Eye diseases
Presbyopia

What is presbyopia?
Presbyopia, popularly known as “tired eyesight”, is an eyesight problem that appears as a result of the ageing of the crystalline lens, or the eye’s natural lens.
Unlike other refractive defects (myopia, hyperopia and astigmatism), which often appear in childhood or adolescence, presbyopia is especially common from the age of 40-45. Sooner or later, the difficulty it causes to focus on nearby objects ends up affecting us all, and as it progresses it might also make distant vision worse, if it is also associated to mild hyperopia that was latent and produced no symptoms.
Symptoms
Causes and risk factors
Diagnosis
Treatment
The characteristic symptom of presbyopia is poor near vision. The most common example is the need to unconsciously move away from your mobile phone, a book, the restaurant bill, a shopping receipt, etc. to be able to focus better on the text and prevent the letters and numbers from “dancing around” or merging together.
If this refractive defect is not properly corrected and you do not have the right prescription, you might also notice tears and itchy eyes, frequent headaches when you concentrate, or the need to squint to see better and having to use more light when reading.
Frequently Asked Questions
Presbyopia, also known as age-related farsightedness, is an age-related visual condition that makes it difficult to focus properly on close objects. It occurs because the lens gradually loses its ability to accommodate, making it harder to read or do close-up tasks without optical aids.
The most common symptoms of presbyopia are difficulty reading up close, needing to hold text further away to focus on it, blurred vision at short distances and eye strain after close-up activities. Headaches associated with the effort to focus can also occur.
Presbyopia usually starts to become noticeable from the age of 40-45, although the age at which it appears and how it progresses can vary from person to person. It is a natural process associated with the aging of the eye’s focusing system.
Yes. Presbyopia can be corrected with glasses, contact lenses or various surgical options. Surgery may include laser procedures or the implantation of intraocular lenses, depending on age, prescription, the condition of the lens and the characteristics of each eye.
Presbyopia is diagnosed through an eye examination that includes assessing near and distance vision and checking the prescription. Before considering a surgical solution, it is also necessary to assess the cornea, lens, retina and other eye structures.
Yes. Presbyopia and age-related farsightedness are two ways of referring to the same age-related visual condition. It is caused by the gradual loss of the lens’s ability to accommodate, which makes it difficult to focus properly on close objects.
Presbyopia occurs because, over the years, the lens loses elasticity and the ability to change shape and focus on close objects. It is a natural process associated with the aging of the eye and usually begins from the age of 40-45.
Presbyopia is a refractive condition related to the aging of the eye’s focusing system. It is not considered an eye disease in itself, but rather a natural process that gradually affects the ability to focus up close.
Yes. The lens’s ability to accommodate decreases gradually with age, so difficulty focusing up close may increase over time. How it progresses and when it stabilizes can vary from person to person.
Yes. A person can have myopia, hyperopia or astigmatism and develop presbyopia with age. In these cases, treatment must take into account both the prescription for distance vision and the needs for intermediate and near vision.
Yes. Presbyopia can coexist with astigmatism. Depending on the prescription and the characteristics of the eye, it can be corrected with glasses, contact lenses or certain refractive surgery techniques.
Holding your phone, a book or any text further away to see it more clearly is one of the most common signs of presbyopia. It happens because the eye gradually loses its ability to focus on close objects.
Difficulty seeing up close while maintaining good distance vision is a characteristic symptom of presbyopia. It is due to the gradual loss of the lens’s ability to accommodate.
Yes. The continuous effort to focus up close can cause eye strain and headaches, especially during activities such as reading or working at a screen. If the discomfort is frequent, an eye examination is advisable.
Yes. Difficulty maintaining focus up close can cause eye fatigue or strain, especially after reading, using a computer or doing other tasks that require near vision for long periods.
Presbyopia can be more noticeable in low light or when your eyes are tired. In these situations, it may be harder to focus clearly on text and close objects.
Yes. As presbyopia progresses, focusing difficulties can also affect intermediate distances, such as the distance used when working at a computer.
Presbyopia usually develops gradually. If a person experiences sudden vision loss, double vision, flashes, numerous floaters or other abrupt changes, they should have an ophthalmological assessment to rule out other causes.
The degree of presbyopia is determined through an eye examination that assesses near and distance vision and checks the prescription needed to focus properly. The assessment may include other tests if a possible surgical solution is being considered.
Age-related farsightedness can be corrected with glasses, contact lenses or certain surgical techniques. The most suitable solution depends on age, prescription, the condition of the eye and each patient’s visual needs.
No. Glasses are one of the most common ways to correct presbyopia, but there are also contact lenses and various surgical options for certain patients who want to reduce their dependence on glasses.
Yes. There are specific contact lenses to correct presbyopia, including multifocal lenses. Fitting must be done on an individual basis to assess each patient’s prescription and visual needs.
Yes. Progressive glasses combine different prescriptions in the same lens to make it easier to see at different distances, including near, intermediate and distance vision. They are one of the usual options for correcting presbyopia.
Presbyopia is the gradual loss of the ability to focus on close objects due to aging of the lens, while cataracts occur when the lens loses its transparency and becomes cloudy. Both can appear with age, but they are different eye problems and require a specific assessment.
Both are related to aging of the lens, but they are not the same. A person with presbyopia may later develop a cataract. When there is a cataract, replacing the lens with an intraocular lens can also address the patient’s refractive needs.
If presbyopia coexists with a cataract, cataract surgery can replace the clouded lens with an intraocular lens that also takes near and intermediate vision needs into account. The most suitable lens will depend on the condition of the eye and visual expectations.
There is currently no way to prevent presbyopia, as it is related to the natural changes the lens undergoes with age. Eye examinations make it possible to detect other vision problems and assess the different correction options.
Presbyopia cannot be avoided through lifestyle changes or reversed simply through exercises or supplements. It can be compensated for with glasses or contact lenses and, in selected patients, with various surgical techniques aimed at reducing dependence on optical correction.
Eye exercises have not been shown to restore the ability to accommodate lost through aging of the lens. To correct difficulty with near vision, glasses, contact lenses or, in selected patients, surgical options can be used.
Presbyopia develops gradually and does not usually cause sudden vision loss. If there is a sudden decrease in vision, especially if it is accompanied by pain, flashes, floaters or a shadow in the visual field, you need to go to an ophthalmic emergency department.
Gradual difficulty seeing up close may be due to presbyopia and can be corrected with various options. However, if visual changes appear suddenly, also affect distance vision or are accompanied by pain, vision loss, flashes or floaters, it is important to have an ophthalmological assessment.

