Scleral approaches to presbyopia moving from niche to mainstream

Among the many options for presbyopia, scleral approaches stand out for their unique attempt to tackle the roots of the problem, restoring physiological function rather than aiming for optical compensation. They had a slow takeoff and limited acceptance, but step by step, through a long path of research and technological upgrades, they continue to move forward. According to several surgeons, they might be the ideal solution for plano or near-plano presbyopia, when the lens is still clear. They are minimally invasive procedures that preserve the visual axis, and patients’ visual experiences can be outstandingly good, even beyond what measurements say.