Refractive Surgery

Allotex and Presbyopia: A New Option After 40

Why your reading vision changes after 40 — and how Allotex TransForm tissue addition offers a fresh approach to fixing it.

S
Spanish Center DubaiHealth stories

April 18, 20266 min read

Why Your Arms Got Too Short

Somewhere in your early forties, the menu at the restaurant suddenly looks blurrier. You stretch your arm out to see your phone. You start reaching for reading glasses. Welcome to presbyopia — the most universal eye change of adulthood.

The natural lens inside your eye gradually becomes less flexible. Reading is just the first thing it affects, because your lens can no longer change shape enough to focus up close. It is not a disease. It is biology. But it can be corrected.

What Is Allotex?

Allotex TransForm is a new kind of treatment that takes a different approach. Instead of *removing* tissue from your cornea (like LASIK or SMILE), Allotex *adds* tissue.

A small, precisely shaped piece of corneal tissue — from a donor, processed and sterilized — is placed under a thin pocket in your cornea. This new tissue gently changes the shape of the front of your eye so you can read again.

The procedure is:
- Quick (around 15 minutes per eye).
- Done with numbing drops only.
- Reversible — the inlay can be removed if needed.
- Tissue-additive — no permanent removal of your own cornea.

Why "Adding" Instead of "Removing" Matters

For decades, refractive surgery has been about subtraction — reshape by removing tissue. That works beautifully for younger patients with thicker corneas.

But for patients in their 40s and 50s, especially those with thinner corneas or who have already had LASIK, there is sometimes not enough tissue left to remove safely. Allotex sidesteps that problem entirely by adding tissue instead.

This is one of the most exciting developments in refractive surgery in the last decade, and it gives me a new option for patients who otherwise had limited choices.

Who Is a Good Candidate?

Allotex tends to work well for patients who:

- Are between 45 and 65.
- Have good distance vision (with or without correction) but struggle with reading.
- Want to reduce their dependence on reading glasses.
- Have healthy eyes overall.

The consultation includes a careful corneal scan, dry eye assessment, and a discussion of expectations. Allotex usually corrects one eye for reading (the non-dominant one), so your brain learns to combine close vision in that eye with distance vision in the other. Most patients adapt within a few weeks.
Allotex
presbyopia
reading glasses
tissue addition