When to Get Reading Glasses for Presbyopia with High Myopia? - Ophthalmology

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When it comes to presbyopia, especially in individuals with high myopia (like your case with 700 degrees), the decision to get reading glasses or multifocal lenses can be quite nuanced. Presbyopia is a natural age-related condition where the eye's lens loses its flexibility, making it difficult to focus on close objects. This typically begins to manifest in individuals around the age of 40, but can occur earlier in those with high myopia due to the structural changes in the eye.

Given your situation, here are some considerations regarding when to get reading glasses and the potential benefits of multifocal lenses:
1. Recognizing Symptoms: If you are experiencing difficulty reading small print, holding reading materials further away, or experiencing eye strain when doing close work, these are signs that you may benefit from reading glasses. Since you mentioned noticing mild presbyopia symptoms, it would be wise to consider corrective lenses.

2. High Myopia and Presbyopia: Individuals with high myopia often have elongated eyeballs, which can complicate vision correction. As you age, the combination of high myopia and presbyopia can lead to unique visual challenges. Multifocal lenses, including bifocals or progressive lenses, can help address both distance and near vision needs without the hassle of switching between different pairs of glasses.

3. Training Your Eyes: The suggestion from the optical shop about multifocal lenses being beneficial for "eye training" is somewhat misleading. While multifocal lenses can help you see at different distances without needing to switch glasses, they do not train your eyes in the traditional sense. Instead, they provide a practical solution to manage the symptoms of presbyopia while accommodating your existing myopia.

4. Adaptation Period: If you choose to go with multifocal lenses, be prepared for an adaptation period. It can take some time for your brain to adjust to the different focal lengths, especially if you are transitioning from single-vision lenses. Most people adapt well, but it’s important to give yourself time and to follow up with your eye care professional if you experience persistent discomfort.

5. Regular Eye Exams: Regular eye examinations are crucial, especially for someone with high myopia. Your eye care provider can monitor changes in your vision and recommend the appropriate corrective lenses as your needs evolve. They can also check for any potential complications associated with high myopia, such as retinal detachment or macular degeneration, which can be more prevalent in individuals with significant myopia.

6. Personal Preference: Ultimately, the choice of whether to get reading glasses or multifocal lenses should also consider your lifestyle and personal preferences. If you frequently engage in activities that require close-up vision, such as reading or crafting, having dedicated reading glasses might be more comfortable for you. On the other hand, if you prefer the convenience of having one pair of glasses for all distances, multifocal lenses could be the way to go.

In summary, if you are experiencing symptoms of presbyopia alongside your high myopia, it is advisable to consult with your eye care professional about the best options for you. They can provide personalized recommendations based on your specific visual needs and lifestyle. Regular check-ups will ensure that your vision remains as clear and comfortable as possible as you navigate the changes that come with aging and high myopia.