BCLA CLEAR Presbyopia: Management with contact lenses and spectacles

Philip B. Morgan, Nathan Efron, Eric Papas, Melissa Barnett, Nicole Carnt, Debarun Dutta, Andy Hepworth, Julie-Anne Little, Manbir Nagra, Heiko Pult, Helmer Schweizer, Bridgitte Shen Lee, Lakshman N. Subbaraman, Anna Sulley, Alicia Thompson, Alexandra Webster, Maria Markoulli

Research output: Contribution to journalArticlepeer-review


This paper seeks to outline the history, market situation, clinical management and product performance related to the correction of presbyopia with both contact lenses and spectacles. The history of the development of various optical forms of presbyopic correction are reviewed, and an overview is presented of the current market status of contact lenses and spectacles. Clinical considerations in the fitting and aftercare of presbyopic contact lens and spectacle lens wearers are presented, with general recommendations for best practice. Current options for contact lens correction of presbyopia include soft simultaneous, rigid translating and rigid simultaneous designs, in addition to monovision. Spectacle options include single vision lenses, bifocal lenses and a range of progressive addition lenses. The comparative performance of both contact lens and spectacle lens options is presented. With a significant proportion of the global population now being presbyopic, this overview is particularly timely and is designed to act as a guide for researchers, industry and eyecare practitioners alike.

Original languageEnglish
Article number102158
Number of pages39
JournalContact lens & anterior eye : the journal of the British Contact Lens Association
Early online date16 Apr 2024
Publication statusE-pub ahead of print - 16 Apr 2024

Bibliographical note

Copyright © 2024 The Author(s). Published by Elsevier Ltd on behalf of British Contact Lens Association. This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/).


  • Rigid translating contact lenses
  • Presbyopic contact lenses
  • Presbyopia management
  • Monovision
  • Bifocal spectacles
  • Soft simultaneous contact lenses
  • Age
  • Rigid simultaneous contact lenses
  • Progressive addition lenses
  • Presbyopia


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