Studies have consistently reported that women require reading glasses or
 bifocal lenses earlier than men. According to a recent Investigative Ophthalmology & Visual Science
 paper, the gender difference is caused by factors other than focusing 
ability, such as arm length or preferred reading distance, which should 
be considered when prescribing readers or bifocals.
The new evidence was found by a team of researchers who performed a 
meta-analysis using nine cross-sectional studies to compare the 
prevalence and magnitude of presbyopia - commonly described as the loss 
of near vision that occurs with age - among men and women. The 
researchers further subdivided the analysis to determine what 
differences in presbyopia might exist between men and women.
The new evidence was found by a team of researchers who performed a 
meta-analysis using nine cross-sectional studies to compare the 
prevalence and magnitude of presbyopia - commonly described as the loss 
of near vision that occurs with age - among men and women. The 
researchers further subdivided the analysis to determine what 
differences in presbyopia might exist between men and women.
While the results of a subgroup of studies showed that there was no 
significant gender-related difference in the eye's ability to focus 
clearly on objects at near distances, the overall analysis provided 
evidence that women have a need for higher power reading glasses or 
bifocals than men of an equivalent age. According to the researchers, 
this discrepancy is likely due to differences in preferred reading 
distances or arm length as women tend to hold reading materials closer 
than men do.
"These findings could impact global vision care in multiple ways," said 
Hickenbotham. "The findings reinforce the need for presbyopia correction
 programs for women - a group that often has greater unmet vision needs 
in developing countries. It also points out that presbyopia is a 
multi-factorial problem and requires solutions that are tailored to each
 individual."
While the researchers urge clinicians to do more than measure the eye's 
ability to focus when diagnosing presbyopia, they also suggest more 
carefully performed studies be conducted that better isolate and measure
 the various factors that contribute to its development. In particular, 
the paper states longitudinal studies that consider the interaction 
between the preferred reading distance and the change in accommodative 
amplitude across time for males and females could help determine to what
 extent biological factors or environmental factors plays a role in the 
loss of focusing ability with increasing age.
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