Difference Between Presbyopia and Hypermetropia

difference between presbyopia and hypermetropia

Difference Between Presbyopia and Hypermetropia

difference between presbyopia and hypermetropia

Imagine the frustration of trying to read a menu in a dimly lit restaurant and having to stretch your arms as far as they can go, just to bring the words into focus. If you are in your 40s or beyond, you might be experiencing it yourself. And there are two common culprits to be blamed for this: presbyopia and hypermetropia. Though often confused, these two are as different as coffee and tea—both popular morning brews, but distinct in taste, preparation, and appeal. Let’s shed some light on the difference between presbyopia and hypermetropia, their causes, effects, how they may uniquely influence your vision, and more!

What is Presbyopia?

Presbyopia is an age-related condition in which the eye gradually loses the ability to focus on nearby objects. This natural change typically begins in adulthood, around the age of 40 or older. It occurs when the lens inside the eye becomes less flexible, making it harder to adjust focus from distant to close objects. As the lens becomes stiffer, the eye struggles to focus light directly onto the retina when looking at something close up, leading to blurred vision.

Imagine your eye’s lens as a camera lens that can no longer zoom in as smoothly or quickly as it used to. This loss of elasticity means the eye can’t change its shape easily to focus on close-up tasks like reading small print, sewing, or using a smartphone. Most people notice presbyopia when they start needing to hold reading materials at arm’s length to see them clearly. 

While presbyopia and hypermetropia seem similar, they are distinctly different conditions, highlighting the importance of understanding presbyopia vs hypermetropia. Now, let’s explore what hypermetropia is all about.

What is Hypermetropia?

Hypermetropia, commonly known as farsightedness, is a refractive error in the eye that affects the ability to see nearby objects clearly. In hypermetropia, distant objects may be seen more clearly than close ones. This condition arises when the eyeball is shorter than normal or when the lens of the eye is not curved enough, causing light entering the eye to be focused behind the retina rather than directly on it, highlighting a difference between presbyopia and hypermetropia in terms of eye structure impact.

You can also read Types of Refractive Error blog

People with hypermetropia might struggle with tasks like reading, sewing, or other activities that involve focusing on objects up close. They might experience eye strain, headaches, or fatigue after performing close work for prolonged periods.

To be able to understand the key difference between presbyopia and hypermetropia, let’s delve deeper into presbyopia vs hypermetropia, their causes and symptoms separately.

Symptoms and Causes of Presbyopia

Here’s a closer look at these presbyopia symptoms and causes to help you understand the difference between presbyopia and hypermetropia better.

Presbyopia Symptoms

  • Difficulty reading small print.
  • Experiencing tired eyes or discomfort when doing close tasks, especially in dim light.
  • Blurred vision at normal reading distance.
  • Developing headaches after doing close-up work, which can be a result of eyestrain.

Presbyopia Causes

  • As you age, the lens in your eye, which is naturally flexible, becomes stiffer and less able to change its shape or accommodate, leading to presbyopia.
  • Decreased elasticity of lens due to changes in the proteins in the lens, leading to more layers on its surface.
  • The muscles surrounding the lens also lose some of their flexibility, further hindering the lens’s ability to change shape.

Symptoms and Causes of hypermetropia

Let’s delve into hypermetropia symptoms and causes to understand it better.

Hypermetropia Symptoms 

  • Blurry vision for close objects while reading, sewing, or computer work.
  • Straining your eyes to see better up close 
  • Frequent headaches, often resulting from eye strain.
  • Squinting to see clearly when looking at close objects is a common symptom.
  • Fatigue in the eyes, especially after prolonged periods of work involving focusing on close distances.

Hypermetropia Causes

  • When your eyeball is shorter than normal. 
  • If the lens or cornea isn’t curved enough, they can’t bend light correctly to focus on the retina, leading to short eyeballs.
  • If one or both parents have the condition, their children are more likely to develop it.
  • While hypermetropia is often present from birth, changes in the eye’s lens can lead to the development or worsening of hypermetropia with age.

Presbyopia vs Hypermetropia – Major Difference

Presbyopia vs hypermetropia involves understanding both as refractive errors affecting vision, yet originating from different causes and typically impacting individuals at distinct life stages. Let’s break down the major difference between presbyopia and hypermetropia:


  • Presbyopia is the age-related loss of the eye’s ability to focus on nearby objects due to the lens becoming less flexible.
  • Hypermetropia is a condition where the eye is too short or the lens is not curved enough, causing light to focus behind the retina rather than on it, making close objects appear blurry.


  • Presbyopia typically begins to affect people in their early to mid-40s.
  • Hypermetropia can be present from birth (congenital hypermetropia) or develop with age.


  • Presbyopia symptoms include difficulty reading small print, needing more light to read, and eye strain when doing close work.
  • Hypermetropia symptoms often involve blurry vision for close objects, eyestrain, headaches, and squinting.


  • Presbyopia is caused by the natural aging process affecting the flexibility of the lens.
  • Hypermetropia results from anatomical factors, such as a shorter than average eyeball or insufficient curvature of the lens or cornea.


  • Presbyopia is a progressive condition that continues to worsen with age.
  • Hypermetropia can be stable, worsen, or, in some cases, improve over time.

Vision Impact

  • Presbyopia affects near vision primarily.
  • Hypermetropia affects the clarity of near objects more than distant ones, but severe cases can impact distance vision as well.

Risk Factors

  • Presbyopia is an inevitable part of aging.
  • Hypermetropia risk factors include genetics and certain eye diseases.


While there is a difference between presbyopia and hypermetropia, neither presbyopia nor hypermetropia can be prevented. Regular eye exams can help manage their impact on vision.

Percentage of the Population Affected

  • Presbyopia affects nearly everyone by the age of 65.
  • Hypermetropia is common, but exact percentages can vary widely by age group and population, with estimates suggesting that about 5-10% of Indians are affected.

Recommended Lenses

  • Presbyopia is corrected with reading glasses, bifocals, multifocals, or progressive lenses.
  • Hypermetropia is corrected with convex prescription lenses (glasses or contact lenses) that adjust the focal point directly on the retina.

Read blog on Myopia vs hyperopia vs astigmatism

Presbyopia vs Hypermetropia – Treatment

Understanding the difference between presbyopia and hypermetropia is crucial for seeking appropriate treatment and maintaining optimal eye health as we age or encounter these conditions. Recognizing the unique management strategies for each condition is key, highlighting the importance of differentiating between presbyopia vs hypermetropia. Here’s a concise look at how each condition can be managed effectively.

Presbyopia Treatment

For those facing the challenge of presbyopia, the most common treatments include the use of reading glasses for close-up tasks, bifocals or progressive lenses that offer multiple focal points, and contact lenses designed for presbyopia. Some may also consider surgical options like LASIK, conductive keratoplasty, or lens implants to improve their near vision.

Hypermetropia Treatment

Treating hypermetropia typically involves corrective lenses, such as glasses or contact lenses, that adjust the way light rays bend into the eye, ensuring they focus directly on the retina. For a more permanent solution, refractive surgery options like LASIK, PRK, might be explored, aiming to reshape the cornea and correct the refractive error. Implants like ICL (Implantable Collamer Lens) is also a method to treat hypermetropia.

Can you prevent hypermetropia or presbyopia?

While both presbyopia vs hypermetropia distinctions are largely determined by genetics and the natural aging process, making them unavoidable, embracing certain lifestyle factors can play a role in maintaining overall eye health and potentially delay the onset of these conditions. 

  • Regular eye exams for early detection and management can help in understanding the difference between presbyopia and hypermetropia and addressing them appropriately.
  • Protecting your eyes from excessive UV light with sunglasses. 
  • Maintaining a diet rich in vitamins and antioxidants. 
  • Ensuring proper lighting during close work.
  • Taking regular breaks during screen time to reduce eye strain.
  • Managing chronic conditions like diabetes or high blood pressure to delay the severity of vision changes related to the difference between presbyopia and hypermetropia. 

You can also read 20-20-vision mean blog

Though these measures can’t prevent presbyopia or hypermetropia, they can support eye health and delay the severity of vision changes. Understanding the difference between presbyopia and hypermetropia is crucial in adopting the right eye care practices.

What are the similarities between hypermetropia or presbyopia? 

Despite the presbyopia vs hypermetropia differences, hypermetropia and presbyopia share several similarities that affect individuals’ vision and daily life. Here are the key similarities between these two conditions:

  • Both affect near vision, making close objects appear blurry.
  • Glasses or contact lenses are common treatments for both conditions.
  • Progressive and bifocal lenses can be used to correct vision in both presbyopia and hypermetropia.
  • While hypermetropia can occur at any age, it often worsens with age, similar to presbyopia, which primarily affects those over 40.
  • Symptoms include eyestrain and headaches from activities involving close vision in both conditions.
  • Treatment aims to improve near vision clarity for both.

Is it possible to suffer from presbyopia and hyperopia at the same time?

Yes, it is entirely possible to suffer from both presbyopia and hypermetropia (farsightedness) at the same time, highlighting the difference between presbyopia and hypermetropia but also how they can coexist.  Hypermetropia is a condition that can be present from birth or develop early in life, characterized by difficulty focusing on close objects due to the shape of the eye. Presbyopia, on the other hand, develops as a part of the natural aging process, typically starting in the early to mid-40s, when the eye’s lens loses elasticity, further affecting the ability to focus on close objects.

When someone has both conditions, they may find it increasingly difficult to see objects at close range clearly. Their vision correction solution, such as glasses or contact lenses, needs to address both the refractive error caused by hypermetropia and the loss of lens flexibility due to presbyopia. This often results in the need for multifocal lenses or bifocals that can help correct both near and far vision issues simultaneously.

Hypermetropia and presbyopia vs. hyperopia

Hypermetropia and hyperopia are actually two terms for the same condition, commonly known as farsightedness, where distant objects are seen more clearly than close ones due to the shape of the eye. 

In a nutshell, understanding the difference between presbyopia and hypermetropia is essential for seeking appropriate treatment and adjusting to changes in vision with confidence and clarity.  Presbyopia, often associated with aging, occurs when the eye’s lens loses its flexibility, making it hard to focus on close objects. This condition typically emerges around the age of 40, leading many to reach for reading glasses. Hypermetropia stems from a structural issue in the eye—either the eyeball is too short, or the lens isn’t curved enough, causing difficulty focusing on nearby objects right from a younger age or birth. 


How can I tell if I have presbyopia or hypermetropia?

If you’re over 40 and struggling with small print, it’s likely presbyopia. If you’ve had trouble seeing close objects since young, it could be hypermetropia.

Are presbyopia and hypermetropia the same thing?

No, presbyopia is related to aging and affects near vision, while hypermetropia is a structural issue present from birth affecting near and sometimes distant vision.

Can presbyopia and hypermetropia occur together?

Yes, it’s possible to have both, requiring glasses with multifocal lenses or other tailored corrective measures.

What are the treatment options for presbyopia and hypermetropia?

Treatment includes corrective lenses (glasses or contacts), multifocal lenses, and possibly surgical options like LASIK or lens implants.

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