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Dear Patients,

We are pleased to inform you that our office is now resuming our regular business hours for appointments. Of utmost importance to us is to continue to provide exceptional eye care in an environment that is safe for our patients and entire Monji Optometry team. We have taken great measures to prepare and implement COVID-19 safety protocols guided by resources from the Center for Disease Control (CDC), the American Optometric Association (AOA) and the California Optometric Association (COA).

We want to share our new safety practices and let you know what you will expect when you come to our office.

  • Our front door will remain locked and only opened to those with appointments. To limit the number of people, all patient encounters will be by appointment, including glasses pickups, adjustments and repairs. Our schedule has been adjusted to allow spacing of people in any given area in our office.
  • We ask that adult patients arrive alone for an appointment. Minor patients may be accompanied by one adult.
  • If you are new to our office, to help us be prepared for your arrival we ask you to submit the “Patient History Form” found on our website under “Patient Forms” before your appointment. Please don’t forget to bring your latest eyeglasses and/or contact lenses.
  • Our staff and patients are required to wear masks. When you arrive, you will be asked COVID-19 screening questions and your temperature will be taken by a non-contact thermometer at the door. If your temperature is over 100 degrees, we will reschedule your appointment.
  • Upon entering, you will be immediately directed to wash your hands. We are practicing safe distancing and ask that you mindfully keep a 6 foot distance between other patients.
  • Plexiglass barrier shields have been placed at our reception desk and tables for eyeglass frame selection to allow safe interaction between you and staff. Protection shields have also been outfitted on examination instruments.
  • Our staff has been trained on CDC procedures to diligently keep touched surfaces, instrumentation and overall office clean and disinfected following each patient and regularly throughout each day. This includes disinfecting eyeglass frames.

We look forward to seeing you soon. Best regards for your continued health and safety!

Monji Optometry

Our office is located in downtown Burbank across from the Kabuki & Shake Shack restaurants.
Call (818) 629-0229
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Home » Eye Care Services » Presbyopia Diagnosis and Treatment

Presbyopia Diagnosis and Treatment

presbyopia-burbank-caAs we reach middle age, particularly after age 40, it is common to start to experience difficulty with reading and performing other tasks that require near vision. This is because, with age, the lens of our eye becomes increasingly inflexible, making it harder to focus on close objects. This condition is called presbyopia and eventually, it happens to everyone who reaches old age to some extent.

To avoid eyestrain, people with untreated presbyopia tend to hold books, magazines, newspapers, and menus at arm's length in order to focus properly. Trying to performing tasks at close range can sometimes cause headaches, eye strain or fatigue in individuals who have developed this condition.

Causes of Presbyopia

During our youth, the lens of our eye and the muscles that control it are flexible and soft, allowing us to focus on close objects and shift focus from close to distant objects without difficulty.  As the eye ages, however, both the lens and the muscle fibers begin to harden, making near vision a greater challenge.

Presbyopia is a natural result of the aging process and not much can be done to prevent it.  Its onset has nothing to do with whether you already have another vision impairment such as nearsightedness, farsightedness or astigmatism.  Everyone will notice some degree of loss of near vision focusing power as they age, although for some it will be more significant than others.
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Symptoms and Signs of Presbyopia

Presbyopia is characterized by:

  • Difficulty focusing on small print
  • Blurred near vision
  • Experiencing eyestrain, fatigue or headaches when doing close work or reading
  • Needing to hold reading material or small objects at a distance to focus properly
  • Requiring brighter lighting when focusing on near objects

Presbyopia can be diagnosed in a comprehensive eye exam.

Treatment for Presbyopia

There are a number of options available for treating presbyopia including corrective eyewear, contact lenses or surgery.

Eyeglasses

Reading glasses or “readers” are basically magnifying glasses that are worn when reading or doing close work that allow you focus on close objects.
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Eyeglasses with bifocal or multifocal lenses such as progressive addition lenses or PALs are a common solution for those with presbyopia that also have a refractive error (nearsightedness, farsightedness or astigmatism). Bifocals have lenses with two lens prescriptions; one area (usually the upper portion) for distance vision and the second area for near vision. Progressive addition lenses or PALs similarly provide lens power for both near and distance vision but rather than being divided into two hemispheres, they are made with a gradual transition of lens powers for viewing at different distances.  Many individuals prefer PALs because unlike bifocals, they do not have a visible division line on the lens.

Bifocal and Multifocal Contact Lenses

For individuals that prefer contact lenses to glasses, bifocal and multifocal lenses are also available in contact lenses in both soft and Rigid Gas Permeable (RGP) varieties.

Multifocal contact lenses give you added freedom over glasses and they allow you to be able to view any direction - up, down and to the sides - with the similar vision. People wearing progressive lenses in glasses, on the other hand, have to look over their glasses if they want to view upwards or into the distance.

Another option for those that prefer contact lenses is monovision. Monovision splits your distance and near vision between your eyes, using your dominant eye for distance vision and your non-dominant eye for near vision. Typically you will use single vision lenses in each eye however sometimes the dominant eye will use a single vision lens while a multifocal lens will be used in the other eye for intermediate and near vision. This is called modified monovision.  Your eye doctor will perform a test to determine which type of lens is best suited for each eye and optimal vision.
Woman-Holding-Contact-Lens-burbank-ca

Surgery

There are surgical procedures also available for treatment of presbyopia including monovision LASIK eye surgery, conductive keratoplasty (CK), corneal inlays or onlays or a refractive lens exchange (RLE) which replaces the hardened lens in the eye with an intraocular lens (IOL) similar to cataract surgery.

Since it affects so much of the older population, much research and development is going into   creating more and better options for presbyopes.  Speak to your eye doctor about the options that will work best for you.
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