What's the clinical manifestation of presbyopia?



The clinical manifestation of presbyopia


The uncomfortable feeling of presbyopia person is different from person to person, because it is concerned with the element such as individual basis refractive state, eye habit, occupation and hobby. For example, the subjective perception of presbyopia by a close range worker is much stronger than that of a traffic policeman whose primary task is to watch distant vehicles and traffic lights.

 



1. Difficulty seeing close


Patients will gradually find that they can't read small fonts clearly at the usual working distance and can see them relatively clearly at a distance.Patients unconsciously tilt their heads back or take books and newspapers farther away to read, and the distance they need to read increases with age.


2. Reading requires more illumination


At first, it was uncomfortable to read at night, when the lights were dim.Insufficient illumination not only increases the visual resolution threshold but also dilates the pupil, which forms a large dispersion ring on the retina and makes the symptoms of presbyopia more obvious.As the growth of the age, even in the daytime is engaged in close range work is also easy to fatigue, so the person who is shortsighted, read a book at night like to use brighter light.


Sometimes the light is placed between the book and the eye, which not only increases the contrast between the book and the text, but also Narrows the pupil.
But lamplight is put before the eye the interference that causes glare necessarily, this kind of interference illuminant is closer to the axis of view, the influence to eyesight is bigger, some old people like to read a book below sunshine, be this truth.
Indoor light, old people can improve eyesight with increasing illuminance. Reading materials, the elderly have high requirements for bright contrast, so the elderly should be provided with clear printing, large font, black and white reading materials, avoid using blue, green, purple background.




3. Visual proximity does not last


Insufficient adjustment means that the near point gradually becomes far away, and the near object can be clearly seen after efforts.If this effort exceeds the limit to cause ciliary body tension, and then look at distant objects, as a result of ciliary body tension can not immediately relax, so the formation of temporary myopia.
There is also a short period of fuzziness when you look at the near objects, which is the manifestation of a sluggish response to regulation. Fatigue occurs when the ciliary muscle approaches its functional limit and is unable to work consistently.
Due to the decrease of regulation, patients have to work close to the limit of binocular regulation, so they cannot last long.



How do I pick the right reading glasses for me?


Before selecting your reading glasses — even the over-the-counter kind — visit with your eye care professional. Experts recommend a yearly eye exam to check for problems like glaucoma, cataracts and macular degeneration, even after you’ve gotten reading glasses.

For computer work, most people can get by with low-power reading glasses (+1.25 to +1.5), Wang says. For reading things that are closer, stronger glasses might be in order (+2.0 to +2.5). As you age, the power you need likely will increase.

Wang notes that some people require one lens power for general up-close reading and another power for extended reading like computer use — meaning that just one pair of reading glasses might not do the trick.

Pierce warns that headaches, eyestrain and even nausea can result from putting on reading glasses that don’t have the proper lens power.




Once you’ve determined the right power, then focus on glasses with high-quality lenses and sturdy frames, Wang recommends.

Depending on the quality, a pair of over-the-counter nonprescription reading glasses can cost anywhere from $1 to $50 or more; a pair of prescription eyeglasses easily can cost $200 and up.

“Lower-quality, less expensive reading glasses may be made with low-quality lens materials, which can cause vision distortion, color distortion or glare. This can contribute to difficulty focusing when reading. It is worth spending a little extra to get better visual quality,” Wang says.

When shopping for over-the-counter reading glasses at a store, Andreoli recommends:

  1. Grabbing a greeting card from the greeting card aisle.
  2. Heading to the rack where reading glasses are sold.
  3. Trying on glasses as you’re holding the greeting card at a comfortable distance.
  4. Selecting the glasses that let you clearly and easily see the greeting card.
  5. Making an appointment with your eyecare professional if you’re unable to decide on a pair of glasses.

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