We link presbyopia, also called “eyestrain”, to the deterioration of short-range vision over the years.

More specifically, it is the deficit in the movement of the crystalline lens, producing an alteration in the near approach. Its appearance is usually around 40 years and in myopic patients, presbyopia is usually delayed by the ability of the nearsightedness myopia. On the other hand, the hypertrophic patient usually shows vision difficulties before the age of 40.

To correct it, the Martínez de Carneros clinic uses temporary mechanisms such as glasses or contact lenses, in addition to the presbyopia operation, to implant lenses, bifocals or trifocals in the eye. This operation has excellent results that allow the use of glasses to be dispensed with.

The technique used will vary depending on the patient and the advice of our optometrists and ophthalmologists.


The symptoms of presbyopia vary depending on each person, one of the main symptoms is the difficulty to see from close range. As a result of this poor vision, you may suffer from headaches.

In addition, if it appears associated with other visual defects such as nearsightedness or farsightedness, you may feel visual fatigue and irritation in the eye.


Correcting presbyopia or tired eyesight is a challenge and it it is one of the most common requests from our patients. We have temporary mechanisms such as glasses and contact lenses and, alternatively, definitive solutions such as surgery.

Presbyopia is progressively increasing and there is no way to stop it. Every 2-3 years it is advisable to change the prescription by increasing the diopters in order to compensate for the loss of lens function.

Multifocal glasses and lenses for correction of tired eyes

The first way to correct presbyopia that we recommend to our patients is glasses. We start with low corrections that vary from +0.75 and +1.00 diopters. With a simple frame and close addition crystals we can give the patient a clear vision so that they can even see very small letters on a leaflet for example.

Care must be taken because most patients resort to simple pre-assembled glasses that can be found in establishments such as opticians, pharmacies or shops with a non-sanitary profile, but these glasses presuppose that we have the same prescription in both eyes and most patients do not enjoy this characteristic.

Therefore, we always recommend an ophthalmological check-up to have a good refraction.

The glasses with progressive lenses so fashionable in these years also provide the correction of our distant, intermediate and near graduation in only one frame.

When the patient has had a good adaptation to a goggle but has rejected its use, we can start the process of introduction to multifocal contact lenses .

operación de presbicia o vista cansada en Madrid

It is a simple process but it requires the cooperation of the patient because we introduce a foreign body into the eye and for the majority of patients it is their first contact with the contact lenses. Choosing the right clinic, with experienced and thorough professionals usually leads to success and ensures that the presbyopic patient is satisfied.

Presbyopia is not currently linked to laser surgery as it is a progressive pathology. The laser treatments that exist in the market provide a correction of the refractive defect of the patient. It does not change with time and over the years the patient ends up returning to their glasses.

Presbyopia operation

The last way to correct presbyopia is surgical. After the age of 60 we can suggest the correction of presbyopia through lens surgery or cataract surgery.

We removed this natural lens from the eye to implant an artificial lens of biocompatible material that corrects all patient graduation defects: myopia , hyperopia , astigmatism and presbyopia.

Implanted lenses are called bifocals or trifocals and provide excellent results where our patients do without their glasses in almost the whole day. By removing the crystalline lens or cataract we also definitively nullify the evolution of presbyopia.

In conclusion, the most important is to receive good advice based on optometrists and ophthalmologists who correctly diagnose the initial health of the patient and always try to make the least invasion and aggressions to the eyeball.

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