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Presbyopia Diagnosis and Treatment

Visit your eye doctor in Randolph to read comfortably again!

Do you need to hold your book or menu far from your face in order to read it? Have you been nearsightedness for years, but suddenly find yourself removing your glasses to see anything near your nose?

Most people over age 40 will have answered YES to these questions! That’s because this vision condition, called presbyopia, is actually a normal part of aging. (In case you were wondering – “presbyopia” means “old eye” in Greek.) What can you do to enjoy comfortable vision again? The first step is to book an eye exam. Our eye doctor in Randolph will check your vision thoroughly to diagnose presbyopia and prescribe the most helpful vision correction so you can see at all distances.

Why does presbyopia occur?

In a healthy eye, a transparent and flexible lens is located behind your iris. This lens changes shape constantly to focus light for near and distant objects onto your retina. That’s how you are able to see a range of distances. Yet, as you age, the lens hardens with additional layers of tissue, thereby losing its flexibility. Consequently, you have trouble focusing on anything close-up – such as reading fine print and doing detailed tasks, like crafts and needlework.

Everyone over 40 is at an equal risk for presbyopia. It is not associated with any other medical issue or vision impairment – and it makes no difference if you already wear prescription eyeglasses or contact lenses.

How does our eye doctor in Randolph diagnose presbyopia?

When our patients who are older than 40 complain that near objects and small print suddenly look blurred, it’s usually a clear sign of presbyopia. To make a diagnosis, we will perform a detailed vision test, having you read from a card held close to your eyes to assess your near vision.

The most common symptoms of presbyopia are:

  • Difficulty focusing on small print
  • Blurry near vision
  • A need to hold reading material at arm’s length in order to see it clearly
  • Needing brighter lighting for close vision
  • Eyestrain, headaches or eye fatigue or headaches when reading or doing close work

What is the treatment for presbyopia?

While there is no way to prevent or reverse presbyopia, our eye doctor in Randolph can offer various treatments.

Eyeglasses –bifocals, multifocals, and readers

Reading glasses, nicknamed “readers”, can be worn as magnifiers to help you to see small print or focus on near work.

Bifocals have two built-in lens prescriptions in distinct zones. Typically, the lower segment is made for near vision and the upper segment for distance. Multifocal glasses with progressive addition lenses (PALs) also provide vision for distance and near, yet the lenses have a gradual transition of powers – instead of two distinct zones. Many people prefer progressive lenses because they are more attractive, with no bisecting line across the lenses. In general, bifocals and multifocals are appropriate for people who already wear prescription eyewear for nearsightedness, farsightedness or astigmatism.

Bifocal/Multifocal Contact Lenses

If you prefer contact lenses instead of glasses, then this is a fantastic, high-tech solution for presbyopia. Bifocal and multifocal contacts are available in both soft and hard versions. They offer superior freedom and convenience, along with a full field of view. You can look up, down and to the sides, instead of viewing upwards or looking over your glasses to see far. Some people take a while to adapt to wearing multifocal contacts.

Monovision is an alternate contact lens option. This system divides your vision for close and far by using your stronger eye to see distance and your weaker eye to see near. Our eye doctor in Randolph will evaluate your vision thoroughly to decide which lens power is best for each eye.


Surgical procedures for presbyopia treatment include conductive keratoplasty (CK), LASIK eye surgery, corneal inlays or a refractive lens exchange (RLE), in which a new intraocular lens is implanted to replace the old hardened lens. When LASIK surgery is performed to treat presbyopia, it works by leaving one eye nearsighted – in the same manner that monovision contact lenses do.

Visit our eye doctor in Randolph to see up close and clear!

Do you want a vision solution to help you read and see fine details, without holding everything at arm’s length? Book an appointment with our eye doctor in Randolph for presbyopia diagnosis and treatment. Looking forward to seeing you!