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Presbyopia

Focus on your life, not your reading glasses

If you now rely on reading glasses for everyday close-up tasks, you may be experiencing presbyopia, a natural age-related change in near vision that becomes more common from your 40s onwards.

For people who are dependent on reading glasses, there may be several ways to manage presbyopia, including contact lenses and, for suitable patients, surgical vision-correction options.

At Optilase, we can assess your eyes, prescription and visual needs to determine whether surgical treatment may be appropriate for you.

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A normal part of ageing, not an eye disease

Presbyopia is extremely common and develops whether you have always had good eyesight or already wear glasses or contact lenses. Previous laser eye surgery does not stop the natural lens from ageing.

For suitable patients, Lens Replacement Surgery offers a longer-term way to reduce dependence on reading glasses.

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Optometrist showing a patient a model of the eye during a consultation

What is presbyopia?

When you are younger, the natural lens inside your eye is flexible and changes shape to focus between near and distant objects. As you age, the lens becomes less flexible, making reading and other close-up tasks more difficult.

Presbyopia is caused by age-related changes in the eye that reduce its ability to focus up close, leading to symptoms such as needing to hold text further away or relying on reading glasses.

Presbyopia is extremely common and is a normal part of ageing rather than an eye disease. It can develop whether you have always had good eyesight or already wear glasses or contact lenses.

What are the causes of presbyopia?

The main cause of presbyopia is the natural ageing of the lens inside your eye. Over time the lens gradually stiffens and loses some of the flexibility that lets your eyes change focus between distances. This explains why most people develop presbyopia as they age.

Presbyopia is not caused by reading too much, using screens, poor diet or overworking your eyes.

Some people notice the change earlier than others, particularly if they are already long-sighted, but the underlying reduction in near focusing ability eventually affects almost everyone. Someone who had excellent distance vision following laser treatment when younger can still notice presbyopia later in life.

Presbyopia generally

  • Starts becoming noticeable in your 40s
  • Progresses gradually as the natural lens becomes less flexible
  • Can affect people who have never previously needed glasses
  • Can occur alongside short-sightedness, long-sightedness or astigmatism
  • Still develops after previous vision correction, because the natural lens continues to age

Symptoms of presbyopia

For many people, presbyopia begins with subtle changes to near vision. Common symptoms include:

  • Holding your phone, book or menu further away
  • Finding small print harder to read
  • Blurred near vision
  • Needing brighter light for reading
  • Eye strain or headaches after close-up work
  • Difficulty switching comfortably between near and distance focus

These early symptoms do not necessarily mean that surgical treatment is appropriate. Once you are consistently dependent on reading glasses for close-up tasks, we can assess your eyes and discuss whether a surgical option may be suitable. If your near vision changes, an eye examination is still important, as not every change in vision is caused by presbyopia.

Treatment options for presbyopia

There is no single best presbyopia treatment for everyone. The right approach depends on your age, prescription, eye health, lifestyle and how much you would like to reduce your reliance on glasses or contact lenses.

Reading glasses

For many people, reading glasses are the simplest way to correct presbyopia. They provide additional focusing power for tasks such as reading, using your phone or looking at small print.

If your distance vision is otherwise clear, you may only need them for close work.

Bifocal or varifocal glasses

If you already need vision correction at other distances, bifocal or varifocal lenses can combine different prescriptions within one pair of glasses.

Varifocals can provide a gradual transition between distance, intermediate and near vision.

Contact lenses

Multifocal contact lenses can provide correction across more than one distance. Another approach is monovision, where one eye is primarily corrected for distance and the other for near vision.

Not everyone adapts comfortably to monovision, so suitability needs to be assessed individually.

Laser vision correction

For some patients with myopia, laser monovision can help delay dependence on reading glasses by balancing distance and near vision. It does not treat presbyopia and is only suitable for selected patients.

A detailed assessment is needed to establish whether a laser-based approach is appropriate.

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Lens Replacement Surgery

For suitable patients looking for a surgical approach, Lens Replacement Surgery can reduce dependence on reading glasses by replacing the ageing natural lens with an artificial intraocular lens, or IOL.

Different IOL options provide different ranges of focus, so treatment can be planned around your vision and lifestyle requirements.

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How Lens Replacement corrects presbyopia

Presbyopia originates in the natural lens of the eye becoming less flexible with age. Lens Replacement Surgery addresses this differently from glasses, contact lenses or corneal laser treatment: the ageing natural lens is removed and replaced with a clear artificial intraocular lens.

Lens Replacement uses the same well-established surgical principles as modern cataract surgery.

The type and focusing power of the replacement lens are selected by the surgeon according to your eyes and visual goals. Depending on the lens chosen, treatment may aim to provide clearer vision across distance, intermediate and near ranges while reducing dependence on glasses.

Woman having an eye exam with a slit lamp at Optilase Eye Clinic

What happens during Lens Replacement

The procedure usually involves four main steps.

  • 01

    Anaesthetic drops are applied

    Anaesthetic eye drops are used to numb the eye and keep you comfortable during treatment.

  • 02

    A small incision is made

    Your surgeon creates a small opening at the edge of the cornea to access the natural lens inside your eye.

  • 03

    The natural lens is replaced

    The natural lens is carefully removed and replaced with the selected artificial intraocular lens. Different IOL designs offer different visual characteristics, and your surgeon will explain which options may be appropriate based on your eye health, lifestyle and priorities.

  • 04

    The incision begins to heal

    The small incision is designed to self-seal, so stitches are not usually required. Lens Replacement is a surgical procedure, and suitability must be assessed carefully beforehand.

Optilase staff member greeting a patient at the front desk

Benefits of treating presbyopia

Correcting presbyopia can make everyday close-up tasks feel easier again, whether you choose glasses, contact lenses or a surgical option. Depending on the correction you choose, potential benefits can include:

Presbyopia treatment cost in Ireland

Your consultation will explain which lens options are appropriate for you and confirm the cost before you decide whether to proceed.

View all pricing
  • Lens Replacement Surgery

    From €3,747.50 per eye

    or from €157 per month

    Swaps the eye's natural lens for an artificial one, correcting vision and preventing cataracts.

    • Pre-operative consultation with ophthalmic surgeon
    • Advanced diagnostic scans
    • Surgery
    • Eye care drops
    • Post-operative appointment with refractive optometrist
    • Aftercare appointments included

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  • Monofocal and Multifocal Lens Replacement

    From €4,247.50 per eye

    or from €177 per month

    Lens options that restore both distance and near vision, reducing reliance on glasses.

    • Pre-operative consultation with ophthalmic surgeon
    • Advanced diagnostic scan
    • Lens Replacement Surgery
    • Eye care drops
    • Post-operative appointment with refractive optometrist

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Meet our surgeons

  • Mr Thomas Materman

    Mr Tom Materman received his primary medical degree from the University of Auckland, New Zealand, in 1991. He worked as a locum GP before spending 12 months in Nepal with the Tilganga Eye Institute, part of the Fred Hollows Foundation, committed to providing first-world eye care in third-world countries. He then underwent postgraduate training in Ophthalmology in Wellington, New Zealand. After his training, he gained further Fellowship experience at the West of England Eye Hospital and the glaucoma service of Moorfields Eye Hospital, then completed a two-year refractive surgical fellowship in London with Professor Jan Venter.

    Since 2006 he has been a Fellow of the Royal Australian and New Zealand College of Ophthalmologists. Mr Materman has performed over 30,000 laser vision correction procedures (LASIK and PRK) and has significant experience in other areas of refractive practice such as lens replacement surgery, ICL implantation and cataract surgery. He keeps his knowledge up to date by attending numerous courses and conferences and is enrolled in an approved CPD programme by the Irish College of Ophthalmologists.

    Mr Materman is dedicated to using the most advanced techniques and safest technologies worldwide, and is a member of various professional organisations including the Irish Medical Council, the General Medical Council (UK) and the European Society of Cataract and Refractive Surgeons.

    In his free time he enjoys photography, cooking, and outdoor activities such as mountain biking, road cycling and ocean sports.

  • Mr Mikhail Hernandez

    Mr Mikhail Hernandez is a fully qualified medical practitioner with vast experience in ophthalmology. After graduating Magna Cum Laude, with great distinction, and gaining his Spanish University Medical Degree in 2011, his passion for ophthalmology developed. Becoming a specialist in the field, Mr Hernandez continued his studies in ophthalmology, winning the scholarship of the Congress of the Valencian Society of Ophthalmology in 2016 and becoming a Specialist Doctor of Ophthalmology in 2017.

    Since then Mr Hernandez has completed a number of advanced qualifications in ophthalmology. He is a cornea specialist with experience in both normal and pathological corneal diagnosis and treatment, having performed multiple intricate surgeries such as corneal transplant, keratoconus and pterygium, using advanced technologies including the femtosecond and excimer lasers. He has practised as an ophthalmologist in southern Ireland and in Spain, has performed more than 4,000 cataract surgery procedures, and has gained a vast amount of experience in refractive intraocular lens treatments.

    With a keen interest in cataract and lens replacement care, Mr Hernandez regularly attends and speaks at industry conferences to stay on top of the latest developments in the field, and has shared his findings as a co-author and research participant in a substantial number of medical books, journals and clinical studies both internationally and nationally. He also teaches ophthalmology residents and medical students from Spain and other parts of Europe in the ophthalmology and cornea field.

    On a personal level, Mr Hernandez loves to travel and to spend time with his family. His current favourite pastime is raising his baby.

  • Dr Mehul Damani

    Dr Mehul Damani is an ophthalmic surgeon with extensive specialist training in refractive surgery and is considered a leader in his field by his patients and peers. He is a specialist in LASIK and PRK laser eye surgery, having performed over 19,000 procedures, and has mentored many ophthalmic surgeons during their refractive surgery training.

    He graduated from the University of Mumbai, where he won the Pfizer Medical award and medallion for first place in the final MBBS examination. He then became a Registrar at Grant Medical College and Sir J.J. Group of Hospitals in Mumbai, subsequently completing three years of specialist ophthalmology training with an emphasis on cataract and glaucoma surgery.

    Dr Damani widened his experience as a specialist doctor for Colchester General Hospital NHS Foundation Trust and Southend University NHS Hospital. He gained further specialist training in refractive surgery and was awarded the Certificate in Refractive Surgery (CertLRS) from the Royal College of Ophthalmologists, and has conducted observations in oculoplasty at Moorfields. He has presented many peer-reviewed medical papers and posters for the American Society of Cataract and Refractive Surgery (ASCRS) and the European Society of Cataract and Refractive Surgery (ESCRS).

    Dr Damani is passionate about Indian classical music and loves to travel and explore different cultures and cuisines. He enjoys the process of training new surgeons.

  • Mr Dipak Parmar

    Mr Dipak Parmar completed his medical training at the United Medical and Dental Schools of Guy's and St Thomas's Hospitals in London. He completed his basic surgical training at King's College Hospital in neurosurgery and ophthalmology, after which he passed the FRCOphth examination to become a Fellow of the Royal College of Ophthalmologists. He completed his higher surgical training in ophthalmology and a fellowship in uveitis and medical retina at Moorfields Eye Hospital in London.

    Mr Parmar completed an international clinical fellowship in cornea, external diseases and refractive surgery at the University of Texas Southwestern Medical Center in Dallas, Texas, from 2003 to 2005. As a result of his training and research he has authored over 40 papers in peer-reviewed journals and has written 3 book chapters. He is one of the few eye surgeons in the UK to have undergone state-of-the-art training in refractive surgery in a prestigious clinical fellowship programme in the USA, and one of the first ophthalmology consultants in the UK to offer corneal collagen cross-linking treatment for keratoconus, in both private and NHS settings.

    He was awarded the CCST (Certificate of Completion of Surgical Training) and specialist registration under the General Medical Council in ophthalmology in 2003, and took up the post of consultant ophthalmic surgeon at Barts Health NHS Trust, London, in 2006. He moved on from the NHS in 2017 to further his career as an independent consultant ophthalmic surgeon based in London and Essex, and continues to perform high-volume cataract surgery for independent providers to the NHS on a biweekly basis. He regularly performs lens and laser based vision correction procedures in the United Kingdom and Ireland.

    Mr Parmar was awarded the Fellowship of the Royal Australian and New Zealand College of Ophthalmologists (FRANZCO) in September 2011. In 2023 he spent significant time working in busy private and public hospitals in rural south-west Australia, gaining a high volume of experience in general ophthalmology, cataract surgery, medical retina injections, and glaucoma including selective laser trabeculoplasty and iStent minimally invasive glaucoma surgery (MIGS).

    Mr Parmar has extensive surgical experience with over 15,000 eye surgeries completed to date, including over 10,000 cataract and lens surgeries and over 5,000 laser vision correction procedures.

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What our patients say

  • Margaret Mc Clafferty

    I had LASIK done in Dublin after a consultation and follow up in Derry. From the very start, Elizabeth in Derry put me at ease with her approach. Such a warm, helpful way…

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  • Shanna Blair

    Lianne is fabulous, great consultation lots of information and lovely to speak to

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  • Ben Sheeran

    Fantastic staff. Lianne was really courteous and professional

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  • Aline Bortolotti Secco

    I had a great LASIK experience at Optilase Carrickmines and couldn’t be happier with the results. Dr. Tom Materman is incredibly kind, attentive, and made me feel comfort…

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  • Luke

    Very good experience throughout. Very helpful and friendly staff and a quick procedure done. Would recommend.

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  • Carl Thorne

    Life changing. From the initial consultation to the aftercare, Optilase have been friendly, professional and caring every step of the way. No worry or concern was too sma…

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  • Colm Smith

    Very happy with the operation, results and the aftercare

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  • Thomas Mielimonka

    Fantastic experience through and through. Fred and the rest of Belfast team were a dream to work with. They explained everything, kept me well informed and honoured the …

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  • Sarah Lennon

    Very nice staff. Very patient and accommodating. Made a nervous patient feel less so.

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  • Gerard Mcphillips

    Very professional and appointments on time

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  • D

    Great team, great experience. Anyone thinking about doing it, do it. Always on the end of the phone if there was any issues. Highly recommend!

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  • Jason Farrell

    The entire process was smooth professional and completely stress free, I couldn't be happier with my outcome

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Presbyopia questions answered

Common questions about age-related near vision loss and how it can be corrected.

  • Presbyopia means the age-related loss of the eye's ability to focus clearly on nearby objects. It occurs because the natural lens inside the eye gradually becomes less flexible with age.

    This makes tasks such as reading small print or looking at a phone more difficult without additional vision correction.

  • Presbyopia is caused mainly by age-related changes to the natural lens inside your eye. As the lens becomes less flexible, it cannot change shape as effectively to focus on nearby objects.

    It commonly becomes noticeable during your 40s and progresses gradually with age. It is not caused by reading too much, using screens, poor diet or overworking your eyes.

  • Young eyes can change focus easily because their natural lenses are flexible. With age, the lens gradually stiffens and loses this ability.

    Because this ageing process happens to almost everyone, presbyopia is an extremely common part of getting older.

  • Presbyopia cannot currently be reversed by making the natural ageing lens flexible again. It can be corrected or compensated for in several ways, including reading glasses, multifocal or varifocal lenses, contact lenses and surgical vision correction for suitable patients.

    Lens Replacement Surgery takes a different approach by removing the ageing natural lens and replacing it with an artificial lens selected to provide the most appropriate range of focus.

  • The natural age-related stiffening of the eye's lens is not reversible. Vision can nevertheless be corrected so that close-up tasks become clearer.

    The best option depends on your eyes and whether you prefer glasses, contact lenses or a surgical approach.

  • Presbyopia can be corrected in several ways, depending on your vision needs, eye health and lifestyle. Options may include reading glasses, bifocal or varifocal glasses, multifocal or monovision contact lenses, laser-based vision correction for selected patients, or Lens Replacement Surgery where suitable.

    A detailed eye assessment can help determine which approach is most appropriate for your prescription and individual circumstances.

  • No. Laser eye surgery cannot treat presbyopia, because it does not restore the natural lens's ability to focus up close.

    If you are dependent on reading glasses, we can assess whether another treatment option may be more appropriate.

  • No. LASIK cannot treat presbyopia because it reshapes the cornea rather than addressing the age-related changes in the natural lens.

    If you rely on reading glasses, we can assess whether another treatment option may be suitable.

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