5 responses to “No more reading glasses: daily eyedrops for presbyopia”

  1. Could you comment on “Neurolens” technology? Would this have any role in managing presbyopia?
    Thanks very much for a very clearly written and helpful article.

  2. Is there an age limit beyond which pharmacotherapy is not useful or dangerous if there are no other eye diseases?
    What about blepharitis?

  3. Thank you for your questions!

    @Michael Cooper
    –> Glad you found it helpful! Neurolens is a product that reduces double vision and eye strain relating to ocular misalignment. Although it may make reading more comfortable for people with specific ocular alignment issues, it does not specifically improve near focus; furthermore, as Neurolens is a type of glasses, these patients would still be wearing glasses of some kind (reading glasses, bifocals, or progressives) to address their presbyopia.

    @Louise B Andrew MD
    –> Regarding the age limit: according to the prescribing handout: ” Clinical studies of [pilocarpine 1.25% drops] did not include participants aged 65 and over to determine whether they respond differently from younger participants. Other reported clinical experience with ophthalmic pilocarpine solutions have not identified overall differences in safety between elderly and younger participants” (https://c212.net/c/link/?t=0&l=en&o=3384389-2&h=3336741496&u=https%3A%2F%2Fwww.rxabbvie.com%2Fpdf%2Fvuity_pi.pdf&a=Prescribing+Information)

    –> Regarding blepharitis: no contraindication. In fact, some studies have found pilocarpine gel applied to the eyelashes to be a helpful treatment for blepharitis. (https://www.sciencedirect.com/science/article/pii/S1542012419300655)

  4. Thanks for article.
    What is your opinion regarding nanotechnology for presbyopia and other refractive errors?


  5. Definite concerns about nighttime driving here (as well as continued use with eye irritation) – the driving safety issue for me indicates cosmesis << safety.

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