Presbyopia Affects Everyone Eventually

Presbyopia is a universal eye disorder that causes close-up objects to become blurry and out-of-focus.

Do  you have to extend your hands when reading a magazine? Wish your hands were longer? Than you may have the age related eye disease called presbyopia or aging eyes. You may also have trouble seeing the dashboard of your car. Some folks cannot even see the computer clearly. Don’t feel bad.Everyone will have presbyopia when they get older; it is simply a matter of time before you start noticing its effects. Presbyopia is the reason why adults in their 40s and beyond need reading glasses.

Understanding Aging eyes

When you are young, your eye’s natural lens is soft and flexible, allowing it to change shape whenever you need to focus on different objects at different distances.


Unfortunately, as you age, the proteins in your lens become harder and less flexible, limiting the lens’s ability to change shape. When this happens, you will be unable to focus on near objects with the same clarity you once had.

At the same time the muscles which move the lens become weaker. They are unable to move and exert as much pressure as in youth

Why Does Presbyopia occur at different ages?

Some people have an earlier onset of aging eyes. Theses people are farsighted to begin with. That means they are not able to focus clearly at near in a relaxed state. When young they use their strong eye muscles to improve vision for near. These eyes gradually loose their muscle power. Hence they may have reading issues even in their late thirties.

On the other hand nearsighted people may enjoy reading for a longer time. As the term suggests they can see things at near but not far. Finally one day they cannot see at any distance and they require bifocals or even trifocal glasses. Some people combine contact lenses with glasses to overcome the effect of aging eyes.

Another group of people develop nuclear sclerotic cataracts. These cataract early on act as magnifying glasses. During that time reading may improve and called “Second Sight’.

Presbyopia Treatment options

Aging eyes can be treated by natural methods methods encompassing  exercise, nutrition  and altering lifestyle.

Learn more about Non Surgical Treatment Options for Presbyopia

Conventional treatment options include glasses. They can be of different types. Just readers or cheaters. Others may require bifocals and some need trifocals. No line progressives have helped some people. If you already wear glasses for myopia, you will need biofocals once presbyopia develops. The double lenses in bifocals allow you to correct your vision for presbyopia and nearsightedness at the same time. If you use contact lenses or are farsighted, you should only need basic reading glasses for clear vision.

There area a lot of disadvantages in wearing these heavy glasses. Ever try swimming in them? I think you dislike them in the rain too.

Surgical Treatment or Reversal of Presbyopia

Many surgical treatments have been proposed. As we have seen above the cause is thicker lens and weaker muscle.

The treatment of presbyopia have focussed on increasing the length of the muscles to make them stronger. Unfortunately this method has not worked well.

Since presbyopia is a problem with your eyes’ lenses – not your cornea – it cannot be corrected with Lasik eye surgery. Mono vision lasik is a compromise.

An innovative surgery called PIE (Presbyopic Implant in Eye) is designed to eliminate presbyopia by replacing the old, hardened lens of your eye with a new artificial lens.

There is no reason you should resign yourself to needing reading glasses or bifocals for the rest of your adult life. With PIE, you can have clear vision again for both near and far distances. Better still, you can avoid the development of cataracts later in life, since they cannot form on an artificial lens.If you are tired of living with presbyopia and want the clear vision of your youth back, please contact The Khanna Institute today to schedule a free screening. Please feel free to fill the form below if you have a question.

We serve patients throughout the Los Angeles area, with offices in Beverly Hills and Westlake Village, California.

By Rajesh Khanna , MD

Americas Top Ophthalmologist for PresbyopiaServing Los Angeles, California and Surrounding Communities