Skip to main content
Home »

Presbyopia

6 Top Treatment Options for Presbyopia

Presbyopia is a condition that occurs as a person ages, which causes the lens of the eye to become less elastic. This results in issues with near vision for people 40 years old and over, which can cause difficulties with simple everyday tasks like reading, writing, or working on a computer.

Fortunately, your Collingswood eye care team at Premier Eye Associates can easily diagnose presbyopia as part of a routine comprehensive eye exam. Once diagnosed, we can offer a number of treatment options to make sure you enjoy your best vision at all times.

Here are six of the most common treatments for presbyopia correction:

Bifocal and Progressive Lens Eyeglasses

Bifocal and progressive lens eyeglasses are far and away the simplest and most commonly prescribed treatment for presbyopia.

A bifocal lens offers two distinct sections in a single lens. The primary section helps correct for distance vision, while the secondary section, usually a much smaller section of the lens, allows for clear near-vision.

Progressive lenses function in a similar manner. However, instead of the distance and near vision sections being in distinct zones, they’re more blended. This offers a more seamless viewing experience, though it can sometimes take longer to get used to.

Contact Lenses

There are two common types of contact lenses when it comes to the treatment of presbyopia with contacts:

Monovision contact lenses come in different prescriptions for each eye; one eye is fitted with a lens for distance vision and one for near vision. This solution may not be for everyone, however, as it can sometimes take some time to get used to.

Multifocal contact lenses work in much the same way that multifocal eyeglasses do. They’re designed to offer clear vision across distance, moderate and near vision. They come in various types, including soft disposable, rigid gas permeable, and hybrid contact lenses.

Corneal Inlays

Corneal inlays are very small implantable lenses that your eye doctor surgically places in the cornea to address issues with presbyopia. There are a few different kinds of corneal inlays currently available. Each of these lenses works in a slightly different way:

Corneal inlays that rely on exploiting the pinhole effect are implanted in the non-dominant eye allowing the lens to extend the patient’s overall range of vision.

Corneal inlays that are made from biocompatible hydrogel are designed to imitate the cornea in your eye. This inlay treats presbyopia in the same way as multifocal contact lenses, changing the curvature of the eye, and altering the way light enters and is focused on the retina.

Monovision LASIK

Although traditional LASIK procedures don’t address presbyopia, certain variations can help reduce symptoms and minimize your reliance on bifocals or reading glasses.

Monovision LASIK is the most widely used surgical correction for presbyopia. It corrects the dominant eye so that you can see better at a distance while leaving the less-dominant eye nearsighted. This relies on the idea that the non-dominant eye is only mildly nearsighted, so it is still able to see things up close without the need for reading glasses.

Refractive Lens Exchange

For refractive lens exchange (RLE), an eye surgeon replaces your eye’s natural lens using an artificial intraocular lens (IOL). The IOL improves near vision and reduces your need for near vision solutions such as reading glasses. There are multiple strategies that can be employed to address your particular case, including different types of lenses in each eye. Speak to your eye doctor to find out what will work best for you.

Eye drops are among the newest solutions for the treatment of presbyopia and are most effective in patients who have just begun to experience symptoms. They are miotic drops, meaning they rely on making the pupil contract to create a “pinhole effect” that mimics the eye’s natural ability to focus. This allows for improved vision close-up in patients with presbyopia.

For more information on how we can help you see your best with presbyopia, contact our Collingswood eye care team at Premier Eye Associates today!

Q&A

Are multifocal contact lenses difficult to get used to?

Some people will be able to adjust immediately to multifocal contacts, while others may take around a week to adjust. During the adjustment period, you may find that your distance vision is not as crisp as you like, and that you see shadows around some images up-close.

What is the pinhole effect?

The pinhole effect is a method of focusing your vision by causing the pupil to dilate or get smaller. This causes light that is scattered and unfocused to be able to enter your eye, leaving only focused light to enter and reach your retina. This results in sharper, more focused vision.

8 Ways Your Eyes Change With Age

Our eyes and vision change with age. Your eye doctor can monitor these changes — some of which are a natural part of the aging process — and identify any eye conditions or diseases early enough to treat them and prevent vision loss. Read on to learn more about the different types of eye changes one may encounter with age.

Age-Related Eye Conditions and Diseases

Cataracts

If your vision is starting to get blurry, you may be developing cataracts. There are a few types of cataracts, but the one usually caused by aging is known as a “nuclear cataract”. At first, it may lead to increased nearsightedness or even a temporary improvement in your reading vision. But with time, the lens gradually turns more densely yellow and clouds your vision. As the cataract slowly progresses, the lens may even turn brown. Advanced yellowing or browning of the lens can lead to difficulty distinguishing between shades of color, and left untreated, it can eventually lead to blindness. Luckily, cataract surgery, where the cloudy lens is replaced with a clear lens, is an extremely safe and effective treatment option.

Blepharoptosis

Blepharoptosis or ptosis is a drooping of the upper eyelid that may affect one or both eyes. The eyelid may droop only slightly or may droop enough to cover the pupil and block vision. It occurs when there is a weakness of the eye’s levator muscle that lifts the eyelid. This condition is usually caused by aging, eye surgery, or disease affecting the muscle or its nerve. Fortunately, blepharoptosis can be corrected with surgery.

Vitreous detachment

This occurs when the gel-like vitreous fluid inside the eye begins to liquefy and pull away from the retina, causing “spots and floaters” and, sometimes, flashes of light. This occurrence is usually harmless, but floaters and flashes of light can also signal the beginning of a detached retina — a serious problem that can cause blindness, and requires immediate treatment. If you experience sudden or worsening flashes and increased floaters, see our optometric team immediately to determine the cause.

Other Age-Related Changes

In addition to the above eye conditions and diseases, the structure of our eyes and vision change as we get older.

Presbyopia

Why do people in their 40s and 50s have more difficulty focusing on near objects like books and phone screens? The lens inside the eye begins to lose its ability to change shape and bring near objects into focus, a process is called presbyopia. Over time, presbyopia, also known as age-related farsightedness, will become more pronounced and you will eventually need reading glasses to see clearly. You may need multiple prescriptions – one prescription to enable you to see up close, one for intermediate distance, and one for distance vision. In that case, people often get bifocals, multifocals or PALs, and they can be combined with contact lenses as well.

Reduced pupil size

As we age, our reaction to light and the muscles that control our pupil size lose some strength. This causes the pupil to become smaller and less responsive to changes in ambient lighting. The result? It becomes harder to clearly see objects, such as a menu, in a low-light setting like a restaurant.

Dry eye

Our tear glands produce fewer tears and the tears they produce have less moisturizing oils. Your eye doctor can determine whether your dry eye is age-related or due to another condition, and will recommend the right over-the-counter or prescription eye drops, or other effective and lasting treatments, to alleviate the dryness and restore comfort.

Loss of peripheral vision

Aging causes a 1-3 degree loss of peripheral vision per decade of life. In fact, one may reach a peripheral visual field loss of 20-30 degrees by the time they reach their 70s and 80s. While peripheral vision loss is a normal part of aging, it can also indicate the presence of a serious eye disease, like glaucoma. The best way to ascertain the cause is by getting an eye exam.

Decreased color vision

The cells in the retina responsible for normal color vision tend to decline as we age, causing colors to become less bright and the contrast between different colors to be less noticeable. Though a normal part of aging, faded colors can at times signal a more serious ocular problem.

Beyond the normal changes that come with age, the risk of developing a serious eye disease, such as age related macular degeneration and glaucoma, increases. Routine eye exams are essential to keeping your eyes healthy. Your eye doctor can determine whether your symptoms are caused by an eye problem or are a normal byproduct of aging.

If you or a loved one suffers from impaired vision, we can help. To find out more and to schedule your annual eye doctor’s appointment, contact Premier Eye Associates in Collingswood today.