Treatment of presbyopia or eyestrain

La presbyopia It is a very common visual problem, so many patients who come to our ophthalmology center ask us about the presbyopia treatment. There are different types of treatments for presbyopia or eyestrain, both Surgical as alternatives to the treatment of presbyopia without entering the operating room.

There is no universal way of treating her, there are different options according to the situation of each person, age, stage of evolution, state of the eyes, general condition and needs in near vision (profession and hobbies).

Treatment of presbyopia or eyestrain

La presbyopia It is a very common visual problem, so many patients who come to our ophthalmology center ask us about the presbyopia treatment. There are different types of treatments for presbyopia or eyestrain, both Surgical as alternatives to the treatment of presbyopia without entering the operating room.

There is no universal way of treating her, there are different options according to the situation of each person, age, stage of evolution, state of the eyes, general condition and needs in near vision (profession and hobbies).

Types of treatment for presbyopia

Basically we can divide the methods to treat presbyopia into two groups:

  • Treatment of non-surgical presbyopia: Visual therapy, drugs (eye drops), contact lenses.
  • Tsurgical presbyopia treatment: Corneal laser, intraocular lenses, intracorneal implants, scleral implants.

Let's see each of these options:

 

Visual therapy

It consists of a series of exercises to increase the ability to focus in close vision. Accommodation and contrast sensitivity are activated, it is as if we increased the light level, improves contrast and we see better.

It is done with drill, generally reading with a computer. The patient's proximal vision is analyzed and a specific program that will be modified according to the improvement that is achieved. It consists of dedicating 30 minutes, twice a day, for a period of approximately 3 months and It is very effective in the early stages of presbyopia.

Drug treatment

Is instill a few drops (eye drops), which basically reduce the size of the pupil (pinhole effect). It is necessary to adapt the concentration of the drug and the number of drops to the needs of each patient as well as verify that there is no contraindication in its use.

It is usually used in isolation or complementing visual therapy exercises. It is very useful in the early stages of presbyopia especially when glasses are not used far away.

presbyopia treatment tired eyesight

Glasses

El presbyopia treatment with glasses It is the most widely used method today and one of the main reasons is that it is a reversible treatment and that it can be easily adapted to the needs of the patient.

Anyway, This does not mean that it is the ideal, the most comfortable or the one that offers better results.

Within the correction of presbyopia with glasses we must differentiate three types of lenses, monofocal, bifocals o trifocals.

single vision

Our we recommend for those people who have no refractive error to see from afar.

They are the ideal glasses for those people who pass long time working in front of a computer and they start see blurred screen because of presbyopia. However, the use of these glasses to see from a distance can cause dizziness.

Bifocals

As its name says, it allows two Campvision you at the same time.

For the upper part of the lens it is possible to observe correctly distant objects and for the bottom closest. However, in the middle point of the lens can present blurred vision.

Trifocals

Unlike monofocal and bifocal lenses, these lenses allow to successfully cover the intermediate, near and far vision.

However, few patients manage to be comfortable with these glasses, which are also not very aesthetic.

Contact lenses

It is one of the simplest and most effective methods, especially in those who were already contact lens users. Consists in to adapt mulitfocal lenses for presbyopia or, look for the monovision, that is, leaving one eye focusing far and the other focusing closely; the signals reach the brain and merge allowing you to see well from a distance and up close when looking with both eyes simultaneously.

In recent years the materials and the geometry of the lenses have improved a lot, achieving very good vision and comfort results, since They can take up to a month without touching them (prolonged use).

Treatment of presbyopia with laser

With the new laser platforms, hyperprolate ablation profiles who get correct presbyopia very effectively, both in cases of incipient presbyopia as in the most advanced.

It also can perform the monovision technique, especially in those cases that did it with contact lenses and were comfortable, we got the same effect but permanently.

El laser treatment It is one of the most used options and can be done at any stage of presbyopia, except in the cases in which the alterations of the crystalline lens proper to age are initiated (phachosclerosis).

Intraocular lens surgery

La presbyopia surgery with intraocular lens we recommend it to the elderly patients, when the disorders in the lens begin that will lead to a cataract. The advantage of this technique is that good vision is achieved and cataracts are prevented from developing in the future.

The natural lens, the lens, is replaced by an artificial lens. The key is to select the most appropriate lens in each case and that the surgeon has the ability to correctly implant them and to know how to handle the changes in vision that are induced with this procedure.

corneal implants

There are several options, from lenses to pinhole rings. They have the advantage that It is a non-intraocular surgery but they have the disadvantage that they are only implanted in one eye, forcing monovision, not well tolerated by all patients.

Scleral implants

It is perhaps the most modern method of treatment of presbyopia and although there is no great experience compared to laser or intraocular lenses, the results worldwide are very encouraging. They have the great advantage that the visual axis is not altered, they are implanted in the sclera (white part of the eye), by means of a low-risk surgery. The two eyes are treated, preserving binocular vision, relief vision.

They have the disadvantage that their corrective capacity is limited and it would be indicated in cases where glasses are not used from afar.

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Treatment of presbyopia (tired eyesight)
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Treatment of presbyopia (tired eyesight)
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Presbyopia treatment or tired eyesight. Currently there are effective and safe methods to eliminate the dependence on glasses close up.
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Área Oftalmológica Avanzada
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