Snapshot A 44-year-old woman presents with decreased visual acuity. She has noticed her vision progressively worsens throughout the years. She reports mild blurry vision when reading a book or looking at her watch. In order to see the image clearer, she needs to put items at arm's length. She denies any trouble seeing objects clearly at far distances. Introduction Also known as age-related nearsightedness Epidemiology Usually begin at 40 years of age focusing power is lost fully by ~ 65 years old etiology Pathogenesis secondary to loss of elasticity of the crystalline lens results in decreased accommodating power when seeing objects at arm's length or closer image focuses behind the retina Presentation Symptoms gradual loss of near-vision (e.g., reading) Differential Hyperopia Cataracts diagnosis Clinical diagnosis Treatment Corrective lenses e.g., convex lenses, bifocals, trifocals, and multifocals Corrective surgery Prognosis Focusing power is progressively lost