Presbyopia is a refractive error that makes it challenging for middle-aged and older persons to see details up close. It occurs as a result of the lens’ (an inner eye component that aids in eye focus) failure to properly concentrate light on the retina (a light-sensitive layer of tissue at the back of the eye).

Age-related presbyopia is a common occurrence. It generally begins to set in at about age 40, when the natural lenses and surrounding eye structures become too inflexible to allow adaptation to concentrate from far away to close up and back again. This inability to see a sharp image at all distances is a natural, albeit annoying part of aging.

Presbyopia is typically detected when one starts having difficulty in reading fine print. Myopes (or nearsighted) people, generally develop presbyopia at a later age then other individuals.

Presbyopia can be managed with a variety of lenses. If one has never required vision correction, a simple set of reading glasses will help in reading and carrying out fine activities. Bifocals, trifocals, or multifocal eyeglass lenses are also now available. These glasses feature various “zones” that enable one to see at various distances. Progressive glasses are now also available which have built-on zones without any visible line or difference in the glass.

There arenot any perfect treatments for presbyopia yet other than the use of glasses.

However, vision correction surgery may be able to help one become less reliant on eyeglasses or contact lenses or maybe eliminate the need for them altogether. For instance, one eye could be corrected for distant vision and the other eye fixed for near vision with a surgical surgery like LASIK.

Future solutions for treating presbyopia may include some experimental surgical techniques.

FDA clinical trials are now being conducted on the vision correction technique PresbyLASIK. This method involves reshaping the eye using an excimer laser to create multifocal zones right on the cornea, enabling vision at various distances.

Additionally, there are implants for presbyopia. To help with concentrating, these artificial inserts can be positioned just beneath the surface of the eyes. One of these, the AcuFocus Kamra inlay, received FDA approval in April 2015. It works by preventing some light rays from reaching the eye (much like in pinhole or small-aperture photography) in order to increase the depth of focus and improve your ability to view close-up and intermediate objects.

At The Eye Center- Dr. Mahnaz Naveed Shah & Associates our team of eight ophthalmology subspecialists/ eye specialists, eye surgeons who are considered amongst the very best eye specialists in Karachi and in Pakistan, have the diagnostic and treatment capabilities to treat from the simplest to the most complex patients. We work hard to provide our patients with the best possible medical and surgical eye care, in a state of the art purpose built eye care facility. We offer the entire array of medical, laser and surgical treatments to help provide patients the best possible care in the most efficient, safe and ethical manner. Our clinic is geared to providing you with the best possible patient care experience and delivering to you the very best eye care in Karachi.

If you need an appointment, please contact us at 03041119544 during our working hours or leave us a WhatsApp message at +923028291799 and someone will connect with you. Walk-in appointments are also available for emergencies. We can also be reached through our web portal on

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