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As we age, our eyes slowly lose the ability to focus on things up close. This is called presbyopia. It usually starts after the age of 40.1, 2 It affects almost everyone, which means most people will eventually need glasses, prescription eye drops or laser surgery to help with reading or other close-up tasks.

Presbyopia is caused by the lens inside your eye becoming less flexible as you get older. This makes it harder for your eye to switch focus between objects that are close and far away.1, 2

People often confuse presbyopia with long-sightedness (hyperopia), but they are not the same thing. Hyperopia is a condition some people are born with or develop in childhood, where the structure of the eye itself makes it harder to focus up close.3 Presbyopia, on the other hand, is a gradual loss of flexibility in the lens that happens gradually as we age.1

Reading glasses are a common way to correct presbyopia. Surgery is also an option for people who are suitable candidates.

Book a consultation with a Vision Eye Institute ophthalmologist to find out if you’re a good fit for treatment.

Common symptoms of presbyopia include:

  • Needing to hold your phone, book or newspaper further away to read it clearly
  • Trouble reading small print, like on menus, labels or text messages
  • Blurred or hazy vision when you focus on things up close
  • Eye strain or headaches after reading or using a screen for a while
  • Trouble reading in low light
  • Needing to increase the font size on your phone or device
  • Trouble switching focus between near and distant objects
  • Your reading vision getting worse, even with your usual glasses or contact lenses

If you find yourself with any of these symptoms, you might want to think about getting a specialist assessment for presbyopia surgery.

While reading glasses or contact lenses are a common way to manage presbyopia, many people look for a long-term presbyopia treatment or alternative to reading glasses. This may be for professional or lifestyle reasons like sport, hobbies or frequent travel, when glasses can be impractical.

A consultation with a Vision Eye Institute ophthalmologist is the best way to determine whether reading glasses surgery is right for you.

How much reading glasses surgery costs depends on the type of procedure you have. This surgery could be a laser treatment or a lens-based procedure (which will also include the cost of the new lenses). Because each treatment is different and tailored to your specific needs, we’re unable to provide an exact cost online.

Medicare rebates may apply to some procedures, depending on your individual clinical situation. Private health insurance may also cover some of the costs, depending on your level of cover and the type of surgery. We will go through all costs for presbyopia surgery during your consultation. We recommend checking your private health insurance policy for details on your level of cover and any excess.

To help manage the cost of treatment, Vision Eye Institute also offers payment plans.

Contact your nearest Vision Eye Institute clinic to discuss costs specific to your treatment.

At what age does presbyopia start?

Presbyopia usually starts to become noticeable from around age 40. Studies show the risk of developing presbyopia increases each year from age 40 to 50, then levels off.2 Most people notice changes in their near vision by their mid-40s. For example, they may need to hold reading material further away.

Does presbyopia affect almost everyone?

Yes, presbyopia is a normal part of ageing and affects most people over 40.1 Globally, it’s estimated that over one billion people are living with presbyopia.2 If you’re noticing changes to your near vision as you get older, you’re not alone. It’s a common and expected part of the ageing process.

Is presbyopia the same as long-sightedness?

No, presbyopia is not the same as long-sightedness (hyperopia). Presbyopia is an age-related change that affects almost everyone as they get older. Long-sightedness (hyperopia) is a condition some people are born with or develop young.

Presbyopia is caused by the lens becoming less flexible as we get older.1, 2 Long-sightedness is caused by the shape of the eye or cornea making it hard to focus up close.3 It’s possible to have both at the same time, but they are not the same thing.

Does presbyopia get worse with age?

Yes, presbyopia tends to progress over time, particularly between the ages of 40 and 50. After age 50, this progression tends to slow down.2 This is a normal part of the eye lens ageing process. It can’t be stopped or reversed, but you can manage it with glasses, contact lenses or surgery.

Can presbyopia be treated without glasses?

Yes, there are several treatment options for presbyopia besides glasses. These include contact lenses, topical treatments like eye drops, and surgery. Presbyopia eye drops typically contain pilocarpine or aceclidine, which work by temporarily narrowing the pupil to improve near vision. Topical treatments usually need to be applied daily, and side effects like headaches can occur.

There are also surgical options to treat presbyopia. Surgery is a more permanent treatment for presbyopia that can reduce or even remove dependence on reading glasses, with no need for daily drops or contact lenses.

The right treatment option for you depends on your eyes, lifestyle and vision goals. A consultation at Vision Eye Institute can help you decide what suits you best. We’ll conduct a full assessment of your eyes and your doctor will recommend the best treatment for you.

Will I develop presbyopia if I previously had laser eye surgery?

Potentially yes, as presbyopia can still develop after laser eye surgery. Laser eye surgery changes the cornea’s shape. In contrast, presbyopia happens due to age-related changes in the eye’s lens. If you’ve had laser eye surgery in the past, you may still need further treatment for presbyopia later in life.

What is PresbyLASER eye surgery?

PresbyLASER is a broad term used to describe advanced laser treatment for presbyopia that reshapes the cornea to restore clear vision at near, intermediate and distance, without removing or replacing your eye’s natural lens. Unlike standard laser correction, which splits focus between your eyes, PresbyLASER procedures aim to give each eye a full range of focus. It may also correct short-sightedness, long-sightedness or astigmatism.

You may come across names such as PresbyMAX®, PRESBYOND® and other branded technologies when researching treatment options. While the techniques differ, they all share the common goal of improving functional vision across a range of distances and reducing the need for reading glasses.

PresbyLASER is currently available at Vision Eye Institute NSW clinics only.

How do I know if I am a candidate for presbyopia surgery?

The best way to find out if you are suitable for presbyopia surgery is to book a consultation with a Vision Eye Institute ophthalmologist. They’ll check your eyes, talk about your vision goals and lifestyle, and explain which treatment options might work for you. Being a candidate depends on a few factors, so a personalised assessment is the best next step.

Is reading glasses surgery covered by Medicare or private health insurance?

Medicare rebates for reading glasses surgery may apply to some procedures, depending on your clinical situation. Additionally, private health insurance may help with hospital costs for some treatments. Contact your clinic to confirm what applies to you.

How long does presbyopia surgery take?

The time needed for presbyopia surgery depends on which procedure you have. Laser treatments typically take 10 to 15 minutes per eye, with about two hours at the clinic including preparation and observation. Refractive lens exchange is usually done as two separate day surgery procedures (one for each eye) under local anaesthetic. Your ophthalmologist will confirm the timing for your recommended treatment during your consultation.

Can I develop presbyopia if I already wear glasses for distance?

Yes, wearing glasses for distance vision doesn’t prevent presbyopia. Presbyopia is caused the lens becoming less flexible as you age. It’s different from short-sightedness or long-sightedness, which are caused by the shape of the eye or cornea. Many people who already wear glasses for distance will also need help with near vision as they get older.

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Laser eye surgery for presbyopia

Laser eye surgery for presbyopia works by adjusting each eye to focus at different distances. This is known as ‘blended vision’ or ‘monovision’. One eye is treated for clear distance vision, the other for near or intermediate vision. Over time, your brain adjusts to this setup, reducing your need for reading glasses in everyday situations.

Vision Eye Institute offers laser vision correction for presbyopia using the same lasers and similar procedures to standard laser eye surgery. These include LASIK, SMILE Pro and PRK (also known as ASLA). If you’re a suitable candidate, your ophthalmologist will recommend the best method based on your corneal profile, prescription and eye health.

Laser eye surgery for presbyopia typically suits people aged in their 40s to early 60s without significant cataract development. As laser surgery reshapes the cornea, we’ll do a pre-surgical assessment of your corneal thickness to make sure your eye has enough tissue to stay healthy and stable afterwards. Laser treatment takes around 10 to 15 minutes per eye. The total time at the clinic is about two hours, including preparation and post-procedure observation.

Most people return to everyday activities within a few days. Your brain may take a few weeks to adjust to blended vision laser surgery. During this time, your vision might feel a bit different, but most people soon enjoy getting rid of reading glasses for everyday tasks.

Learn more about laser eye surgery for reading glasses treatment or book a free laser assessment.

PresbyLASER (PresbyMAX®, PRESBYOND®)

PresbyLASER is a broad term used to describe laser vision correction procedures designed to reduce dependence on reading glasses and improve vision for near, intermediate and distance tasks. These treatments work by reshaping the cornea to enhance the eye’s range of focus while preserving the eye’s natural lens.

Several different approaches to presbyopia laser correction have been developed over the years. You may come across names such as PresbyMAX®, PRESBYOND® and other branded technologies when researching treatment options. While the techniques differ, they all share the common goal of improving functional vision across a range of distances and reducing the need for reading glasses.

In some patients, presbyopia laser treatment can also correct underlying refractive errors such as short-sightedness (myopia), long-sightedness (hyperopia), and astigmatism at the same time.

Laser vision correction for presbyopia is typically considered for people over 40 who are finding near tasks such as reading, using digital devices, or viewing menus increasingly difficult. A comprehensive assessment with an ophthalmologist is required to determine whether laser treatment is suitable and which approach may provide the best outcome.

PresbyLASER is currently available at Vision Eye Institute NSW clinics only.

Refractive lens exchange (RLE)

Refractive lens exchange (RLE), also known as lens replacement surgery, replaces your eye’s natural lens with an artificial one. For presbyopia treatment, this could be a multifocal lens or an extended depth of focus (EDoF) lens. Both lenses are designed to give you clear vision at multiple distances.

This type of presbyopia lens surgery works well for those in their late 40s and onwards. It’s also good for people who can’t have laser correction or have early changes in their natural lens. Because your natural lens is replaced with an artificial one, you also won’t develop cataracts in the future. Lens replacement surgery can also help you to get rid of reading glasses or daily eye drops.

There are several lens options available. Your surgeon will recommend the lens that best suits your vision and lifestyle needs. Multifocal lenses can give you several focal points for near, intermediate and distance vision. Extended depth of focus (EDoF) lenses can provide a smooth, wider range of focus. Monofocal lenses can be used for both eyes, setting a fixed distance of focus. However, monofocal lenses are more commonly used for monovision or blended vision, where one eye is set for near vision and the other for distance.

RLE for presbyopia is usually done as two separate day surgery procedures, one for each eye, under local anaesthetic. Most people notice an improvement within one to two days, with full recovery in two to four weeks.

Learn more about lens surgery for reading glasses on our Cataract and Lens Surgery page.

When should I consider presbyopia treatment?

If you find yourself holding books, menus or your phone farther away to read clearly, you might want to think about getting a specialist assessment for presbyopia surgery. This is especially relevant if you’ve ever wondered, ‘Can I get rid of my reading glasses?’.

Presbyopia surgery can reduce or even remove your need for glasses.

While reading glasses or contact lenses are a common way to manage presbyopia, many people look for a long-term presbyopia treatment or another alternative to reading glasses. This may be for professional or lifestyle reasons like sport, hobbies or frequent travel, when glasses can be impractical.

If you’re wondering about treatment for presbyopia, a consultation with a Vision Eye Institute ophthalmologist is the best way to determine whether reading glasses surgery is right for you.

Potential complications

Complications from presbyopia treatment are uncommon. However, as with any surgical or laser procedure, there is some risk involved. The specific risks depend on which procedure you have, whether it’s laser vision correction, PresbyMAX or refractive lens exchange. We will discuss these risks with you in full at your consultation.

Patient safety is at the core of everything we do at Vision Eye Institute. Our In Safe Hands program guides our clinics and day surgeries, with strict infection control practices and regular reviews of quality and safety.

We’re also committed to keeping you informed. Our team will help you understand the benefits and risks of your procedure before you make a decision, and we encourage you to ask questions at every step. Specialist aftercare is available should you need it.

Your ophthalmologist will explain the specific risks relevant to your recommended procedure at your pre-surgery consultation.

Why Vision Eye Institute?

As Australia’s largest private provider of ophthalmic services, we are committed to delivering world-class patient care.

Our surgeon group brings deep subspecialty expertise across refractive, corneal, cataract and lens surgery. This depth of experience, in addition to our state-of the art technology, means our ophthalmologists are well placed to manage complex or co-existing eye conditions alongside presbyopia.

At Vision Eye Institute, our mission is to lead in technology and clinical research. Our ophthalmologists are regularly invited to join international trials. They also teach and assess trainees in medicine, optometry and ophthalmology.

Patient safety is at the heart of our work. We are guided by our In Safe Hands clinical quality and safety program.

If you’re looking for a presbyopia specialist or reading glasses specialist, book a consultation with Vision Eye Institute to understand your options.

How much does presbyopia & reading glasses surgery cost?

Presbyopia surgery costs can vary based on several factors, including the type of procedure, the surgeon’s fees, day surgery facility costs and the type of intraocular lens your surgeon recommends (if a lens exchange procedure). Because of these factors, it isn’t possible to provide an exact cost online. However, your ophthalmologist will outline the full cost with you at your consultation, so you have complete clarity before proceeding.

SMILE® and SMILE® pro are registered trademarks of Carl Zeiss Meditec
PRESBYOND® is a registered trademark of Carl Zeiss Meditec
PresbyMAX® is a registered trademark of SCHWIND eye-tech-solutions

References/further reading

  1. American Academy of Ophthalmology. What Is Presbyopia? USA, January 2020. Available at org/eye-health/diseases/what-is-presbyopia [Accessed 28 July 2026].↩︎
  2. Berdahl J, Bala C, Dhariwal M, et al. Patient and Economic Burden of Presbyopia: A Systematic Literature Review. Clin Ophthalmol 2020;14:3439-50.↩︎
  3. Good vision for life. Hyperopia (long-sightedness). Australia, September 2016. Available at https://goodvisionforlife.com.au/vision-problems/hyperopia/ [Accessed 28 July 2026].↩︎
  4. Vision Eye Institute. In Safe Hands program. Australia. Available at https://visioneyeinstitute.com.au/about/in-safe-hands/ [Accessed 28 July 2026].↩︎

The information on this page is general in nature. All medical and surgical procedures have potential benefits and risks. Consult your ophthalmologist for specific medical advice.

Date last reviewed: 2026-08-20 | Date for next review: 2028-08-20

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