West Springs

Presbyopia Treatment

Unlike a true eye disease, presbyopia is so common, it eventually happens to almost everyone who reaches old age to some extent. With age, the lens of our eye becomes increasingly inflexible, making it harder to focus on close objects. 

After age 40, it's common to start experiencing difficulty with reading and performing other tasks that require near vision. To avoid straining their eyes, people with untreated presbyopia tend to hold newspapers, books, magazines, and menus at arm’s length in order to focus properly. For people with presbyopia, performing tasks at close range can sometimes cause eye strain, fatigue or headaches. 

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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 easily shift focus from close to distant objects. However, as the eye ages, the lens and the muscle fibres begin to harden, making it more difficult to see objects at close range.

As presbyopia is a natural result of the aging process there is not much that can be done to prevent it. The onset of presbyopia is not related to any other vision impairment you may have such as astigmatism, farsightedness, or nearsightedness. While everyone will notice some impact to their near vision focusing power as they get older, it will be more significant for some than others.


Symptoms and Signs of Presbyopia

Presbyopia is characterized by:

  • Blurred near vision
  • Difficulty focusing on small print
  • Eyestrain, fatigue or headaches when reading or doing work up close
  • Having 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 during a comprehensive eye exam.


Treatment for Presbyopia At Blink Eyewear

There are a number of options available for treating presbyopia including corrective eyewear, contact lenses or surgery.

Bifocal and Multifocal Contact Lenses

Bifocal and multifocal lenses are also available in contact lenses (in both soft and Rigid Gas Permeable) for people who prefer contact lenses to glasses.

Multifocal contact lenses allow you to be able to view any direction – up, down and to the sides – with a similar vision, giving you added freedom over glasses. Progressive lenses in glasses, on the other hand, require wearers to look over their glasses if they want to look into the distance or upward.

Another option for those who prefer contact lenses is monovision. Monovision uses your dominant eye for distance vision and your non-dominant eye for near visions - splitting distance and near vision between your eyes. While you will typically use single vision lenses in each eye, 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 referred to as modified monovision, and your eye doctor will be able to determine which type of lens is best suited for each eye and optimal vision.



Reading glasses or “readers” are basically magnifying glasses that are worn when reading or doing close work that allows you to focus on close objects.

Eyeglasses with bifocal or multifocal lenses such as progressive addition lenses or PALs are a common solution for those with presbyopia that also have a refractive error (nearsightedness, farsightedness or astigmatism). Bifocals have lenses with two lens prescriptions; one area (usually the upper portion) for distance vision and the second area for near vision. PALs also provide lens power for both near and distance vision but instead of being divided into two hemispheres (upper and lower), the lens power transitions gradually for viewing at different distances. PALs tend to be preferred by many individuals because unlike bifocals, they don't have a visible line across the lens.



Surgical procedures are also available for the treatment of presbyopia. These include conductive keratoplasty (CK), monovision LASIK eye surgery, 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 presbyopia affects a significant number of people as they age, there is considerable research and development being undertaken to create improved options for presbyopes. Your eye care professional at Blink Eyewear would be happy to discuss the options that will work best for you.


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Do any of the above symptoms sound familiar to you? Contact us or drop by one of our locations at West Springs, Creekside, or Crowfoot and receive the eye care you need. We are here for you.

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