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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Hyperopia
Hyperopia is a very common eye condition that can affect both children and adults. It is also known as 'far-sightedness,' in which distant objects can be clearly seen, but objects nearby may appear blurred. This condition can also cause frequent headaches, eye strain, dull eye pain, and difficulty reading. Recognising the symptoms of hyperopia and getting it diagnosed quickly with regular eye tests is important for managing the condition. Here, we'll explain the possible causes and complications of hyperopia, as well as treatment options and how it may be prevented. What causes hyperopia? Hyperopia is a refractive error. This means that light rays aren't refracted properly and disrupt the light's focus on the retina, which affects your vision. It's often caused by the shape of your eye, a short eyeball or a flatter cornea. However, hyperopia can also be passed down from your parents and is usually present from birth, but since children have a very flexible eye lens that helps them to see clearly, it can go undetected until they are older. Recognise the symptoms of hyperopia The most common hyperopia symptoms to look out for include: Blurred vision, especially when looking at items that are close to you. Fatigue. Eye strain. Frequent headaches. Dull pain in your eyes. Difficulty reading and needing to squint your eyes to see the words on the page. Double vision. Tired eyes after looking at something closely, such as a computer screen or book. Complications of hyperopia The biggest complications adults will face with hyperopia are the uncomfortable symptoms mentioned above, such as headaches, pain, double vision, blurry images, difficulty reading and eye strain, making it very difficult to complete daily tasks. Younger children who may have undiagnosed or untreated hyperopia will be more likely to develop other eye problems, including amblyopia (lazy eye) or strabismus (eyes that look in different directions). Early and regular eye exams can help identify hyperopia before leading to other complications. Diagnosis of hyperopia Your optometrist can diagnose hyperopia through a comprehensive but painless eye exam. Drops may be administered, if required, during the test to dilate your pupils' size, allowing more light to come through. Then, your optician will be able to see parts of your eye that are farther back to look for refractive errors. During this exam, they'll also be able to look for other conditions like glaucoma and cataracts, which can also be picked up by a routine eye examination. So, if you experience any symptoms or even just feel like your eyes are tired, it's useful to schedule a checkup with an OCT scan included to test for hyperopia and other eye conditions. Treatment options for hyperopia Hyperopia can be corrected with the following treatment options: Wearing eyeglasses: The lenses in glasses can change the way light focuses on your retina to correct hyperopia. The degree of your hyperopia will determine the type of lenses you'll need. For higher prescriptions, thinner lens designs can be used to maximise the cosmetic appearance. Contact lenses: Similar to eyeglasses, contact lenses will correct the way light enters your eye with the lenses suited to your specific needs. It's purely down to personal preference whether you choose contact lenses or eyeglasses. Surgery: There are several surgery options to help correct hyperopia. LASIK is possible for lower levels of hyperopia, however, the correction is often less successful than myopia correction due to the steepened corneal shape collapsing and flattening over time, cancelling out the corrective effect. For people with higher degrees, a refractive lens exchange can help. Preventing hyperopia Unfortunately, there's no way to prevent hyperopia as, in most cases, it's caused by genetics. Certain lifestyle habits can help to keep your eyes healthy and prevent further complications, including: Getting regular eye exams will allow your optician to check for eye problems before you even exhibit symptoms. For young children, getting early eye exams can help to identify and prevent hyperopia developing into other, more serious eye conditions. Resting your eyes regularly, particularly if you look at a screen a lot for work, can help ease discomfort and reduce the risk of eye strain. Wearing sunglasses even on a cloudy day will help to safeguard your eyes from rays that can make their way through the clouds. Eating a nutritious diet and ensuring you get enough vitamin A, vitamin C, vitamin E, and lutein from lots of fruit and leafy greens are all important for maintaining healthy vision. Find a Leightons branch near you to book your eye test. How Leightons can help Leightons can provide professional eye tests and expert advice for those with hyperopia and other eye conditions, such as glaucoma, to help monitor and manage your eye health, ensuring your prescription is up to date and optimise your visual acuity. Whether you have concerns about your eyesight or you're simply due a checkup, Leightons is here to help.
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