Abstract

This comprehensive review explores evidence-based approaches to prescribing spectacle lenses for presbyopia in diverse occupational settings. Presbyopia the age-related decline in near focusing ability significantly impacts workplace performance across professions, with global prevalence estimated at 1.8 billion individuals. The traditional standardized approach to presbyopic correction fails to address profession-specific visual demands, leading to suboptimal outcomes. This review examines how presbyopia (age-related near vision decline) affects workplace performance and provides evidence-based guidance for vision correction tailored to occupational needs. Our analysis demonstrates that occupation-specific vision correction leads to measurable improvements in task efficiency, reduced digital eye strain symptoms, and enhanced job satisfaction across diverse professions. Properly customized eyewear particularly free-form progressive lenses designed for specific working distances significantly outperforms standard corrections in occupations with intensive near and intermediate visual demands. Key factors for successful occupational correction include precise working distance assessment, consideration of task duration, postural requirements, and evaluation of the workplace lighting environment. By implementing the occupation-centered framework presented in this review, clinicians can transform presbyopic management from a generalized approach to a strategic tool for optimizing workplace performance and extending productive career longevity. This evidence-based approach represents a shift in presbyopic management one that recognizes the essential intersection between visual function and occupational demands in our increasingly visually complex workplace environments.