Presbyopia: How It Affects Your Vision and Comfort - Ophthalmology

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Presbyopia


Due to my job, I have to use the computer for long periods, which makes my eyes feel sore and uncomfortable, and I have difficulty seeing both near and far.
I feel that my vision has deteriorated significantly in just one week.
After visiting an ophthalmologist, I was advised to get reading glasses with a prescription of +1.00 diopters and was informed that I have astigmatism (right eye: 0.75 diopters, left eye: 1.00 diopters).

Will presbyopia affect my distance vision and the ability to adjust focus for distant objects? Can wearing glasses truly alleviate the discomfort in my eyes (such as soreness, heat, and fatigue)?

jong, 40~49 year old female. Ask Date: 2015/10/07

Dr. Gao Pilin reply Ophthalmology


Hello, Jong: Starting at the age of forty, you may gradually experience presbyopia, which is caused by a decline in the eye's ability to focus on close objects.
Straining your eyes will not help you see clearly.
Therefore, presbyopia affects near vision.
Wearing glasses can help you see nearby objects without effort, which will naturally improve eye discomfort.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Sincerely, Gao Pilin.

Reply Date: 2015/10/07

More Info


Presbyopia, commonly known as age-related farsightedness, is a natural part of the aging process that typically begins to affect individuals in their 40s and 50s. It occurs when the lens of the eye becomes less flexible, making it difficult to focus on close objects. This condition can significantly impact your daily life, especially if you work long hours on a computer, as you have described.

When you experience discomfort, such as eye strain, dryness, or a sensation of heat in your eyes, it is often exacerbated by prolonged screen time. The symptoms you are experiencing, including difficulty seeing both near and far, are common in individuals with presbyopia. The need for reading glasses or bifocals arises because these lenses help compensate for the loss of accommodation—the eye's ability to change focus from distant to near objects.

Regarding your specific questions:
1. Impact on Distance Vision: Presbyopia primarily affects near vision, but it can also influence your ability to see clearly at a distance, especially if you have underlying conditions like astigmatism. Astigmatism, which you mentioned having, can cause blurred vision at all distances due to an irregular shape of the cornea or lens. Therefore, wearing glasses prescribed for both presbyopia and astigmatism should help improve your overall visual clarity.

2. Focusing Ability: The ability to adjust focus between near and far objects can be compromised in individuals with presbyopia. This is because the lens cannot change shape as effectively as it used to. As a result, you may find it challenging to switch your focus quickly, leading to discomfort and visual fatigue.

3. Effectiveness of Glasses: Wearing the prescribed glasses should significantly alleviate your symptoms. The lenses are designed to provide the necessary correction for both your presbyopia and astigmatism, allowing for clearer vision at various distances. Many people report a noticeable improvement in comfort and clarity when they start using the appropriate eyewear. This can reduce eye strain, dryness, and fatigue, making it easier to work on a computer for extended periods.

4. Additional Tips for Eye Comfort: In addition to wearing glasses, consider implementing the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice can help reduce eye strain. Additionally, ensure that your workspace is well-lit and that you are sitting at a comfortable distance from your screen. Using artificial tears can also help alleviate dryness and discomfort.

5. Regular Eye Exams: Since you have experienced a rapid decline in your vision, it is crucial to have regular eye exams. This will allow your eye care professional to monitor any changes in your vision and adjust your prescription as needed. If you notice any new symptoms or changes in your vision, do not hesitate to reach out to your eye doctor.

In summary, presbyopia can indeed affect your vision and comfort, particularly when working on a computer. Wearing the correct prescription glasses should help improve your visual clarity and reduce discomfort. Additionally, adopting good eye care practices can further enhance your comfort and overall eye health. If you have ongoing concerns, discussing them with your eye care provider is essential to ensure you receive the best possible care.

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