Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive difficulty in focusing on near objects, requiring increased working distance for reading. Reports associated symptoms of asthenopia, ocular fatigue, and headaches following prolonged near-task activities. Onset is consistent with age-related physiological decline in accommodative amplitude.
Clinical Examination Findings
Visual acuity (VA) at distance is stable. Near visual acuity (NVA) shows significant reduction without correction. Accommodative amplitude testing reveals a decrease below age-expected norms. Refraction confirms emmetropia or underlying refractive error with a required add power for near vision. Binocular vision assessment is within normal limits.
Treatment Protocol
Management plan includes prescription of corrective lenses for near vision, including reading glasses, bifocals, or progressive addition lenses (PALs). Discussed options for multifocal contact lenses or monovision correction. Referral for refractive surgery consultation (e.g., presbyopic LASIK or refractive lens exchange) provided upon patient request.