As the eye ages, it loses its ability to adjust, resulting in diminished up-close vision. Presbyopia develops gradually, with most people developing symptoms by their early to mid-40s. The most common symptoms of presbyopia are blurred vision at normal reading distance, including while wearing normal glasses or contact lenses, headaches, eyestrain and fatigue while reading or doing close-up work.

One of the most significant complaints I hear in the consulting room is about difficulty when driving at night. I can completely sympathise. I, too, feel the modern-style headlights are too bright, and when it’s dark and rainy, there seems to be more glare and more reflections than I’ve ever noticed before. That said, my eyes have no other visual issues, whereas many of the drivers (and passengers) I speak with report that since the onset of any cataract and/or dry eye, the situation has become even more troublesome.