Presbyopia

An age-related condition that affects the eye's ability to focus on close objects, typically starting around age 40.

Most of us will experience some form of presbyopia during our lives. This is a type of age-related far sightedness. It happens over time and usually becomes noticeable as you enter your 40’s. Here’s everything you need to know about presbyopia.

What is presbyopia?

Presbyopia, also called age-related long-sightedness, is the gradual loss of being able to see objects close-up. It usually becomes noticeable in your early to mid-40s and gets worse until you’re around 65. It’s not a cause for concern because it is a natural part of ageing, so it’s nothing to worry about. It’s easy to continue to live a healthy and fulfilling life with presbyopia – all you need is a new or adjusted glasses prescription. There are many management options available including reading glasses, multifocals, multifocal contact lenses, or a combination of both.

Presbyopia vs myopia

Myopia and presbyopia are both issues with your eyesight but they are very different. Presbyopia only affects your close-up vision, making objects close to you look blurry. In contrast, myopia doesn't affect your close vision. Instead, things in the distance appear blurry instead.

What are the symptoms of presbyopia?

An elderly woman wearing glasses, struggling to read text on a smartphone screen by holding it close and squinting.

If you’ve noticed that text has started looking a little blurry or you need to size up the font on your phone, you may be experiencing the first symptoms of presbyopia. There’s nothing to be concerned about as it’s a normal part of ageing but it might be time to visit your local Leightons branch for an eye test.

The common symptoms of presbyopia include:

  • Blurry vision when trying to look at things up close.
  • Having difficulty reading text.
  • Eye strain or eye migraines after reading or doing tasks up close.
  • Needing brighter lighting when reading or doing close work.
  • Overall problems seeing and focusing on objects that are close to you.
  • Squinting to bring objects into focus or needing to hold objects further away from you to bring them into focus.

What causes presbyopia?

Presbyopia is caused by changes in the flexibility of your eyes’ lenses. The clear lens, which sits behind your iris, changes shape to focus light onto your retina, allowing you to see clearly. After the age of 40, your lens loses some of its flexibility and becomes more rigid, so it can’t change shape as easily. This makes it harder to refocus your eyes on objects that are closer up.

Presbyopia risk factors

Some risk factors that increase your chances of developing presbyopia include:

  • Age – the biggest risk factor as almost everyone over the age of 40 experiences some form of presbyopia.
  • Medical conditions – conditions like diabetes, multiple sclerosis or cardiovascular diseases can increase your risk of premature presbyopia before the age of 40.
  • Drugs – Some drugs such as some types of antidepressants, antihistamines and diuretics are associated with premature presbyopia.

Treatment options for presbyopia

An elderly woman undergoing a comprehensive eye examination with an eye care professional during a medical consultation.

Age-related far-sightedness can’t be stopped or prevented as it is a perfectly natural development. However, there are multiple treatment options available to help correct your vision and stave off eye strain, headaches, and needing to have your phone font set to size 50.

Presbyopia glasses

Wearing near-sighted prescription glasses, also known as reading glasses, and help correct your vision affected by presbyopia. There are a few different types of lenses you can choose from, such as single-focus lenses and multi-focal lenses, which have dedicated zones in the lenses to look through for different tasks.

Presbyopia contact lenses

If you prefer contact lenses to traditional glasses, you can also get contacts to help correct your vision with presbyopia.

Multifocal contact lenses are designed just like multifocal glasses – with different zones you look through depending on what you’re looking at.

Standard contact lenses can be used to correct Presbyopia. This is known as monovision, and the Optician will fit you with a distance vision lens in one eye and a near vision lens in the other. Initially, this can take some getting used to and is less common than using a multifocal contact lens.

Presbyopia surgery

There are surgeries available that can help to correct presbyopia.

  • Refractive surgery – The surgeon will use a laser to reshape your cornea (the clear part in front of your pupil) for clear far vision in one eye and close-up vision in the other. You may have monovision contact lenses recommended to trial whether this type of vision is right for you before the procedure.
  • Corneal inlays – Small devices surgically implanted into your cornea to restore close-up vision.

Your optometrist can advise you further on what surgery options are available.

Takeaway

Most people over the age of 45 will experience some form of age-related far-sightedness. Presbyopia is a natural part of the ageing process and because of this, it is easily managed through the wearing of glasses and contact lenses or via surgery. If you’ve noticed any of the symptoms of presbyopia, even if you aren’t yet in your 40s, speak to your optometrist or book in for an eye test.

FAQs

Presbyopia is not preventable, reversible, or stoppable as it is a natural part of ageing. However, if you have a cardiovascular condition, diabetes, or high blood pressure, you may be at risk of developing it prematurely. Good management of your condition will help to preserve your eyesight as much as possible.

Most people over the age of 40 experience age-related long-sightedness as it is a natural part of ageing.

Yes, presbyopia gradually worsens between your mid-40s up to around the age of 65.

Yes, it’s actually quite common. Myopia (nearsightedness) means you can see things clearly close-up but items far away look blurry. But if you’re nearsighted and over the age of 40, you can still experience presbyopia. Your optometrist can update your prescription to help correct both presbyopia and myopia.

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Visual stress
If you find reading uncomfortable, notice words moving on the page, or feel strain when looking at patterns or screens, you may be experiencing visual stress. Visual stress is a common but often overlooked condition that can affect how comfortable your vision feels, particularly when reading or focusing for longer periods. With the right support, it can often be managed effectively, helping you feel more relaxed and confident in your day-to-day vision. If your symptoms are linked to light or contrast, you may also find it helpful to explore how tinted lenses can improve visual comfort and clarity.   What is visual stress? Visual stress, sometimes referred to as Meares-Irlen syndrome, affects how the brain processes visual information. It is not a problem with your eyesight itself, but rather how your eyes and brain work together when looking at text, patterns or bright environments. People with visual stress often find that certain visual tasks feel overwhelming or uncomfortable, even if their vision has been tested and appears normal.   Common symptoms of visual stress Visual stress can present in different ways, and symptoms may vary from person to person. You may notice: Words appearing to move, blur or distort on the page Difficulty tracking lines of text when reading Sensitivity to bright light or glare Headaches or eye strain when reading or using screens Letters or patterns appearing to flicker or shimmer Reduced concentration when reading for longer periods These symptoms can make everyday tasks feel more tiring, particularly in environments with bright lighting or high contrast.   What causes visual stress? The exact cause of visual stress is not always clear, but it is linked to how the brain processes visual patterns and contrast. High contrast patterns, such as black text on a white page, can sometimes feel overwhelming for the visual system. This can lead to discomfort, distortion or fatigue when reading or focusing for extended periods. Visual stress is often noticed in both children and adults, particularly when reading feels difficult or tiring. It is sometimes associated with conditions such as dyslexia, although the two are not the same.   Visual stress vs light sensitivity: what’s the difference? Visual stress and light sensitivity can feel similar, but they are not the same. Light sensitivity (photophobia) is typically linked to brightness and discomfort from light itself Visual stress is more closely related to patterns, contrast and how visual information is processed Some people experience both, which is why a thorough assessment is important to understand what is affecting your vision.   Can tinted lenses help with visual stress? For many people, tinted lenses can make a noticeable difference to visual comfort. Carefully selected colours can help reduce the intensity of contrast and visual patterns, allowing your eyes to feel more relaxed when reading or using screens. This can make text appear more stable and easier to follow. The effect of colour is highly individual, which is why it is important to find the right tint for you rather than choosing a general option. Colour selection is typically guided through a visual stress assessment*. During an appointment, you may be shown a range of coloured overlays or lenses and asked to read or focus on text, helping you experience which tones feel most comfortable. Explore the different colours and types of tinted lenses to understand how each option works.   What is a visual stress test? At Leightons, there are two main types of visual stress assessment, designed to understand how your eyes respond to colour and contrast. Coloured overlay assessment: Different coloured overlays are placed over text to identify which makes reading feel more comfortable. Any improvement is measured using a standardised reading test. If effective, you may get specialised, custom-tinted lenses to use for reading and school/work. Colorimetry: A more advanced assessment using a specialist device to identify the precise tint or colour combination needed to reduce visual stress. This allows for the prescription of precision-tinted lenses tailored to your individual visual response. Before considering a visual stress assessment, it is important to have a comprehensive eye examination. This allows us to check your overall eye health and ensure your symptoms are not being caused by something else, such as: A prescription change Eye strain Another underlying eye condition If appropriate, we can then guide you through a visual stress assessment to explore whether coloured lenses may help improve your comfort and clarity.   Managing visual stress in everyday life There are several ways to help reduce the impact of visual stress in your daily routine: Use softer, more consistent lighting Reduce glare from screens Take regular breaks when reading or working Adjust screen settings or use coloured backgrounds For many people, the most effective support comes from personalised solutions such as coloured overlays or tinted lenses tailored to your visual needs. If your symptoms are linked to screen use, it may also help to compare blue light vs tinted lenses to understand which option is most suitable.   When should you seek advice? If reading feels uncomfortable, or if symptoms are affecting your concentration or confidence, it is worth having your eyes assessed. The best place to start is with a full eye examination. This allows us to understand your vision in detail and rule out any underlying causes. From there, we can guide you towards the most appropriate support, including whether tinted lenses or a colourimetry assessment may be beneficial. Book your eye test today.   * Please note that not all Leightons practices offer coloured overlay assessments or colourimetry. Please contact your local branch to confirm availability.
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