What Is Presbyopia?
A natural part of ageing, presbyopia affects near vision from around age 40. Multifocal contact lenses can correct both near and distance vision simultaneously.
How long-sightedness affects your vision and focusing ability, what causes it, and which plus-powered contact lenses correct it most effectively.
Hyperopia, commonly known as long-sightedness, is the most common refractive error in Australia, affecting an estimated 28% of the population.1 It occurs when the eye is slightly too short, or the cornea is too flat, causing incoming light to focus behind the retina rather than directly on it. Plus-powered contact lenses correct this by increasing the eye's total focusing power, shifting the focal point forward onto the retina where it belongs.
Contact lenses should only be ordered online if they have been prescribed by your optometrist and you have worn them before. If you are considering a new lens brand or type, consult your optometrist first and request a trial pair before purchasing. Wearing a lens that has not been professionally fitted to your eyes can cause discomfort and serious complications.
Hyperopia is a refractive error where the eye focuses light behind the retina instead of directly on it, making close objects blurry and near tasks increasingly demanding.2 In a normal eye, the cornea and internal lens bend incoming light so it converges precisely on the retinal surface. In a hyperopic eye, the eyeball is slightly too short or the cornea too flat. This means light has not yet converged by the time it reaches the retina.
Near tasks — reading, using a smartphone, working at a screen — require significant focusing effort from your eyes, causing fatigue, headaches, and blurred vision. In younger people, the eye's natural internal focusing mechanism (accommodation) can often compensate for mild hyperopia automatically. This means some long-sighted people do not notice symptoms until their forties, when this compensating ability begins to decline with age.
Long-sightedness is primarily caused by the eyeball being slightly shorter than normal from front to back, or by a cornea that is too flat to bend incoming light sufficiently. In both cases, the optical outcome is the same: light focuses at a point behind the retina rather than on it.
Genetics play a significant role. A family history of hyperopia substantially increases the likelihood of developing it, and the condition is often present from birth. Unlike myopia, hyperopia often improves naturally during early childhood as the eyeball grows to its normal length. However, mild hyperopia that caused no symptoms in youth can become increasingly noticeable after age 40 as the eye's natural compensating ability diminishes.
A single vision contact lens for hyperopia works by converging incoming light before it reaches the eye's own focusing system — adding the extra power the cornea and internal lens cannot provide on their own. These lenses are plus-powered, meaning they are thicker in the centre and thinner at the edges, giving them a characteristic convex profile.2
Contact lenses for long-sightedness are available across a wide prescription range, from mild hyperopia starting around +0.50 to higher prescriptions of +6.00 and above. Because the lens sits directly on the eye, it delivers corrective power more efficiently than a spectacle lens. For higher plus prescriptions, it eliminates the magnification effect that makes objects appear larger through strong plus glasses.
Long-sightedness and presbyopia are two distinct conditions that are frequently confused because their symptoms (difficulty with near vision) are similar. Understanding the difference matters because they may require different optical corrections.
A structural refractive error caused by the eye being too short or the cornea too flat. Can be present at any age and is often present from birth. Corrected with plus-powered single vision lenses.
Structural — present from birthAn age-related condition developing from the mid-forties onward, caused by the gradual stiffening of the eye's internal lens. Corrected with multifocal or reading-specific lenses.
Age-related — develops after 40It is possible to have both conditions simultaneously. A person who has been long-sighted their entire life may find symptoms worsen more noticeably in their forties, as the eye's compensating mechanism declines at the same time as presbyopia sets in. Your optometrist may recommend multifocal contact lenses in this case.
Daily disposable contact lenses are a popular and clinically practical option for hyperopia correction. A fresh, sterile lens is applied each morning and discarded at night. You need no cleaning solutions and no storage case, meaning there is no deposit build-up. For wearers who only need correction for near tasks and prefer not to wear lenses every day, the single-use schedule offers additional flexibility.
Water gradient technology for near-100% surface moisture. Available in plus powers across a wide prescription range.
AlconHydraLuxe® technology for tear-film-infused comfort during screen use and extended near work.
Johnson & JohnsonSmart Silicone™ material balancing high oxygen transmission with moisture retention throughout the day.
CooperVisionSMARTSURFACE® micro-thin moisture layer for stable, all-day comfort. A strong entry-level silicone hydrogel daily.
AlconBiomimetic design matching the eye's natural water content for consistent end-of-day comfort.
Bausch + LombYour optometrist will confirm which daily lens is available in your specific plus power and best suited to your wearing schedule.
Reusable contact lenses — replaced fortnightly or monthly — are a reliable and cost-effective alternative, particularly for full-time wearers. These lenses must be removed each evening, cleaned with an approved multipurpose or hydrogen peroxide solution, and stored overnight in a clean case.
Aquaform® Technology for natural moisture retention. Available in plus powers across a wide monthly replacement range.
CooperVision — monthlyHydraGlyde® moisture matrix for sustained comfort in air-conditioned environments. Available in plus powers.
Alcon — monthlyHydraclear Plus® wetting agent integrated throughout the lens for consistent fortnightly wear comfort.
Johnson & Johnson — fortnightlyMoistureSeal® technology retaining 95% moisture for 16 hours. Well suited to demanding, long wearing days.
Bausch + Lomb — monthlyProtein and lipid deposits accumulate on reusable lenses. Consistent cleaning prevents deposit build-up, maintains optical clarity, and significantly reduces infection risk. Never skip your cleaning routine with reusable lenses.
A contact lens prescription for hyperopia includes more than the plus power. The base curve (BC) describes how the back surface of the lens curves to match your cornea. An incorrect base curve results in a lens that sits too tightly or moves too freely. The diameter (DIA) specifies the overall width of the lens across the eye, sized to extend slightly beyond the corneal edge for stability and comfort.
Improperly fitted lenses can lead to serious health complications, including corneal neovascularisation (the growth of blood vessels into the cornea) which can result in scarring or permanent vision loss.3 A dedicated contact lens prescription is required and cannot be substituted with your glasses prescription.
Yes. Plus-powered single vision contact lenses are an effective and widely used correction for hyperopia. Both daily disposable and reusable monthly options are available across a broad range of plus prescriptions. For wearers with both hyperopia and presbyopia, multifocal contact lenses provide correction at near and distance simultaneously. Your optometrist will confirm the most appropriate lens type based on your prescription strength and lifestyle.
Hyperopia is a structural refractive error caused by the eye being too short or the cornea too flat. It can occur at any age and is often present from birth. Presbyopia is an age-related condition developing from the mid-forties onward, caused by the gradual stiffening of the eye's internal lens. Both conditions cause difficulty with near vision but have different causes and may require different corrections. It is possible to have both simultaneously.
For most wearers, contact lenses provide a wider and more natural field of view. Strong plus spectacle lenses produce a magnification effect where objects appear slightly larger than they are. Contact lenses eliminate this because they sit directly on the eye.2 Contact lenses also remove frame restrictions and edge distortions, which is particularly noticeable with moderate to high plus prescriptions.
Yes. Hyperopia is the most common refractive error in Australia. Prevalence rose from approximately 25% to 28% in the decade leading up to 2018, equating to millions of Australians.1 Prevalence increases significantly with age, with adults over 40 more likely to notice symptoms as the eye's natural compensating ability declines. Regular eye examinations remain the most reliable way to detect and manage hyperopia.
Contact lens suitability, replacement schedules, and wear times must always be confirmed by your optometrist based on your individual prescription and eye health.
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