Can You Use Distance Glasses for Reading
Combining presbyopia options
After historic period xl, the single pair of glasses or contact lenses you previously wore generally will no longer requite you clear vision at all distances — or at to the lowest degree non without some compromises.
These vision problems are caused by presbyopia, which affects all of us beginning in middle age and reduces our ability to come across at all distances.
Many vision correction options are bachelor, such as presbyopia surgery and multifocal contact lenses or eyeglasses. If y'all demand cataract surgery, y'all also have the option of choosing multifocal intraocular lenses to restore your ability to run across at all distances.
In some cases, however, you may need to consider a combination of options to fully address problems caused by presbyopia.
Removing your eyeglasses to read
If you are nearsighted, you lot have an advantage when yous accomplish your 40s.
Once presbyopia occurs, nearsighted eyes still come across well up-shut — if you remove your eyeglasses. Of course, with your spectacles removed, distance vision is blurred. So you will need to put your glasses back on to see conspicuously across the room.
Beginning at effectually age twoscore, y'all'll find that the usual glasses or contacts you always wore will non correct focusing problems caused by presbyopia.
The amount of nearsightedness you have determines how close or far you lot need to agree an item to meet it clearly without your glasses on.
If you are mildly nearsighted (with a prescription of -ane.50 or -2.00 D, for example) you will encounter very well at a normal reading distance of 14 to 16 inches from your face.
But if you're highly nearsighted (permit's say -5.00 D or higher), you'll have to bring items much closer to your optics to encounter them clearly. If that'south the case, you lot may desire to consider the next option.
Multiple eyeglasses with unmarried vision lenses
Though it'southward certainly less convenient than wearing just one pair of eyeglasses with progressive lenses, bifocals or trifocals, many people over age forty deal with presbyopia past purchasing two or more pairs of eyeglasses with single vision lenses.
1 pair of glasses ordinarily volition contain lenses prescribed for distance vision (driving, watching tv set, etc.); and a second pair may contain single vision lenses prescribed specifically for computer piece of work, reading or other near-vision tasks.
This option offers several visual advantages:
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Unmarried vision lenses prescribed specifically for distance vision or nigh vision work improve if you need to look up or downward. If yous've ever tried to sit down back on your recliner or watch Tv in bed while wearing eyeglasses with progressive lenses, you lot know that the almost part of the lens interferes with your ability to see conspicuously across the room when your head is tilted back.
Similarly, single vision lenses prescribed for near piece of work are bang-up for performing automobile repairs or other tasks where you demand to see close-up objects above your head. So there'south no need to crane your neck back or prop your glasses up to get into that near zone as you would with a bifocal, trifocal or progressive lens.
Some people find that using different lenses in eyeglasses is the best solution for presbyopia. For example, sunglasses with distance correction for nearsightedness can work well for driving, and glasses with intermediate correction for reckoner work.
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Unmarried vision lenses offer advantages for computer work or reading. Your eye dr. can customize the prescription for the exact working distance you prefer, and you get an unrestricted field of view at that distance.
This is particularly of import for sustained computer work, where standard bifocals and multifocal lenses (trifocal or progressive) can cause posture bug that contribute to computer vision syndrome.
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Multiple pairs of eyeglasses with single vision lenses enhance your peripheral vision and therefore your mobility. Peculiarly when you enter your 60sand 70s, normal, age-related changes reduce your peripheral vision, and progressive, bifocal and trifocal lenses tin worsen the problem.
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Single vision lenses provide a wider zone of clear vision than progressive lenses, and they give you a much better view of your feet when yous're looking down to step off a curb or onto an escalator or a flight of stairs.
(It'southward very possible that some seniors who have fallen may not have done so had they been wearing single vision lenses.)
Even if you lot like wearing progressives, bifocals or trifocals most of the 24-hour interval, it's always nice to have a second pair of glasses with single vision lenses prescribed specifically for computer work or reading. Your optics and cervix will thank you!
Multiple contact lens options for presbyopia
If you wear contact lenses, a elementary solution to restoring your most vision when you get presbyopic is to wear reading glasses with them.
With this solution, there's no compromise in distance vision — just a need to lug effectually some reading glasses. Not exciting, only constructive.
If you find y'all can't conform to multifocal or bifocal contact lenses, this option may be best for you lot as a contact lens wearer with presbyopia.
Other combination options involving merely contact lenses include:
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Monovision or modified monovision using contact lenses
Your center care practitioner can suggest y'all well-nigh the various types of contact lenses bachelor for creating better well-nigh vision in one eye and distance vision in the other to compensate for focusing problems related to presbyopia. This approach creates monovision or modified monovision, depending on the type of lens used in each heart.
Your physician may choose to use single vision lenses for both optics (monovision) or a multifocal lens on 1 or both eyes (modified monovision), with 1 lens "weighted" toward distance vision and the other for almost.
Though you lot withal may need reading glasses on a limited basis, monovision or modified monovision contact lenses may give you better distance vision than multifocal lenses alone, while still providing adequate near vision for well-nigh of your routine daily activities.
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Different contact lenses at dissimilar times
Regardless of which contact lens option you choose, y'all may have the greatest success and satisfaction if you employ different options at dissimilar times. For example, for that round of golf, regular (full distance correction) contact lenses on both eyes volition requite you the sharpest altitude vision then you can savour your game. And in bright sunlight, your almost vision should exist adequate enough for you to come across your scorecard without the need for reading glasses. Merely for dining out in the evening, you may find that monovision or modified monovision lenses are better because they enable yous to read a carte or beak without reading spectacles. These types of contact lenses ordinarily also give you lot first-class vision across the table and even across the room.
If you discover monovision contacts requite yous fantabulous indoor vision only don't offering abrupt enough visual vigil for driving at dark, your eye doctor can prescribe eyeglasses with single vision lenses that y'all can proceed in your automobile and wear over your contacts to optimize your vision for the bulldoze home.
Combination presbyopia solutions
In some cases, a combination of surgical and not-surgical solutions is the all-time fashion to go when presbyopia sets in.
The most common combination solution is LASIK and reading spectacles. Even if you have your LASIK surgery when you are in your 20s or 30s, you'll demand those readers when you hitting your mid-40s. Presbyopia spares no ane!
Other combination options include:
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LASIK with a single contact lens for near vision
This may be a practiced option for social events, where you want acceptable vision both far away and up close without having to carry your reading glasses with you.
You'll be able to come across in the altitude with one of your LASIK-corrected optics, while using the eye with the contact lens for near vision. This combination creates monovision. (Ane-24-hour interval dispensable contact lenses are great for this: you can just throw the lens away at the end of the night.)
Some people with presbyopia don't adapt well to multifocal contact lenses. One option is to wear reading glasses over their altitude contacts.
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Monovision LASIK combined with unmarried vision eyeglasses.
Most people who have monovision LASIK (i middle corrected for distance and the other for near) benefit from eyeglasses with single vision lenses to enhance their almost vision for shut-up activities.
Your centre md can prescribe lenses to balance the vision in your two eyes so they are both corrected for the aforementioned specific altitude, such as the distance to your estimator screen or to the novel you lot are reading.
For the best results, measure how far away you similar your computer screen, how far from your olfactory organ y'all are most comfortable property a volume when reading, etc. Take separate measurements for reading in your favorite chair and reading in bed — they will be dissimilar!
Bring these measurements to your centre examination, and your doc can tailor dissimilar prescriptions to optimize your vision for each activeness. Though this may sound cumbersome, you lot'll find that the proper lenses will make reading and working on your estimator less tiring and therefore more enjoyable.
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LASIK combined with wavefront eyeglasses.
If after LASIK you are bothered by nighttime glare or halos around headlights and street lights, and your surgeon feels it'southward not in your best involvement to have a second ("enhancement") laser surgery, a new eyeglass lens technology called wavefront lenses may be a skilful pick.
These lenses use computerized measurements of your optics to find whatever optical imperfections, called higher-order aberrations (HOAs), that remain after your LASIK surgery. Regular eyeglass lenses can't correct HOAs, but wavefront lenses can, and they may therefore be able to sharpen your night-driving vision. Ask your LASIK surgeon or heart medico to tell you more most wavefront lenses.
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Multiple vision correction surgeries.
Sometimes a combination of surgical procedures is the all-time option for dealing with presbyopia. For instance, if you had LASIK in your 30s, only at present you're in your mid-40s and your near vision is getting fuzzy, PRK (photorefractive keratectomy) or CK (conductive keratoplasty) on one eye could help you lot encounter better upwards close by creating a monovision condition.
LASIK can be used in combination with CK to create monovision for correcting presbyopia.
Corneal refractive surgeries similar LASIK, PRK and CK tin also be performed after cataract surgery to sharpen both your distance vision and your nearly vision. These follow-up procedures are peculiarly helpful if some astigmatism remains subsequently cataract surgery and you are a good candidate for monovision.
If yous accept cataracts, your eye surgeon may recommend one or more types of refractive intraocular lenses (IOLs) to restore your vision at all distances after cataract surgery. In some cases, an all-around IOL may be recommended for one or both eyes to aid you regain most focusing ability.
In other cases, a multifocal IOL that provides superior distance vision may exist used for i eye, and one that provides better virtually vision may be recommended for your other eye. [Read more about mixing multifocal IOLs.]
If yous are contemplating cataract surgery, ask your surgeon for more information well-nigh these premium refractive IOLs and which solution might be best for you lot.
Manage your expectations
Whatsoever choices you make, recognize that all presbyopia solutions involve some caste of compromise. No currently available cosmetic lenses or surgical techniques can completely restore the dynamic focusing flexibility your eyes had before presbyopia.
Only that doesn't hateful you lot take to subscribe to a ane-size-fits-all mentality. Being adaptable is the key — and understanding that multiple solutions exist for all your over-forty vision needs.
RELATED READING: Eye drops for presbyopia?
Page published in Feb 2019
Page updated in February 2022
Source: https://www.allaboutvision.com/over40/presbyopia-options.htm
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