As we reach middle age, particularly after age 40, it is common to start to experience difficulty with reading and performing other tasks that require near vision. This is because with age, the lens of our eye becomes increasingly inflexible, making it harder to focus on close objects. This condition is called presbyopia and eventually it happens to everyone as we age.
To avoid eyestrain, people with untreated presbyopia tend to hold books, magazines, newspapers, and menus at arm’s length in order to focus properly. Trying to performing tasks at close range can sometimes cause headaches, eye strain or fatigue in individuals who have developed this condition.
Causes of Presbyopia
During our youth, the lens of our eye and the muscles that control it are flexible and soft, allowing us to focus on close objects and shift focus from close to distant objects without difficulty. As the eye ages however, both the lens and the muscle fibers begin to harden, making near vision a greater challenge.
Presbyopia is a natural result of the aging process and not much can be done to prevent it. Its onset has nothing to do with whether you already have another vision impairment such as nearsightedness, farsightedness or astigmatism. Everyone will notice some degree of loss of near vision focusing power as they age, although for some it will be more significant than others.
Symptoms and Signs of Presbyopia
Presbyopia is characterized by:
- Difficulty focusing on small print
- Blurred near vision
- Experiencing eyestrain, fatigue or headaches when doing close work or reading
- Needing to hold reading material or small objects at a distance to focus properly
- Requiring brighter lighting when focusing on near objects
Presbyopia can be diagnosed in a comprehensive eye exam.
Treatment for Presbyopia At Our West Lebanon Eye Care Center
There are a number of options available for treating presbyopia including corrective eyewear, contact lenses or surgery.
Reading glasses or “readers” are basically magnifying glasses that are worn when reading or doing close work that allow you focus on close objects.
Occupational progressives allow for a greater range of vision from a intermediate distance to close. These lenses work well for work environments that require the ability to see at a variety of near distances.
Lined Bifocals or traditional bifocal lenses have two focusing distances in them. The top of the lens is set for distance and the bottom segment is set for close. This design lacks an intermediate focusing distance used for many daily tasks between 3 to 8 feet.
Progressive lenses come in many designs and allow you to see gradually from distance to near. The better the lens design, the wider and more comfortable your field of vision will be. This type of lens is constantly evolving to produce better clearer vision. Ask our optician what makes the Hoya lens designs the best choice for you.
Bifocal and Multifocal Contact Lenses
For individuals that prefer contact lenses to glasses, bifocal and multifocal lenses are also available in contact lenses in both soft and Rigid Gas Permeable (RGP) varieties.
Multifocal contact lenses give you added freedom over glasses and they allow you to be able to view any direction – up, down and to the sides – with similar vision. People wearing progressive lenses in glasses on the other hand have to look over their glasses if they want to view upwards or into the distance.
Another option for those that prefer contact lenses is monovision. Monovision splits your distance and near vision between your eyes, using your dominant eye for distance vision and your non-dominant eye for near vision. Typically you will use single vision lenses in each eye however sometimes the dominant eye will use a single vision lens while a multifocal lens will be used in the other eye for intermediate and near vision. This is called modified monovision. Dr. Richard Stegen or will perform a test to determine which type of lens is best suited for each eye and optimal vision.
There are surgical procedures also available for treatment of presbyopia including monovision LASIK eye surgery, conductive keratoplasty (CK), corneal inlays or onlays or a refractive lens exchange (RLE) which replaces the hardened lens in the eye with an intraocular lens (IOL) similar to cataract surgery.
Since it affects so much of the older population, much research and development is going into creating more and better options for presbyopes. Speak to our West Lebanon eye doctors about the options that will work best for you.