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We are pleased to announce that all three of our Vision Source locations will be reopening for service during the week of May 4th, 2020.

During this difficult time, we have made adjustments to our services to ensure the health and safety of your patients, our staff, and our Doctors. Click here to read more.

Home » Eye Care Services » Presbyopia Diagnosis and Treatment

Presbyopia Diagnosis and Treatment

senior difficulty readingAs 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 at Vision Source Willowbrook or Vision Source Deerbrook.

Treatment for Presbyopia At Our Willowbrook Texas Eye Care Center

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. Our eye doctors in Willowbrook Texas 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 our Willowbrook Texas eye doctor about the options that will work best for you.

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We are pleased to announce that all three of our Vision Source locations will be reopening for service during the week of May 4th, 2020.

During this difficult time, we have made adjustments to our services to ensure the health and safety of your patients, our staff, and our Doctors.

For the Protection of Our Patients, we have implemented the following procedures in our clinics:

Limited Appointment Scheduling - in order to ensure we are able to properly disinfect and adhere to Social Distancing Guidelines set forth by our local authority.  Certainly, urgent and emergency patients will be prioritized.

Fever Free Environment - Temperatures will be taken upon entering the clinic of all patients, staff, and doctors.  Anyone with 99.5 degrees or higher will be asked to reschedule.  Anyone who is taking a fever-reducing medication such as ibuprofen or acetaminophen will be asked to reschedule once the medication is clear from their system so we can be sure of an accurate temperature reading.

Pre-Screening Questionnaire - We will continue to ask any patient with URI symptoms to reschedule their appointment until they have been asymptomatic for 3 days or have a negative COVID test.

Face Covering - We are requiring everyone entering our clinics to wear some type of facial covering such as a homemade mask, scarf, bandana, or handkerchief.

Wash hands and sanitize - Upon entering the office, everyone will be asked to sanitize their hands.  Additionally, we will request they sanitize their hands before re-entering the business area.

All Vision Source staff with direct patient contact will be required to wear a mask.

Social Distancing - We are limiting the number of patients in our office and are asking, when possible, only the patient enters our clinics for their visit.  Please ask the person with your patient to stay in their car.  We can text them if they need their assistance.

When scheduling patients, we will be:

  1. Asking them if they have been diagnosed with COVID or been in contact with someone who has been diagnosed with COVID.  In those cases, we will postpone seeing the patient unless emergent.
  2. We will ask if they have any current symptoms of COVID.
  3. They will be notified that upon arrival to our office they will have their temperature taken.
  4. We will ask the patients NOT to bring family members with them into the office and we ask patients to wait in the car until they are called inside for their appointment.
  5. We will ask the patient to bring their own mask or face covering.  All of our doctors and any staff who will have direct patient contact will be masked.

Thank you for your support and understanding during these unprecedented times.

Please stay safe and healthy.

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