BCLA CLEAR™ Presbyopia: Mechanism and optics 


Presbyopia continues to be a widespread global issue, impacting more than a billion adults around the world. A new report will provide eye care professionals with invaluable guidance on how to best accommodate the needs of people living with the condition. 

This subject is the focus of the second in a series of papers to be released as part of the new BCLA CLEAR™ (continued learning evidence-based academic reports) series, a global consensus report put together by the BCLA. These papers extend beyond contact lens practice to embrace the full range of management options.

After more than a century of research, the exact mechanism behind ocular accommodation and the progression of presbyopia continues to be a subject of ongoing debate. 

This paper outlines the lenticular and extralenticular components of accommodation together with the impact of age on the mechanism of accommodation, neural control of accommodation, models of accommodation, and both historical and contemporary theories of presbyopia. 

The paper’s first author is Leon Davies – a Professor of Optometry & Physiological Optics and President of The College of Optometrists. With more than 65 peer-reviewed publications, Leon’s research mainly focuses on presbyopia and the restoration of ocular accommodation to the ageing eye. 

Leon Davies said: “In the ever-evolving quest to unravel the mysteries of ocular accommodation and the relentless progression of presbyopia, this paper sheds light on the enduring debate that persists even after a century of dedicated research.”

The paper, titled ‘Mechanism and Optics’ will be released as part of a new series of evidence-based guidance available to eye care professionals around the world on all aspects of presbyopia and its management as part of a concerted drive to provide the best possible patient care. 

BCLA CLEAR™ Presbyopia was facilitated by the BCLA, with financial support by way of educational grants for collaboration, publication and dissemination provided by Alcon, Bausch+Lomb, CooperVision, EssilorLuxoticca, and Johnson & Johnson Vision. It will be published in the forthcoming issue of the BCLA journal ‘Contact Lens and Anterior Eye’ and will feature work from panels of globally respected experts. 

It will build on the impact of the first issue of BCLA CLEAR™ published in April 2021, which has proved an essential reference point for eye care professionals across the world.  The new report will be made available to both BCLA members and non-members via open access.