You may have heard in recent years that ophthalmologists are developing new eye drops which can relieve the symptoms of presbyopia (ageing eyes). This is an exciting prospect in recent medical news and aims to create further non-invasive solutions for those who may be hesitant about surgery. However, as we will discuss, there are still a few problems with this option. What is presbyopia? It is known as the condition of ageing eyes because of the internal lens of your eye. Over time your lens hardens and is less flexible, making it challenging to see things up-close. Typically this may affect you in your 40s or 50s which would mean you\u2019d need to start wearing reading glasses. What eyedrops have been developed to tackle presbyopia? In late 2021, the U.S Food and Drug Administration approved a new eye drop medication to treat presbyopia1 called Vuity. The aim of this is to offer a \u2018lifestyle\u2019 eye drop solution which people can apply twice daily. The vision-improving effects last between 4-6 hours2. Described as a \u201cgateway drug\u201d, it offers a temporary solution3 for people who may eventually choose laser or surgical procedures. How does Vuity work? The main agent in these newly developed eye-drops is pilocarpine. Previously, it has been used to treat glaucoma. Known as a \u2018miotic\u2019, it constricts the pupil and creates a \u2018pinhole\u2019 effect that increases the depth of field4. Vuity eye-drops work by changing the shape and size of the pupil \u2013 just like a camera lens, and therefore improve vision. What are the upsides and downsides of Vuity? This new product is of course, exciting. The most obvious advantages are that this would be a great low-commitment and non-invasive solution. However, it is a topic of debate reported in Ophthalmologist Magazine, with a lot of surgeons describing that \u201cthe approval of Vuity is not a milestone\u201d. The problems that arise with Vuity are: It\u2019s not widely accessible: Few countries have access to this treatment, it\u2019s mainly available in the states. Vuity is not available in Australia. It is very new to the market: There are some studies published, but not nearly enough to distribute this globally. It can cause complications: Some people report developing a tolerance to the eyedrops and a lack of optical performance. It can also lead to corneal irregularity later in life. In other cases, it can decrease a patient\u2019s light perception, cause headaches5, burning and dizziness as well. Another concerning factor about using pilocarpine, is that it\u2019s commonly associated with retinal detachment6. In May 2022, a paper published by Chang, in the American Journal of Ophthalmology showed that 2 out of 3 patients who used Vuity long-term, developed this emergency condition. It is expensive and temporary: It requires daily maintenance and a small bottle of eye-drop solution costs around $117 AUD! The continual life-time costs of this would inevitably surpass a surgical procedure. We have two secure and medically-certified treatments to accommodate or remove the symptoms of presbyopia 1. Lens replacement surgery This is when we remove your naturally hardened lens and replace it with an artificial one called an IOL (Intraocular lens). You will be able to see clearly and permanently after this procedure. This procedure has a high success rate with few complications. 2. LASIK blended vision LASIK blended vision allows you to see up-close and far away without glasses and at the best possible definition. This is a form of laser correction that uses LASIK technology. We correct the dominant eye for distance vision, and the non-dominant eye to improve shortsightedness. This is a great non-invasive solution that accommodates the symptoms of presbyopia. Book an assessment with us If you\u2019d like to find out more about the presbyopia treatments we offer, book a free assessment here.