Vision Therapy for Presbyopia: A Systematic Review
Journal of Ophthalmic and Optometric Sciences,
Vol. 9 No. 2 (2025),
5 April 2025
,
Page 32-43
Abstract
Purpose: To systematically review the available evidence on the role of vision therapy in presbyopia management.
Materials and Methods: A systematic search was conducted in PubMed, Google Scholar, Cochrane Library, and Wiley for studies published between 1990 and 2024. Eligible studies assessed the effects of vision therapy, accommodative training, orthoptic exercises, or perceptual learning on presbyopic patients. Data on visual acuity, accommodative amplitude and facility, pupil size, patient satisfaction with near vision, and outcomes of eye exercises were extracted.
Results: From 87,404 initial records, 325 articles were screened, and 7 studies met inclusion criteria. These studies demonstrated that vision therapy may improve accommodative amplitude, near visual acuity, accommodative facility, and patient satisfaction. However, the evidence is limited by small sample sizes, heterogeneous methodologies, and short follow-up periods, which restrict generalizability.
Conclusion: Vision therapy shows potential as a non-invasive adjunct for presbyopia management, but current evidence is insufficient for definitive recommendations. Well-designed randomized controlled trials with standardized protocols are needed to establish its clinical efficacy and long-term outcomes.
- Presbyopia
- Vision Therapy
- Accommodation
- Vergence
- Perceptual Learning
- Non-Surgical Management
How to Cite
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