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    Managing presbyopia heading into the year 2020

    As patients seek perfect vison without glasses, ODs evolve their presbyopia treatment

    It’s 2017, and that means we are that much closer to the optometric equivalent of Y2K—the year 2020. The notion that our calendar year will coincide with the perceptual perfect vision our patients expect from all of our services should elicit some tiny bumps on your skin. Now don’t get too elated—we have almost three years to prepare for this optometric jubilee year.

    However, one area that can use the most fine-tuning is our managing of presbyopia. We should also consider how we help our patients cope with the inevitable decay of their relationship with glasses-free near tasks. This will set the stage for years to come.

    Patients don’t have to wait for 2020 to achieve 20/20 vision at near without spectacles or contact lenses. Rather, the advancements we have seen just in the past few years should be enough to help manage their expectations.

    Previously from Dr. Bloomenstein: Avoiding the pitfall of epithelial basement membrane dystrophy

    The road less traveled

    The road to being glasses-free, much like wireless or hands-free, has to start early. You and your staff should incorporate this road map into the fabric of the practice, the exam, and the psyche of your patient.

    Let’s be clear: no one wants to put on reading glasses. Nobody wishes to announce, via glasses, that they are “old,” and none of our patients truly understand the concept of presbyopia. As our patients start to develop the so-called dysfunctional lens syndrome (DLS), then we need to advocate for other options.

    My definition of DLS is when the lens is not working optimally any more—like all my presbyopic brothers and sisters.

    Related: New correction option for presbyopes

    Contact lens choice

    Contact lenses still provide a seamless opportunity for the near challenged to have good quality of vision without glasses. New technology brings new choices.

    SynergEyes launched a multifocal with Duette. Last year we saw the approval of monthly replacement silicone hydrogel Ultra for Presbyopia from Bausch + Lomb. These new additions join a full array of multifocal options that are already in our cabinet—notwithstanding monovision options.

    Contact lenses are the perfect bridge, or even the inevitable option, for a glasses-free existence.


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