Presbyopia is a common, age-related vision condition in which the eye gradually loses its ability to focus clearly on nearby objects. It happens because the eye's natural lens becomes less flexible with age and cannot change shape as easily to focus on close objects. Presbyopia typically becomes noticeable after age 40 and gradually worsens over time.
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 assessment and correction can improve near vision, reduce eye strain and headaches, and make everyday activities such as reading, writing, using a phone, and working on a computer more comfortable. An eye exam can also identify other conditions that may cause blurred vision.
Although presbyopia is a natural part of ageing and cannot currently be prevented or permanently reversed, several options can help manage its effects. The best approach depends on your visual needs, overall eye health, age, and personal preferences.
Causes
Risk Factors
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. A contact-lens trial is often used 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). 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