Presbyopia is the age-related loss of the eye’s ability to focus up close. It commonly becomes noticeable in midlife, but the timing and the correction that helps are individual. Increasing font size or holding reading material farther away may be early clues.
What changes?
The natural lens becomes less flexible with age, reducing its ability to change focus. This differs from simple farsightedness. An examination can check whether presbyopia, another prescription change, dry eye, or an eye condition explains your symptoms. See the NEI explanation of presbyopia.
Reading comfortably
Options include reading glasses, progressives, occupational lenses, or contact lenses. Some nearsighted people can read more easily by removing distance glasses. Wearing an appropriate reading correction does not cause the age-related change.
Multifocal contacts and monovision have different visual tradeoffs. We can trial lenses and discuss fine print, computer distance, driving, and depth perception before recommending an approach. Read our multifocal contact-lens guide, including a randomized comparison with monovision.
What about surgery?
LASIK does not restore the natural lens’s youthful focusing ability. Some surgical plans use monovision, but suitability and its compromises need careful evaluation. See our LASIK consultation and referral information. Sudden vision changes should not be assumed to be ordinary aging.
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This article was published April 26, 2022. For advice about your own eyes, speak with your optometrist.
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