Presbyopia Treatment in Sydney

Have you started holding menus or books farther away to read them? Are you frustrated by blurry near vision that makes everyday tasks harder?

You might be experiencing presbyopia, a natural, age-related condition that affects the eye’s ability to focus on nearby objects. It typically begins to develop in individuals around their early to mid-40s and progressively worsens over time.

I’m Dr. Nick Papadopoulos, owner and principal optometrist at Optometrist Parramatta, here in Sydney. I’ve helped countless patients manage presbyopia and regain clear, comfortable vision. I know how frustrating it can be when changes to your eyesight start interfering with your daily life. But my goal in this article is to explain your options and empower you to make informed decisions about your eye health.

With the right care, you can continue seeing the world clearly as you age. Keep reading to find out more about presbyopia treatment.

KEY TAKEAWAYS

  • Presbyopia is a natural age-related condition, but it can be effectively managed with tailored treatments like glasses, contacts, or surgery.

  • Choosing the right treatment depends on your lifestyle, vision needs, and preferences, which an eye exam can help determine.

  • Early management of presbyopia prevents unnecessary strain and ensures clear, comfortable vision for years to come.

Need an Appointment?

presbyopia symptoms sydney

What is Presbyopia?

Presbyopia is an eye condition where the lens of your eye gradually loses its ability to focus on close objects. This happens naturally as we age.

The lens, which is normally flexible in younger years, becomes stiff over time. As a result, it struggles to bend light properly, causing close-up vision to appear blurry.

Presbyopia is different from hyperopia (farsightedness), even though the symptoms might feel similar. While hyperopia is due to the eye’s shape, presbyopia is purely an age-related change in the eye’s lens.



Common Symptoms of Presbyopia

The symptoms of presbyopia tend to appear gradually, often around the age of 40. These symptoms can worsen in low-light conditions or when your eyes are tired. If you’re noticing any of the following signs, it might be time to book an eye exam:

Difficulty Focusing On Close Objects

One of the earliest signs of presbyopia is the inability to focus on nearby items clearly. Tasks that require close-up precision, like reading fine print, threading a needle, or examining intricate details, may become frustrating or take longer than they used to.

Holding Items Further Away To Bring Them Into Focus

A telltale behaviour of presbyopia is finding yourself instinctively extending your arms to read text more clearly. Whether it’s a book, a phone screen, or a restaurant menu, this action becomes necessary as your eyes struggle to focus on objects at their usual reading distance.

Blurred Vision When Viewing Small Print or Fine Details

As the condition progresses, small text or intricate patterns may appear fuzzy or out of focus, no matter how hard you try to concentrate. This can make everyday tasks like reading a newspaper or checking product labels increasingly difficult.

Headaches After Reading

Straining your eyes to compensate for presbyopia often leads to discomfort, including frequent headaches. This symptom tends to occur after prolonged periods of close work, such as reading a book or working on a computer.

Eye Strain or Fatigue During Activities Requiring Near Vision

Extended use of your eyes for close-up activities, whether it’s sewing, using a smartphone, or typing, can leave them feeling tired and overworked. This fatigue is a common response to the additional effort your eyes must exert to focus on near objects.



Non-Surgical Presbyopia Treatment Options

There is no cure for presbyopia, but there are many effective ways to manage it. These include wearing OTC reading glasses, prescription glasses, and contact lenses.

Over-the-Counter (OTC) Reading Glasses

OTC reading glasses are a popular choice for those with mild presbyopia. These are widely available and come in various strengths, measured in dioptres, to suit different levels of near-vision correction. These glasses are convenient and affordable, making them an excellent option for quick fixes, such as reading menus or performing other close-up tasks.

However, OTC glasses are not tailored to your unique prescription. If you have additional conditions like astigmatism or hyperopia, prescription lenses may be a better choice.

Prescription Glasses

Prescription glasses are a tailored solution for those needing more precise correction. These can address presbyopia alone or in combination with other vision issues like hyperopia or astigmatism. Options include:

  • Bifocals: Lenses with two distinct focal points; one for distance and one for near vision. The separation between the two areas is marked by a visible line.
  • Progressive Lenses: These provide a smooth transition between near, intermediate, and distance vision without any visible lines. They’re often chosen for their versatility and aesthetic appeal.

Contact Lenses for Presbyopia

Contact lenses are an excellent option if you prefer to avoid glasses altogether. They offer flexibility and convenience for daily activities.

  • Multifocal Contact Lenses: These lenses are designed with multiple zones of correction, enabling you to see clearly at various distances. They are available in soft, rigid gas-permeable (RGP), or hybrid materials, making them suitable for a wide range of preferences and eye conditions.
  • Monovision Contact Lenses: In this setup, one lens is prescribed for distance vision, and the other for near vision. While it might take some time for your brain to adjust, many patients find this approach highly effective.

Surgical Solutions for Presbyopia

If you’re looking for a more permanent solution, surgical treatments might be worth considering. These include:

Monovision LASIK

This laser procedure adjusts one eye for distance vision and the other for near vision. It’s a permanent solution but requires careful consideration. I always recommend a trial with monovision contact lenses beforehand to ensure patients are comfortable with the adaptation process.

Refractive Lens Exchange (RLE)

RLE involves replacing the eye’s natural lens with an artificial intraocular lens (IOL). This option is particularly beneficial for those with severe presbyopia or additional refractive errors.



Choosing the Right Treatment Option for Your Lifestyle

The best presbyopia treatment for you depends on several factors, including:

  • Severity of Presbyopia: The level of correction needed will influence your choice of treatment.
  • Lifestyle: Active individuals might prefer contact lenses, while those who spend long hours on a computer may benefit from progressive lenses.
  • Preferences: Some patients prefer to avoid glasses altogether and opt for surgery instead.

A comprehensive eye exam is essential to determine the most suitable option for your specific needs. At Optometrist Parramatta, I’ll guide you through the choices to find what works best for you.



Managing Presbyopia

Living with presbyopia doesn’t have to be difficult. With a few adjustments, you can enhance your daily comfort and productivity.

Improving Near-Task Comfort

Proper lighting is essential when reading or performing close-up tasks. Dim lighting can strain your eyes, making it harder to focus and potentially causing discomfort over time. To alleviate this, ensure your reading or work area is well-lit, particularly when engaging in detailed activities.

Then, adjusting the height and distance of reading materials or screens to align with your natural line of sight can significantly reduce the effort your eyes need to focus. This simple adjustment helps maintain comfort during extended periods of near work.

Maximising the Benefits of Corrective Aids

Make sure your glasses or contact lenses are up-to-date, and matched to your current prescription. Vision changes over time, and outdated lenses may not provide the clarity or comfort you need. Choosing lenses tailored to your specific tasks can also make a significant difference.

For instance, progressive lenses are ideal for multitasking, while reading glasses are better suited for close-up activities. Selecting the right solution can improve both convenience and visual comfort.

Regular Eye Exams

Your vision will continue to change as presbyopia progresses, so regular eye exams are crucial. These check-ups allow us to update your prescription and detect any other eye conditions that might develop alongside presbyopia.

CONCLUSION

Presbyopia is a natural, age-related condition that reduces the eye’s ability to focus on close objects, but effective treatments are available. Treatment options range from simple solutions like reading glasses to advanced surgical techniques like Monovision LASIK and Refractive Lens Exchange.

Multifocal contact lenses and progressive glasses offer flexible solutions for those who need vision correction at multiple distances. At Optometrist Parramatta, our approach to presbyopia management depends on your lifestyle needs, the severity of vision changes, and individual preferences.

Regain your confidence and independence with presbyopia treatment options.


To make an appointment, give us a call at 02 9891 2020 or click the “Book Online” button on our website.


Dr Nick Papadopoulos – Owner and Optometrist

B.Optom (UNSW), CertOcTher (ACO) Therapeutically Endorsed Optometrist

Member of the Cornea & Contact Lens Society of Australia & the Orthokeratology Society of Oceania