Presbyopia is an age-related eye condition in which the eye’s natural lens gradually becomes less flexible, making it harder to focus on nearby objects. It typically becomes noticeable after age 40.
Presbyopia differs from hyperopia (farsightedness), although both can make it hard to see nearby objects. Presbyopia is primarily related to ageing, whereas hyperopia relates to the eye's optical structure.
Timely correction can improve near vision, reduce eye strain and headaches, and make everyday activities such as reading, using a phone, or working on a computer easier.
Causes
Risk Factors
Eyeglasses and Contact Lenses: Reading glasses, bifocal or progressive lenses, and selected multifocal contact lenses can improve near vision without surgery. These are common options for managing presbyopia
Laser Refractive Procedures : A laser reshapes the cornea so that one eye is optimised for distance vision and the other for near vision. This reduces dependence on reading glasses. Clinicians often use a contact-lens trial beforehand to check whether the patient can adapt to monovision.
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Refractive Lens Exchange (RLE): The eye’s natural lens is surgically removed and replaced with an artificial intraocular lens (IOL). Depending on the patient's eye health and visual needs, a multifocal, trifocal, or EDOF IOL can provide distance and near vision and reduce reliance on glasses.
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Last Reviewed - January 2026