Presbyopia

Topic Overview

What is presbyopia?

Presbyopia is the normal worsening of vision with age, especially near vision. As you approach middle age, the lenses in your eyes begin to thicken and lose their flexibility. The ability of the lens to bend allows our eyes to focus on objects at varying distances (accommodation); the loss of this ability means that vision declines and objects cannot be brought into focus. This generally becomes noticeable some time around age 45 when you realize that you have to hold a book or newspaper farther from your face to focus on it.

Normally, a muscle surrounding the lens in your eye expands or contracts, depending on the distance to the object being focused on. With presbyopia, the muscle still works, but the lens has lost much of its flexibility and won't bend enough to bring close objects into focus. Images are then focused behind the retina instead of directly on it, leaving close vision blurred. Putting greater distance between the object and your eye brings the object into focus—for example, holding a newspaper farther from your face. For this reason, presbyopia is sometimes called "long-arm syndrome."

What causes presbyopia?

Presbyopia is a natural part of aging. As you grow older, the lenses in your eyes thicken and lose their elasticity, and the muscles surrounding the lenses weaken. Both these changes decrease your ability to focus, especially on near objects. The changes take place gradually, though it may seem that this loss of accommodation occurs quickly.

What are the symptoms?

The main symptom of presbyopia is blurred vision, especially while doing close work or attempting to focus on near objects. This is worse in dim light or when you are fatigued. Presbyopia can also cause headaches or eye strain.

How is presbyopia diagnosed?

Presbyopia can usually be diagnosed with a general eye examination. Your health professional will usually test your visual acuity (sharpness of vision), your refractive power (the ability of your eyes to change focus from near to far), the condition of the muscles in your eye, and the condition of your retina. He or she will probably also take measurements for glasses or contact lenses at the time of the examination.

How is it treated?

Presbyopia can usually be corrected with glasses or contact lenses. If you didn't need glasses or contacts before presbyopia appeared, you can probably correct your eyesight by using reading glasses for close work. Glasses you buy without a prescription may be sufficient, but check with your eye doctor to determine the right glasses for you. If you do buy glasses without a prescription, try out a few different pairs of varying strength (magnification) to make sure you get glasses that will allow you to read without straining.

If you already use glasses or contacts to correct nearsightedness, farsightedness, or astigmatism, you'll need a new prescription that will also correct presbyopia. You may wish to use bifocals, in which distant vision is corrected at eye level and close vision is corrected at the bottom. Other options include trifocal glasses, which can correct for distant, near, and middle vision; bifocal contact lenses; or monovision contact lenses, which correct distant vision in your dominant eye and close vision in your weaker eye. Your prescription may have to be adjusted over time as presbyopia worsens.

If you don't want to wear glasses or contacts, surgery may be an option to correct presbyopia. Procedures being used to treat presbyopia include laser-assisted in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK), which use lasers to reshape the cornea of your eye, or a clear lens extraction with an intraocular lens implant, in which the natural lens is removed and an artificial one is implanted to replace it.

None of these surgeries will restore perfect vision—you will have to compromise. For example, you may have surgery to correct distance vision and then use reading glasses for near vision, or you may have one eye adjusted for near vision and one for distance vision, which would lessen your depth perception. New procedures that reverse presbyopia are being developed and tested.

Will my vision continue to worsen?

Near vision begins to decline due to presbyopia around age 45. Your eyes continue to lose the ability to accommodate—requiring changes to prescriptions for glasses or contacts—until you reach your early 60s. At this point, accommodation stabilizes and your vision should stop getting worse.

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Author:	Carrie Henley Christopher Hess	Last Updated: August 22, 2007
Medical Review:	Tom Bailey, MD - Family Medicine Patrice Burgess, MD - Family Medicine Adam Husney, MD - Family Medicine
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