This condition is caused due to the eye's normal aging process in which a person is unable to focus on the near objects clearly due to the decrease in the elasticity of the normal lens. This loss of elasticity limits the ability of the eye to change its point of focus from distance to near. It starts at the age of about forty years.

Presbyopia is the inability to focus in close up. Normally, the lens in the eye changes shape to focus light directly onto the retina (back of the eye). But with age, the lens hardens and cannot change its shape as easily. It then can not focus clearly on close objects. This makes them look blurry.

Presbyopia makes it hard to do things close up, such as read small print, use tools, or thread a needle. The first sign may be a tired feeling when you take a close look at something. Presbyopia most often starts when you a re forty to forty-five years old. It slowly gets worse until you are about sixty to sixty-five .

Your eye doctor can tell you what your vision problem is by testing your vision. Glasses or contact lenses can then be prescribed to help you see better.

Your eye doctor measures the focusing power of your eyes’ by using eye charts, lenses, and special instruments. This way, he or she can tell what magnifying power you’ll need for focusing on close objects. Your eye doctor can also tell what focusing power you’ll need if you’re nearsighted, farsighted, or astigmatic. He or she may also dilate your eyes to look inside them.

This is done to make sure nothing else is affecting your vision.

• Bifocal /Varifocal Spectacles
• Contact lenses

Presbyopia is most often corrected by wearing glasses. If you have no other vision problems, you may only need reading glasses. If you are also near-sighted or far-sighted, your eye doctor can prescribe bifocals, trifocals or progressive lenses.

Reading glasses help you focus clearly on objects that are close. You can choose half glasses or full glasses.

They 'pull' the image back onto the retina. This way, you can see an object clearly. There are several kinds of glasses and contacts you can choose from.

Corrective lenses for treating Presbyopia

• Bifocals
  Bifocals correct near and far vision (‘bi’ means ‘two’). A small half–circle in the lower part of the lens magnifies objects that are close. In some cases, the whole lower half of the lens magnifies these objects.
• Trifocals
  Trifocals correct near, middle and far vision (‘ tri’ means ‘three’). The lower part of the lens has two magnifying powers. One magnifies near objects. The other magnifies objects that are about an arm’s length away.
• Progressive lenses
  Progressive lenses change magnifying power from near to middle to far vision gradually. You do not notice a change from one power to the next. Moreover, you do not see any lines on the lenses.

There are two kinds of contact lenses that correct presbyopia. If you are presently wearing contact lenses, you can use reading glasses with the same.

Mono-vision contact lenses correct one eye for close vision and one eye for far vision. This means one contact lens helps you read and see things that are near. The other contact lens helps you see things that are at a distance.

Multi-focal contact lenses have magnifying power. Some alternate between near and far vision.Others gradually change from near to far vision. You do not notice a change from one power to the next. Talk with your eye doctor about which kind of multi-focal lens is best for you.

Soflens ™ Multi Focal Lenses are aspheric multifocal lenses - they are “center-near” design and gradually change from correcting for near vision in the centre of the lenses to correcting for distance vision in the periphery. This transition provides patients with clear vision at all distances including intermediate vision.

• Laser surgery for Presbyopia - Lasik & Custom LASIK
• Refractive Lensectomy - PRELEX – Presbyopic Lens Exchange
• Conductive Keratoplasty

Eye exams are important to measure and correct vision problems. But seeing an eye doctor regularly also helps detect other eye problems. Early diagnosis and treatment of eye problems could save your eyesight.