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Presbyopia

age-related long-sightedness, long-sightedness in old age, reading long-sightedness, long-sightedness due to ageing, the need for reading glasses, presbyopia
Presbyopia is the age-related loss of the eye’s ability to focus at close range, which usually becomes noticeable from the age of 40. The eye’s lens becomes less flexible, making it more difficult to read or work at close range.

What is presbyopia?

Presbyopia is the gradual loss of the eye’s ability to focus on nearby objects, caused by the ageing of the eye’s lens. The lens in your eye becomes less elastic with age and is therefore less able to change shape. This process is called accommodation: the lens becomes more rounded to see clearly up close and flatter for distance vision. With presbyopia, this adjustment becomes increasingly difficult.

Most people first notice presbyopia around the age of 40, for example because they have to hold the newspaper further away or struggle to read small text on their mobile phone. It is a natural part of ageing and affects everyone, regardless of whether you already had a different prescription or have always had perfect vision.

Presbyopia is neither a disease nor an eye condition, but a refractive error resulting from the normal ageing of the eye. It differs from long-sightedness (hypermetropia), although both can cause problems with near vision. In long-sightedness, the eyeball is too short or the refractive power is too low; in presbyopia, the lens has become too stiff.

Good to know

How do you recognise presbyopia?

The first signs are often that you need more light to read, that small print becomes blurred, or that your arms seem too short to hold a book or menu at the correct distance. Headaches or tired eyes after prolonged close-up work can also indicate presbyopia. These symptoms gradually worsen and usually stabilise around the age of sixty.

Correction with glasses or contact lenses

Presbyopia is usually corrected with reading glasses, multifocal glasses (such as bifocals or progressive lenses) or multifocal contact lenses. Multifocal contact lenses have multiple zones of power, allowing you to see clearly at both close range and a distance. At SMEYEL , you’ll find multifocal contact lenses for daily or monthly use, depending on your preference and lifestyle.

Combination with other conditions

Presbyopia can occur alongside short-sightedness, long-sightedness or astigmatism. In that case, you will need a combined correction, such as a multifocal lens with a toric component for astigmatism. Your optician or optometrist will examine your eyes and advise you on the correction that best suits your needs.

When should you visit an optician or ophthalmologist?

If you’re finding it difficult to read or do close-up work and you’re aged around forty or older, have your eyes checked by your optician or optometrist. They can determine whether you have presbyopia and what correction you need. If you experience sudden or unilateral symptoms, pain or other unusual signs, it is advisable to contact your ophthalmologist.

Frequently asked questions

Most people first notice presbyopia between the ages of 40 and 45. It can start slightly earlier or later, depending on your eyes and your family history. The symptoms gradually worsen until around the age of 60, after which the condition usually stabilises.

No, presbyopia is a natural ageing process of the eye’s lens and cannot be prevented or halted. Everyone will experience it sooner or later. However, you can correct the symptoms with reading glasses, multifocal glasses or multifocal contact lenses, so that you can see close up comfortably again.

Yes, that’s possible. Multifocal contact lenses are specially designed for people with presbyopia and feature multiple power zones within a single lens, allowing you to see clearly at both close and far distances. Your optician or optometrist can advise you on which type of multifocal lens is best suited to you and whether daily or monthly lenses are more convenient for your situation.

Hyperopia (farsightedness) is a refractive error in which the eyeball is too short or the refractive power is too low, causing the focal point to fall behind the retina. Presbyopia is the age-related hardening of the eye’s lens, which prevents the eye from accommodating properly. Both conditions can cause problems with near vision, but their causes and the timing of their onset differ.

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Publication date: 13 July 2026
Last updated: 13 July 2026