Presbyopia vs Hyperopia: What’s the Difference?

Not all blurry near vision is the same—here’s how to tell the difference.

If you’ve been holding your phone at arm’s length to read a message or noticed your vision isn’t as sharp as it used to be, you’re not alone. Many people experience blurry near vision as they get older—but the cause isn’t always the same. Two of the most common culprits are presbyopia and hyperopia (farsightedness).

At Alter Eyewear in Bondi Junction, we often hear patients say, “I’m not sure if it’s just age or something else.” Let’s explain the difference between presbyopia and hyperopia, and how we can help you see clearly again.

What Is Presbyopia?

Presbyopia is an age-related condition that makes it harder to see things up close. It usually starts around the age of 40 and progresses gradually over time.

Common Symptoms of Presbyopia

  • Difficulty reading small print, especially in low light

  • Needing to hold books, menus, or phones further away

  • Eye strain or headaches from near tasks

  • Blurred near vision even with good distance sight

Presbyopia happens because the lens inside your eye becomes less flexible as you age. This makes it harder for your eyes to focus on close objects.

What Is Hyperopia (Farsightedness)?

Hyperopia is a refractive error caused by the shape of the eye. If your eye is too short, or your cornea has too little curvature, light focuses behind the retina instead of on it. This makes nearby objects appear blurry, while distant objects may still look clear.

Unlike presbyopia, hyperopia can occur at any age—even in childhood.

Common Symptoms of Hyperopia

  • Blurry vision up close (and sometimes at distance, if severe)

  • Eye strain or fatigue after reading

  • Difficulty concentrating on near tasks

  • Headaches after close work

Hyperopia is often hereditary and can change over time. Some people may not notice symptoms until the eyes can no longer compensate for the blur.

Presbyopia vs Hyperopia: The Key Differences

Presbyopia vs Hyperopia Table
Feature Presbyopia Hyperopia (Farsightedness)
Cause Age-related stiffening of the lens Eye shape causing improper light focus
When it appears Typically over age 40 Can be present from birth
Type of vision loss Difficulty with near vision Blurry near vision, sometimes distance too
Treatment options Reading glasses, multifocals, contact lenses Prescription glasses or contact lenses
Progression Gradual, worsens with age May stay stable or change over time

Can You Have Both Presbyopia and Hyperopia?

Yes, and many people do.

If you’ve had hyperopia most of your life, presbyopia can layer on top of it as you get older—making near tasks even more challenging. In these cases, we may recommend multifocal lenses or custom vision solutions that correct both issues at once.

How Is Each Diagnosed?

Only a comprehensive eye exam can determine whether you have presbyopia, hyperopia, or both. At Alter Eyewear, your optometrist will:

  • Assess your near and distance vision

  • Check how your eyes focus and work together

  • Test for signs of eye strain or visual fatigue

  • Create a tailored prescription if needed

We explain everything in clear, simple terms—so you leave understanding your eyes, not confused by jargon.

Treatment Options Available at Alter Eyewear

We offer a range of solutions to suit your eyes, lifestyle, and personal style:

👓 Reading Glasses

Perfect for presbyopia if you only need help up close.

👓 Prescription Glasses for Hyperopia

Designed for both near and distance clarity, depending on your needs.

👓 Multifocal Lenses

A popular choice for patients dealing with both presbyopia and hyperopia—clear vision at all distances in one stylish pair.

👁 Contact Lenses

Available in monovision or multifocal options for presbyopia and hyperopia.

💻 Computer/Occupational Lenses

For those who spend long hours working on screens or doing close-up tasks.

Why Choose Alter Eyewear in Bondi Junction?

At Alter Eyewear, we combine optical expertise with a modern, personalised approach. Locals in Bondi Junction and surrounding suburbs trust us for:

  • Thorough, unrushed eye exams

  • Honest advice with zero pressure to purchase

  • A curated range of designer frames and high-quality lenses

  • Friendly, experienced optometrists who take the time to explain your vision

We’re here to make looking after your eyes simple, stylish, and stress-free.

✅ Book an Eye Test Today

Still unsure whether it’s presbyopia, hyperopia—or something else entirely? Don’t guess. Book an eye test with Alter Eyewear and let’s find the right solution for your eyes.
Find us in Bondi Junction, NSW
Call us on 8207 6799
Book an appointment online

Serving Bondi Junction & Surrounding Areas

Proudly supporting the vision of our community in Bronte, Waverley, Tamarama, Randwick, and the Eastern Suburbs.



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Presbyopia: All You Need to Know