Skip to main content
Map
Menu

Located on North Main Street across from the Va. Tech campus

Located on North Main Street across from the Va. Tech campus

sky-mountain-light
Home » Eye Care Services in Blacksburg » Presbyopia Diagnosis and Treatment

Presbyopia Diagnosis and Treatment

As we reach middle age, particularly after age 40, it is common to start to experience difficulty with reading and performing other tasks that require near vision. This is because with age, the lens of our eye becomes increasingly inflexible, making it harder to focus on close objects. This condition is called presbyopia and eventually it happens to everyone who reaches old age to some extent.

To avoid eyestrain, people with untreated presbyopia tend to hold books, magazines, newspapers, and menus at arm’s length in order to focus properly. Trying to performing tasks at close range can sometimes cause headaches, eye strain or fatigue in individuals who have developed this condition.

Causes of Presbyopia

During our youth, the lens of our eye and the muscles that control it are flexible and soft, allowing us to focus on close objects and shift focus from close to distant objects without difficulty. As the eye ages however, both the lens and the muscle fibers begin to harden, making near vision a greater challenge.

Presbyopia is a natural result of the aging process and not much can be done to prevent it. Its onset has nothing to do with whether you already have another vision impairment such as nearsightedness, farsightedness or astigmatism. Everyone will notice some degree of loss of near vision focusing power as they age, although for some it will be more significant than others.

Symptoms and Signs of Presbyopia

Presbyopia is characterized by:

  • Difficulty focusing on the small print
  • Blurred near vision
  • Experiencing eyestrain, fatigue or headaches when doing close work or reading
  • Needing to hold reading material or small objects at a distance to focus properly
  • Requiring brighter lighting when focusing on near objects

Presbyopia can be diagnosed in a comprehensive eye exam.

Treatment for Presbyopia

There are a number of options available for treating presbyopia including corrective eyewear, contact lenses or surgery.

Eyeglasses

Reading glasses or “readers” are basically magnifying glasses that are worn when reading or doing close work that allow you focus on close objects.

Eyeglasses with bifocal or multifocal lenses such as progressive addition lenses or PALs are a common solution for those with presbyopia that also have refractive error (nearsightedness, farsightedness or astigmatism). Bifocals have lenses with two lens prescriptions; one area (usually the upper portion) for distance vision and the second area for near vision. Progressive addition lenses or PALs similarly provide lens power for both near and distance vision but rather than being divided into two hemispheres, they are made with a gradual transition of lens powers for viewing at different distances. Many individuals prefer PALs because unlike bifocals, they do not have a visible division line on the lens.

Bifocal and Multifocal Contact Lenses

For individuals that prefer contact lenses to glasses, bifocal and multifocal lenses are also available in contact lenses in both soft and Rigid Gas Permeable (RGP) varieties.

Multifocal contact lenses give you added freedom over glasses and they allow you to be able to view any direction – up, down and to the sides – with similar vision. People wearing progressive lenses in glasses, on the other hand, have to look over their glasses if they want to view upwards or into the distance.

Another option for those that prefer contact lenses is monovision. Monovision splits your distance and near vision between your eyes, using your dominant eye for distance vision and your non-dominant eye for near vision. Typically you will use single vision lenses in each eye however sometimes the dominant eye will use a single vision lens while a multifocal lens will be used in the other eye for intermediate and near vision. This is called modified monovision. Your eye doctor will perform a test to determine which type of lens is best suited for each eye and optimal vision.

Surgery

There are surgical procedures also available for the treatment of presbyopia including monovision LASIK eye surgery, conductive keratoplasty (CK), corneal inlays or onlays or a refractive lens exchange (RLE) which replaces the hardened lens in the eye with an intraocular lens (IOL) similar to cataract surgery.

Since it affects so much of the older population, much research and development are going into creating more and better options for presbyopes. Speak to your eye doctor about the options that will work best for you.

If you have any questions about presbyopia or any of the eye care services we provide in our Christiansburg optometrist office, call us today! Come check out our selection of eyeglasses and contacts too!

Protecting our Patients from Coronavirus Disease Outbreak

Making sure our patients and staff are safe is our top priority. We know many patients are concerned about the spread of Coronavirus.

Our Promise to Our Patients:

We understand the obvious concern that coronavirus has brought to the area. We want to make you aware of the steps we are taking to protect our patients and team members in this time of uncertainty.

We request the following of patients:

  1. If you have traveled in the last 14 days to a country other than the U.S. where coronavirus has been diagnosed, or to any area in this country that has had a number of cases of concern (eg, Seattle, DC-NY metro area, parts of CA, etc…) please call the office to reschedule your appointment for next month or beyond.
  2. If you have any symptoms that mimic that of the coronavirus, which includes a fever or respiratory symptoms, including a cough, please call and reschedule your appointment at least 14 days from now.
  3. If you suspect that you have had direct contact with people who have been around any of the people who have tested positive for the coronavirus, please call us to reschedule your visit beyond 14 days from now.
  4. Remember to follow basic hygiene guidelines to avoid the spread of germs, which includes washing your hands thoroughly with warm water and soap for at least 20 seconds.

Our staff will also follow these guidelines and will not be present at work if they exhibit any of the above-mentioned symptoms:

  1. Any eye doctor or team member who is sick is staying home
  2. We sanitize every piece of equipment after each use and again at the end of the day (as part of our precautions we always adhere to).
  3. We will sanitize all patient contact surfaces between every patient.
  4. Our team washes their hands often throughout the day
  5. If we don’t shake hands with our patients during this time, please don’t take it personally.
  1. Please call us with any questions or concerns, and if you feel it best for you or your family member to reschedule your appointment, feel free to do so.
  2. We do expect this to be an ongoing situation in our area for an extended period of time, and do not want our patients to neglect their eye care needs during this time. We will continue to give recommendations based on the evidence we have on safe delivery of eye care in a time of uncertainty.

For the most up-to-date information on treatments, FAQs, news and more, please visit the following official health organizations:

Centers for Disease Control & Prevention (CDC) at www.CDC.gov

World Health Organization (WHO) at www.WHO.int

Thank you for helping us to protect all of our patients.

Drs. Jacobs, Steckenrider and Staff