Age-related farsightedness

Health Tips

When you pass all the medical examinations easily and get used to confidently answering the question: “Vision?” – “One”, – it is extremely unpleasant to find out one fine evening that you don’t really want to read the magazine, because the letters … are not visible! At first, of course, you get mad and say: “Oh shit, with your energy savings you got it!” – and turn on the whole world. But it doesn’t help for long. Then you say, “Oooh! Well, who came up with the idea of ​​printing on glossy paper, it glares mercilessly!” – and go to matte pages and online versions. Then you come to the nearest optician and report that you actually have “one” vision in both eyes, but it’s become difficult to read … “Vitaminosis, probably,” you clarify so that no one would think that you are a blind female mole. And you buy reading glasses, with a very small plus. And it becomes almost good, but after a while there are not enough points, you give up and make an appointment with an ophthalmologist.

What’s happening to us

To focus on a distant image, the lens in the eye must contract. A near picture without distortion will enter our brain when the lens expands.

Over the years, blood vessels and muscles lose their elasticity, blood circulation is disturbed, metabolic processes slow down, the lens thickens and ceases to be as elastic as it is required to see objects clearly at any distance. And if it will be easy for the lens to shrink for a long time, and in the distance we can easily see everything necessary, then the expansion becomes very difficult, therefore, instead of the usual letters in the book, we begin to observe letters jumping, merging and spreading over the sheet. And straining our eyes in an attempt to see at least something, especially in poor lighting conditions, we get a headache – not only in a figurative, but also in a completely earthly sense.

Presbyopia is a violation of accommodation, that is, the ability of the eyes to adapt to a changing picture, and not farsightedness.

When to expect

On average, age-related changes in vision are expected by everyone after 40 years. We cannot turn this option off completely, but we can influence the time of development of presbyopia (aka “age-related farsightedness”) or at least suggest when we should expect a decrease in vision, depending on the initial data.

The early development of presbyopia can lead to:

  • congenital farsightedness. Already after thirty years, presbyopia overtakes people with congenital farsightedness caused by structural features of the eyeball. Moreover, we can sincerely be sure that everything is fine with us: in our youth we see perfectly without glasses, we pass vision tests according to the tables easily and without remarks, and in general we do not experience any discomfort in life. However, over time, the lens, thanks to the active work of which we did not know about the features of our vision, ceases to cope – and we put on glasses much earlier than our peers. Among other negative factors associated with the initial state of the eyes is astigmatism.
  • Vascular and metabolic diseasesKey words: atherosclerosis, diabetes mellitus, arterial hypertension. Our eyes, as well as the rest of the body, will react to punctures in the supply caused by diseases. Actually, even permanent hypovitaminosis can contribute to the acceleration of vision degradation.
  • Chronic intoxications like smoking or drinking. They too strongly affect the state of the vessels and, accordingly, accelerate the onset of consequences.

Postponement of “farsightedness” is facilitated by:

Myopia. By forty, it’s your time to recoup a life with glasses: you suddenly can do without them! Everyone will put on glasses, and you will take off – beauty is! But believing in a plus that will cure a minus is not worth it: your myopia will not go anywhere from you, and over time, most likely, you will need to buy more plus lenses – especially for reading.

HLS. Healthy nutrition and adequate exercise allow our trained body to resist age-related weakness for longer. Especially for the eyes: do not ignore trace elements and vitamins A, B, C, do not sit in the monitor and TV without special need, do special exercises to train your eyesight. And the older you get, the more regularly try to visit an ophthalmologist: modern devices can detect visual deviations from the norm in the early stages, and the doctor will select the most adequate correction scheme, including physiotherapy and diet, and will help to postpone the moment of buying glasses.


Presbyopia is not a disease, so there is no cure. But it is quite successfully corrected so that we can continue to live actively and cheerfully, without denying ourselves either reading or drawing butterflies on bright pink nails.


Depending on the state of vision and lifestyle, the ophthalmologist will recommend simple reading glasses, or complex bifocals with two focuses – for near and far, or multifocal (progressive) with smoothly transitioning “far” and “near” vision zones. Multifocal lenses can be difficult to get used to – sometimes it’s easier to get by with several pairs of glasses for different situations. But if you prefer contact lenses, you’ll have to get used to rotating your eyes to follow the desired focus.

Pros: non-traumatic, relatively inexpensive, easy to replace if necessary.

Minuses: yelling “where are my glasses?!” becomes familiar to the whole family. Especially if the glasses do not need to be worn all the time – they will always be lost.

Laser correction

The operation allows you to correct both a weak degree of age-related farsightedness and “reconfigure” the eyes in accordance with the changed data, building the so-called “monovision”: one eye is adjusted for distance vision, the other for viewing close objects.

Pros: laser surgery is easily tolerated in most cases and does not require long-term rehabilitation.

Minuses: with further progression of age-related farsightedness, additional intervention may be needed, and monovision is not comfortable for everyone.

Intraocular lenses

Modern medicine is able to replace the native lens with an artificial one, correct presbyopia with special implant lenses without removing the lens.

pros: with a well-chosen correction, you will forget about fussing with glasses and lenses.

Minuses: negative optical effects like flare and ghosting, especially at night (although manufacturers promise to minimize the negative effects).

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