The Evolution of Treatments for Emmetropic Presbyopia

Therapies offer multiple options and mechanisms of action to satisfy emmetropic presbyopes’ desire for both freedom and clear vision.

Robert Ang, MD

Ophthalmology Management January 1, 2025 Vol 29, Issue January/February 2025

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Emmetropic presbyopes experience vision changes around age 40, requiring correction for the first time, unlike those who previously wore glasses.
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Current treatments for presbyopia aim to correct near vision without compromising distance vision, posing a significant challenge for practitioners.
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Pupil-constricting eyedrops, like pilocarpine, improve near vision but have side effects, including headaches and dim vision.
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New therapies, including alternative eyedrop formulations and multifocal contact lenses, are in development to enhance presbyopia care.
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Despite available options, many emmetropic presbyopes prefer to manage without glasses, highlighting the need for effective, non-invasive treatments.

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