Presbyopia, also known as “lao hua” occurs as part of the normal aging process which presents usually from the age of 40 onwards. This is a condition where the eye loses the ability to accommodate and focus at near objects. The person starts having difficulty seeing near objects and begins holding them further away, such as experiencing blurred near vision when reading, sewing or working at the computer. It is worse with dim lighting, and distance vision is usually unaffected.