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Presbyopia

Presbyopia · Vetchozrakost (presbyopie)

What it is

The lens stiffens with age and stops focusing up close. Everyone gets it, from about 45.

Symptoms & signs

  • Holding text at arm's length
  • blur at reading distance
  • tired eyes
  • worse in dim light

🚩 Get help if…

  • call 112 / 911 now Sudden loss of sight or double vision
  • see a doctor soon Blurred vision with eye pain, halos around lights or red eye
  • see a doctor soon Straight lines that look wavy or a blank spot in the centre
  • see a doctor soon Near vision that worsens fast or differs a lot between eyes

Where it strikes

Medical treatment

  • Reading glasses
  • varifocals
  • multifocal contact lenses
  • pilocarpine drops (Vuity)
  • refractive lens exchange

Natural & lifestyle

  • Bright task lighting
  • larger type
  • breaks from close work

Emerging & experimental

  • Corneal inlays
  • accommodating intraocular lenses

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Eye exercises to avoid reading glasses — widely promoted; untested anecdotal / traditional
  • Pinhole glasses — sharper near vision, dimmer and narrower anecdotal / traditional

ICD codes