Issue 10/2026
Nikolaeva, S.
Medical Center Grupchevi Plus – Varna
Presbyopia is a universal, age-related physiological process characterized by a progressive loss of the eye‘s accommodative ability and, consequently, difficulty with near vision. Although it is often perceived as an inevitable part of aging, its clinical significance should not be underestimated, as it has a significant impact on the quality of life, work capacity and daily activities of the patients. The onset of symptoms usually occurs around the age of 40 and includes blurred near vision, the need for brighter lighting, asthenopic complaints and the characteristic receding of objects when reading. The diagnosis of presbyopia in primary care is based on a careful history taking and basic functional tests, while it is necessary to conduct an adequate differential diagnosis with other eye and systemic diseases. In this context, the role of general practitioners is essential, as they are often the first point of contact for patients and have a key function in early recognition, raising awareness and referral to an ophthalmologist.
Modern approaches to the presbyopia correction include a wide range of options – from traditional optical devices to innovative pharmacological and surgical methods, allowing an individualized approach according to the needs and lifestyle of the patient. Increasing awareness among primary health care providers and improving interdisciplinary communication are key factors for the optimal management of this condition and for achieving better visual and functional outcomes so that patients do not compromise with their vision.
Key words: presbyopia, accommodation, primary care, quality of life, vision correction
Adress for correspondence:
Dr. Sylvia Nikolaeva, MD
Grupchevi Plus Medical Center – Varna
1A „Seliolu“, Str.
9002, Varna