- Medically Reviewed by Mr Mfazo Hove Consultant Ophthalmologist
- Author: Chris Dunnington
- Published: July 11, 2025
Vision problems are among the most common health concerns worldwide, affecting people of all ages and lifestyles. Two of the most frequently encountered conditions are presbyopia and myopia. While both impact how we see, their causes, symptoms, and optimal treatments differ significantly. At Blue Fin Vision® Eye Clinic, with locations in London (Harley Street, Weymouth Street), Chelmsford, and Hatfield, our top-rated team of leading surgeons and top specialists provides the best care for all refractive errors.
This guide will help you understand the differences between presbyopia and myopia, recognise their symptoms, and explore the most advanced treatment options available today.
What Is Presbyopia?
Presbyopia is an age-related condition where the eye gradually loses its ability to focus on near objects. It typically becomes noticeable from the age of 40 onwards and is a natural part of the ageing process.
Causes of Presbyopia
- The lens inside the eye becomes less flexible with age.
- This loss of flexibility reduces the eye’s ability to change focus from distant to near objects.
- Presbyopia is not caused by the shape of the eye, but by changes in the lens.
Symptoms of Presbyopia
- Difficulty reading small print or seeing objects up close.
- The need to hold reading materials further away to see them clearly.
- Eye strain or headaches after close-up work.
- Blurred vision at normal reading distance.
Who Is Affected?
Everyone will develop presbyopia if they live long enough, regardless of whether they have previously enjoyed perfect vision or have had other refractive errors such as myopia.
What Is Myopia?
Myopia, or short-sightedness, is a condition where distant objects appear blurry, but near objects are seen clearly. It usually develops in childhood or adolescence and can progress over time.
Causes of Myopia
- The eyeball is too long, or the cornea is too curved, causing light to focus in front of the retina instead of directly on it.
- Genetics play a significant role; children with myopic parents are more likely to develop myopia.
- Environmental factors, such as prolonged near work and limited time outdoors, may increase risk.
Symptoms of Myopia
- Blurred distance vision (difficulty seeing road signs, television screens, or the whiteboard at school).
- Squinting to see clearly at a distance.
- Eye strain or headaches, particularly after trying to focus on distant objects.
- Children may sit closer to the television or hold books very close.
Who Is Affected?
Myopia can affect anyone, but it most commonly appears in school-age children and young adults. The prevalence of myopia is increasing globally, particularly in urban settings.
Key Differences: Presbyopia vs Myopia
- Presbyopia is an age-related loss of near focusing ability, while myopia is a refractive error present from a younger age, causing blurred distance vision.
- Presbyopia affects everyone as they age, regardless of previous vision, whereas myopia is more likely if there is a family history or certain lifestyle factors.
- The underlying cause of presbyopia is lens stiffening; myopia is caused by the shape of the eyeball or cornea.
Modern Treatments for Presbyopia and Myopia
At Blue Fin Vision® Eye Clinic, our top doctors and leading surgeons offer a full spectrum of advanced treatments for both conditions, using the latest technology and a personalised approach.
- Laser Eye Surgery
Laser eye surgery is a highly effective solution for many refractive errors, including myopia and, with newer techniques, presbyopia.
- For Myopia: Procedures such as LASIK, PRK, and SMILE reshape the cornea to refocus light on the retina, improving distance vision.
- For Presbyopia: Innovative techniques like PresbyMAX® use a multifocal ablation profile to create multiple focal points on the cornea, restoring clear vision at near, intermediate, and distance ranges. PresbyMAX® is minimally invasive and suitable for patients aged 45 and above seeking independence from reading glasses.
Benefits:
- Quick, minimally invasive procedures
- Rapid recovery and minimal discomfort
- High rates of patient satisfaction
- Refractive Lens Exchange (RLE) / Lens Replacement Surgery
Lens replacement surgery is an excellent option for patients with presbyopia, especially when accompanied by early cataract changes or when laser eye surgery is not suitable.
- The natural lens is replaced with an artificial intraocular lens (IOL), which can be monofocal, multifocal, or trifocal.
- Multifocal and trifocal lenses provide clear vision at multiple distances, reducing or eliminating the need for glasses.
- RLE is identical to modern cataract surgery and is performed under local anaesthetic, ensuring comfort and safety.
Benefits:
- Permanent correction of presbyopia and other refractive errors
- Prevention of future cataract development
- Suitable for patients with high prescriptions or thin corneas
- Implantable Collamer Lens (ICL) Surgery
ICL surgery is ideal for patients with moderate to high myopia or those unsuitable for laser eye surgery.
- A thin, flexible lens is implanted inside the eye, between the iris and the natural lens.
- The procedure is reversible and preserves the natural lens, maintaining accommodation in younger patients.
- ICL can also correct astigmatism and offers high-quality vision with minimal risk of dry eye.
Benefits:
- Suitable for a wide range of prescriptions
- No removal of corneal tissue
Quick recovery and excellent visual outcomes
Why Choose Blue Fin Vision® Eye Clinic?
Blue Fin Vision® Eye Clinic is recognised as one of the best and most trusted eye clinics in London, Chelmsford, and Hatfield. Our Harley Street and Weymouth Street locations are home to top-rated doctors and leading surgeons with extensive experience in all forms of vision correction surgery.
What sets us apart:
- Expertise: Our top specialists are renowned for their skill in treating presbyopia, myopia, and complex refractive errors.
- Advanced Technology: We use state-of-the-art diagnostic and surgical platforms, including the latest laser systems and premium lens implants.
- Personalised Care: Every patient receives a bespoke treatment plan, clear communication, and compassionate support from consultation through to aftercare.
- Outstanding Results: Our focus is on delivering the best possible visual outcomes, helping you regain independence from glasses and enjoy life with renewed clarity.
Take the Next Step Towards Clearer Vision
If you are experiencing symptoms of presbyopia or myopia or simply wish to explore your options for vision correction, trust your eyes to the experts at Blue Fin Vision® Eye Clinic. Book your comprehensive consultation at our London (Harley Street, Weymouth Street), Chelmsford, or Hatfield clinics and discover how our top-rated team can help you achieve the freedom and clarity you deserve.
Your vision deserves the very best. Contact Blue Fin Vision® Eye Clinic today and take the first step towards a brighter, clearer future.
Blue Fin Vision® Eye Clinic: Where advanced technology meets compassionate, expert care. Trust your vision to the leading specialists in presbyopia and myopia treatment.
