The article "BCLA CLEAR Presbyopia: Management with contact lenses and spectacles" provides an overview of the history, current market status, clinical management, and product performance of presbyopia correction using both contact lenses and spectacles. It discusses various optical designs for presbyopia correction, including soft and rigid multifocal contact lenses, monovision, and progressive addition lenses. The article highlights the increasing prevalence of presbyopia, with nearly two billion people currently affected, and emphasizes the importance of effective correction for successful human life. The paper outlines the history of presbyopia correction, from early bifocal contact lens patents in the 1930s to modern extended depth of focus lenses. It also discusses current trends in contact lens prescribing, noting a gradual increase in the use of soft multifocal lenses over the past two decades. The article addresses the differences in international contact lens prescribing practices and the factors influencing these differences, such as national affluence and availability of lens types. It also explores the clinical considerations in fitting and aftercare for presbyopic contact lens and spectacle wearers, emphasizing the importance of patient education, understanding individual needs, and considering factors such as ocular health, occupation, and lifestyle. The paper concludes with a discussion of the challenges and considerations in the clinical management of presbyopia, including the impact of pupil size, lens design, and the potential for adaptation to multifocal contact lenses. Overall, the article serves as a comprehensive guide for researchers, industry professionals, and eyecare practitioners in the management of presbyopia using contact lenses and spectacles.The article "BCLA CLEAR Presbyopia: Management with contact lenses and spectacles" provides an overview of the history, current market status, clinical management, and product performance of presbyopia correction using both contact lenses and spectacles. It discusses various optical designs for presbyopia correction, including soft and rigid multifocal contact lenses, monovision, and progressive addition lenses. The article highlights the increasing prevalence of presbyopia, with nearly two billion people currently affected, and emphasizes the importance of effective correction for successful human life. The paper outlines the history of presbyopia correction, from early bifocal contact lens patents in the 1930s to modern extended depth of focus lenses. It also discusses current trends in contact lens prescribing, noting a gradual increase in the use of soft multifocal lenses over the past two decades. The article addresses the differences in international contact lens prescribing practices and the factors influencing these differences, such as national affluence and availability of lens types. It also explores the clinical considerations in fitting and aftercare for presbyopic contact lens and spectacle wearers, emphasizing the importance of patient education, understanding individual needs, and considering factors such as ocular health, occupation, and lifestyle. The paper concludes with a discussion of the challenges and considerations in the clinical management of presbyopia, including the impact of pupil size, lens design, and the potential for adaptation to multifocal contact lenses. Overall, the article serves as a comprehensive guide for researchers, industry professionals, and eyecare practitioners in the management of presbyopia using contact lenses and spectacles.