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Home » Eye Care Services » 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 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 in Richardson.

Treatment for Presbyopia in Richardson

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 who 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 Richardson 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 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 is going into creating more and better options for presbyopes. Speak to your Richardson eye doctor about the options that will work best for you.

 

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Office Details

3501 Custer Pkwy, Suite 105
Richardson, TX 75080
  • 8:30 AM - 6:00 PM
  • 8:30 AM - 6:00 PM
  • 8:30 AM - 6:00 PM
  • 8:30 AM - 6:00 PM
  • 8:30 AM - 6:00 PM
  • 8:30 AM - 2:00 PM
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Our Reviews

The people here are super friendly and helpful. They are happy to explain things (even repeat questions) and are completely understanding when tests need to be repeated. (I blink at the most inconvenient times, oops.)
6 days ago
5
- briana w.
eye doctor's office
Great ladies! Super helpful and educated me on my eyes health status. Quick and got my glasses today!
2 weeks ago
5
- Daniel M.
eye doctor's office
Dr. Carter, Jessica were great. I was impressed with not only the level of service I received, but the time Dr. Carter took to show me and explain all the things about my eyes that no other eye doctor has ever done. Jessica even went out of her way to help look up my insurance information since I had no idea where to even look, overall it was a great experience going to the doctor and I would highly recommend Dr. Carter and her practice to everyone. Ken
2 weeks ago
5
- Kenneth W.
eye doctor's office
Dr. Carter, Jessica, and Ninoska were great. I went in with some concern over some vision changes, and my mind was put at ease by the time I left. The examinations were thorough, adequate time was taken to explain things, and I felt well taken care of. I've not experienced this level of personal care and attention at any other optometrist I've visited, and the office itself was very inviting. Oh, and, all this was service was provided as a walk-in patient. I am, overall, entirely satisfied.
3 weeks ago
5
- Gammaray
eye doctor's office
From the moment I walked in I could see that this eye care center was very welcoming and clean As far as the selection of frames there is a high variation of lenses so that you have lots of options to choose from staff was very nice and helpful
2 months ago
5
- APPLE C.
eye doctor's office
Dr Carter and staff are amazing! They truly listen to your concerns, take time with you for personalized care, and the office is so nice!
3 months ago
5
- Abbey A.
eye doctor's office
I am thoroughly pleased with the customer service, professionalism, and overall great care I received today from Dr. Carter and her staff. I recommend sending your children and yourself to have your eyes examined. The collection of eyewear they have is also top notch. Picked me up a nice pair of Tom Ford's and my daughter a pair of Prada's can't wait for them to come in!! Thank you TSO!
3 months ago
5
- NaToya L.
eye doctor's office

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Medical Plans:

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If you do not see your plan listed here, please give us a call and we would be happy to assist you. Our eye care staff is also always available to answer any questions regarding your benefits.

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