid of reading glasses, too.

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What to Expect: The Presbyopic Implant Procedure

🙋‍♀️ Watch: A patient shares her life-changing experience after trifocal lens implant surgery at Khanna Vision Institute.

Understanding the process can alleviate a lot of anxiety. We’re very open about what happens before, during, and after the PIE procedure. Here’s an overview of the patient journey at Khanna Vision Institute:

  1. Comprehensive Evaluation: Your first step is a consultation visit where we perform a series of thorough eye tests. Expect a longer appointment (about 1 to 2 hours) because we don’t rush. We measure your vision, check your eye health, and use high-tech devices to scan your eyes. Devices like the IOLMaster or Lenstar will measure the length of your eyeball and curvature of your cornea with extreme precision (down to fractions of a millimeter) – this data is fed into sophisticated formulas to calculate the exact power of lens implant you need. We’ll also map your cornea to see if there’s any astigmatism to correct. Dr. Khanna will examine your retina to ensure there are no underlying issues. Importantly, we’ll discuss your lifestyle and what you want from your vision. This is when you can tell us, for example, “I do a lot of reading” or “I’m frequently driving at night” or “I do fine needlework” or “I play sports on weekends”. All these details help tailor the plan.
  2. Lens Selection & Customized Plan: Based on your exam results and discussion, Dr. Khanna will recommend a specific presbyopic lens (or combination) that fits your eyes. We’ll explain why that choice makes sense, covering the expected pros/cons. If there are multiple good options, we guide you through them. For instance, some patients might choose a mix – one eye with a certain lens, the other eye with a complementary lens (in some cases, mixing a multifocal and an EDOF or a pinhole lens can broaden the range or mitigate side effects). We leave no question unanswered. By the end of this visit, you’ll know exactly what to expect and we’ll schedule your surgery date.
  3. Surgery Day – Quick and Comfortable: On the day of the procedure, you’ll arrive at our accredited surgical suite. You’ll meet the anesthetist or nurse who will ensure you’re comfortable – typically, you’re awake but very relaxed; we often give a mild oral sedative (like Valium) so you’re calm. Numbing drops are applied to your eye so you won’t feel any pain (no needles are usually needed around the eye). Under the microscope, Dr. Khanna will perform the lens removal and implant insertion. Thanks to tiny incisions and advanced techniques, there are no stitches required; the incision is self-sealing. The procedure for one eye is over in about 10 minutes! Many patients are surprised how fast it’s done. You’ll rest a short while after, and then you can go home with a protective shield over your eye. If we’re doing both eyes, we might do them a few days apart or even the same day in certain cases – Dr. Khanna will discuss the approach with you (simultaneous bilateral surgery is becoming more common and is very convenient).
  4. Post-Op and Recovery: The recovery from PIE is generally smooth and relatively quick. We’ll see you the very next day for a check-up. At that point, many patients already notice improved vision – you might be reading your texts without glasses that very morning! Colors often appear more vivid (especially if your natural lenses had any yellowing). For the first week or so, your near vision might be a little fluctuating or hazy as your brain adapts, but it sharpens day by day. You’ll be using prescription eye drops (typically an antibiotic and anti-inflammatory) for a few weeks. It’s important to avoid rubbing your eye and to wear the provided shield when sleeping for about a week. Also avoid swimming or dusty environments for a couple of weeks to reduce infection risk. Most normal activities like walking, watching TV, working on a computer (in moderation), and showering (carefully) can be resumed within a day or two. Many patients even drive themselves to their one-week check-up (assuming the doctor clears them at the one-day visit).
  5. Adaptive Period and Fine-Tuning: Your brain might take a few weeks to fully adapt to the new vision, especially with multifocal or trifocal lenses – this is called neuroadaptation. It’s a bit like getting a new prescription glasses – at first things are different, but soon your brain adjusts and it becomes the new normal. We’ll schedule follow-ups typically at 1 day, 1 week, 1 month, and 3 months. If any fine-tuning is needed, this is when we do it. Fine-tuning could mean a quick laser touch-up on the cornea if there’s a tiny residual astigmatism (rarely needed, but we check). Or if you have the Light Adjustable Lens, we’ll be doing the adjustment sessions in the first 2-3 weeks post-op. We also address any dryness (common in any eye surgery healing period) with artificial tears or other therapies so that the surface of your eye is in optimal shape. By about 3 months out, your vision is typically at its peak and fully stabilized. But remember, we’re your eye care partner for the long haul – even though you won’t need cataract surgery, we still recommend annual eye exams to check your retina, eye pressure, etc. We stand by our patients and are always here if you have questions down the road.

As with any surgical procedure, it’s natural to have concerns about risks and complications. We take every precaution to minimize risks. Serious complications from PIE are rare, especially in healthy eyes. We operate in a clean, controlled environment and guide you carefully through post-op care. Some potential risks include infection (prevented by antibiotic drops), excess inflammation or swelling (managed with anti-inflammatory drops), or in rare cases the lens not sitting perfectly (which might require a secondary adjustment or exchange). Additionally, some patients might experience visual phenomena like halos at night initially – we provide reassurance and tips (like using drops, avoiding focusing on halos) to get through that adaptation phase. The bottom line is, we will be with you every step, and most patients have a very positive experience without any complications.

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"People Also Ask" – Frequently Asked Questions

How much does a presbyopia lens implant cost?

The cost of a presbyopia-correcting lens implant procedure can vary, but typically ranges from about $3,000 to $5,000 per eye in the United States. This price usually includes the advanced intraocular lens itself (which is more expensive than a standard lens), the surgeon’s fee, use of the surgical facility, and follow-up visits. It may vary depending on the type of implant (for example, a Light Adjustable Lens might be on the higher end), and the region or clinic. In Beverly Hills and Los Angeles, where we are located, prices tend to be within that range. It’s important to note that when presbyopia implants are done as part of a refractive lens exchange (to reduce dependence on glasses), insurance generally doesn’t cover it, as they consider it elective. However, if you have a cataract that impairs your vision, insurance would cover basic cataract surgery and a standard lens, and you’d only pay the difference for the premium presbyopia-correcting lens. We understand cost is a big consideration, so at Khanna Vision Institute we offer financing plans and work with healthcare credit providers to make the payment process easier. Many patients say the procedure is well worth the investment because it not only improves vision but also quality of life – it’s like investing in “vision rejuvenation” that pays dividends every single day.

What is a presbyopic implant in the eye?

A presbyopic implant in the eye refers to a specialized artificial lens that is implanted to replace the eye’s natural lens in order to correct presbyopia. In other words, it’s the new lens that goes into your eye during the PIE (Presbyopic Implant in Eye) surgery. This implant is crafted by optical engineers to restore the focusing ability for near vision while also giving clear intermediate and distance vision. Unlike contact lenses that sit on the eye’s surface, a presbyopic implant is placed inside the eye, so you don’t feel it or see it – it becomes a part of your eye. The materials are biocompatible acrylic or silicone, designed to last a lifetime. There are different types: some have multiple focal points (multifocal/trifocal lenses), some extend the focus range (EDOF lenses), and some even adjust shape after surgery (Light Adjustable Lens). The concept, however, is the same: remove the aging lens that can’t accommodate (focus up close) and put in a high-tech lens that can. By doing so, you essentially get a “reset” on your eye’s focusing ability, reducing or eliminating the need for reading glasses or bifocals. So, a presbyopic implant is basically the core of modern presbyopia surgery – it’s what makes the magic happen once it’s inside your eye.

What is the downside of multifocal lens implants?

Multifocal lens implants (including trifocals) are fantastic tools to help people see at multiple distances, but like any technology, they come with some trade-offs. The main downside people talk about is the potential for nighttime visual phenomena. This usually means seeing halos or rings around lights, or glare and starbursts, when driving at night or looking at streetlights. The effect is due to the concentric rings in the lens design that split light – those rings can create out-of-focus light scatter that the eye perceives as halo. The good news is that for most patients, these halos are mild and tend to diminish over a period of weeks to months as the brain adapts (a process called neuroadaptation). We also have newer lens designs (like the Tecnis Synergy, PanOptix, and others) that have worked to minimize these effects. Another downside is that multifocal lenses can sometimes provide slightly less contrast sensitivity – for example, in low light you might notice you need a bit more light to read comfortably compared to someone with a monofocal lens. Additionally, not every eye is suited for a multifocal: if someone has significant corneal astigmatism and doesn’t get a toric version, or has retinal issues, the visual quality might not be as crisp. That’s why patient selection is key. Lastly, there’s the factor of cost – multifocal IOLs are premium lenses, and there’s an out-of-pocket expense associated with choosing them (as insurance covers only basic lenses in cataract surgery). At Khanna Vision, we thoroughly discuss these pros and cons. Importantly, we find that with proper patient selection and counseling, the vast majority of our multifocal lens patients are extremely happy and would choose the same lens again – the downsides are usually quite manageable and far outweighed by the freedom gained.

Who is not a candidate for multifocal IOL?

Great question. While multifocal and trifocal IOLs have opened up a world of clear vision for many, they’re not ideal for everyone. You might not be a candidate for a multifocal IOL if you have underlying eye conditions that could interfere with the lens’s performance. For instance, if someone has advanced macular degeneration or other significant retinal disease, placing a multifocal lens won’t be beneficial because the retina can’t see well even with a perfect lens. Those patients do better with monofocal lenses and other aids. Similarly, if you have severe dry eye or corneal scarring, we’d want to address those issues before considering a multifocal, as they could make vision fluctuant or reduce quality. Another group is patients with very high expectations but also very high visual demands at night – for example, an airline pilot or an avid truck driver who does a lot of night driving might decide that even mild halos are unacceptable. Such individuals might opt for monofocal lens (perhaps set for monovision or with an EDOF lens in one eye) to prioritize crisp night vision. Patients with extremely high astigmatism need a toric multifocal; if their astigmatism is beyond the range of what toric lenses can correct, they might not achieve a good outcome with a multifocal unless additional procedures are done. Also, individuals who have had previous eye surgeries like radial keratotomy (RK) are often cautious cases – RK can make focusing unstable, and multifocals might not center well or might give inconsistent results. We sometimes lean towards monofocal or accommodating lenses in post-RK eyes. Another consideration is personality and adaptability: if someone is extremely detail-oriented and prone to noticing every little visual imperfection, they might struggle more with the adjustment period of a multifocal. We often simulate monovision or multifocal vision with trial lenses in the clinic to see how patients react. Age alone isn’t a strict disqualifier, but very elderly patients (say 85+) might have less neuroplasticity to adapt, and they may have other eye issues, so multifocals aren’t commonly used beyond a certain age. In summary, the ideal multifocal candidate is someone with healthy eyes (no significant macula, cornea, or optic nerve issues), a moderate pupil size, an understanding of the potential for halos, and a strong desire for glasses independence. If that’s not you, don’t worry – we have other solutions like EDOF lenses or monovision that can be wonderful alternatives. Dr. Khanna’s job is to match you with the right solution, and he’ll be very frank about who should and shouldn’t get a multifocal IOL.

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Restore Your Vision – Contact Us Today

You don’t have to tolerate the inconvenience of presbyopia or feel “old” because of your eyesight. Thousands of people just like you in Beverly Hills, Los Angeles, Westlake Village, and across Southern California have reclaimed their clear vision through presbyopia implants. Why not you, too? Take the first step toward visual freedom and see the world in high definition.

Call now at 310-482-1240 to schedule a consultation with Dr. Khanna. Our friendly staff at Khanna Vision Institute will answer any questions and set up a convenient appointment at either our Beverly Hills or Westlake Village office. You can also contact us online to get started. During your visit, we’ll assess your eyes and discuss the best plan to achieve your vision goals. There’s no obligation – just valuable information about your eyes and what modern technology can do for you.

Imagine a life where you no longer scramble for reading glasses or suffer through blurry menus and smartphone screens. That life is within reach. At Khanna Vision Institute, we combine world-class expertise, genuine care, and the latest presbyopia implant solutions to ensure you get the outcome you deserve. Don’t let presbyopia hold you back another day – contact us today and discover if Presbyopic Implants are right for you. See younger, feel younger, and embrace the freedom of clear vision!

Call 310-482-1240 now and take the first step to visual freedom!

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