Management of Incipient Presbyopia

While aging presbyopia occurs in a mild grade. It is a condition in which someone starts to get difficult to read or work in close distance. People use a lot of devices, looking at screens so they feel soon enough presbyopia in early stages. Usually this phenomena is called Dysfunctional Lens Syndrome – DLS.

Some of the changes towards presbyopia are:

• The natural lens gets thicker and stiffer so it loose it’s elasticity.
• The lens moves slightly towards the anterior chamber.
• There are some changes involving it’s cellular structure.
• The natural lens becomes naturally more blur.
• It becomes more yellowish while aging.

• Pupil reduce;s it’s ability to get larger while aging .
• Ciliary body and Zonule of Zinn still work but the lens

cannot change it’s shape due to elasticity reduction.
• Tearfilmdysfunctiongetsworstwhileaging,sothetear

refractive index gets worst as well.

Management and Treatment
It is not always something simple to solve. We have to keep in mind that it is not just a simple add chart that gives us the solution. We need to ask information about our patients lives to reach the most suitable treatment. The treatment an Optometrist can offer is mainly through all types of glasses, contact lenses and lightning. An optometrist must keep always in mind the instability of the tear film. Finally he should always be aware of any co existing pathologies of the eye, so in such case he should always refer the patient to an Ophthalmologist.