Journal of Medicine and Applied Clinical Sciences | Volume 2 Issue 1 | Pages: 1-14 | Doi : 10.67914/jmacs/rsa/2.1/1-14

Research Article

OPEN ACCESS | Published on : 30-Jun-2026

Quality of Life and Visual Satisfaction with Progressive and Single-Vision Lenses in Myopic Presbyopes

Bhumika Sharma
• Optometry student, Department of Optometry, Nagar School of Optometry, Ahmedabad, India.

Helly Thakkar
• Associate Professor, Department of Optometry, Nagar School of Optometry, Ahmedabad, India.


• Ankit Sanjay Varshney
• Associate Professor, Department of Optometry, Shree Bharatimaiya College of Optometry & Physiotherapy, Surat, India.

Abstract

Background: Presbyopia superimposed on myopia creates a complex correction requirement because clear vision is needed across distance, intermediate, and near viewing distances. The functional impact may vary with myopia severity and the spectacle-correction modality used. This study evaluated vision-related quality of life (QOL) and visual satisfaction among myopic presbyopes using progressive addition lenses (PALs) and single-vision (SV) spectacles.

Methods: A cross-sectional, observational, questionnaire-based study was conducted from February to September 2025 among 60 presbyopic participants with myopia aged 41-75 years. Participants comprised 30 PAL users and 30 SV users, with each modality group containing 15 low-myopia and 15 high-myopia participants. Vision-related QOL was assessed using the Refractive Status and Vision Profile (RSVP) questionnaire, with lower scores indicating better QOL. Visual satisfaction was assessed at distance, intermediate, and near with and without habitual spectacle correction. Independent-samples t-tests were used for group comparisons, and paired t-tests were used for with-versus-without spectacle comparisons; p<0.05 was considered statistically significant.

Results: PAL users demonstrated lower RSVP scores and therefore better QOL than SV users in both myopia categories. Among low myopes, mean RSVP scores were 3.45 for PAL users and 23.59 for SV users, whereas among high myopes they were 27.62 and 44.87, respectively. The overall difference in QOL between correction modalities was statistically significant (p<0.001). The greatest modality-related difference in visual satisfaction occurred at intermediate vision: mean scores were 1.07 versus 2.67 among low myopes and 2.00 versus 4.13 among high myopes for PAL and SV users, respectively. Distance satisfaction was comparable between modalities, while near-vision differences were relatively small. High myopes demonstrated greater visual difficulty than low myopes despite spectacle correction. Overall, 50 participants (83.3%) were satisfied with their current spectacles; among the 10 participants wishing to change correction, 9 (90.0%) preferred switching from SV to PAL.

Conclusion: PAL use was associated with better vision-related QOL and greater intermediate-vision satisfaction than SV correction among myopic presbyopes. Higher myopia was associated with greater visual burden despite spectacle correction. These findings support individualized, patient-centered spectacle prescribing, particularly for patients with substantial intermediate and multi-distance visual demands.

Keywords

Myopia, Presbyopia, Progressive addition lenses, Single-vision lenses, Quality of life, Visual satisfaction

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