CIME 2025: Pharmacologic presbyopia correction provices a new hope for flexibility for patients

Commentary
Video

At the Controversies in Modern Eye Care meeting in Los Angeles, California, which took place on May 4, 2025, Jacob Lang, OD, FAAO, director of dry eye services at Associated Eye Care in the Twin Cities metro area, shared his perspective on one of the most exciting advancements in vision care: pharmacologic correction for presbyopia.

A new frontier in presbyopia management

Key takeaways for optometrists:

  • Pharmacologic presbyopia treatments offer patients increased flexibility and lifestyle freedom.
  • Motivation and expectation management are crucial in identifying good candidates.
  • Provider education is a significant barrier—many ODs remain unaware of new options.
  • Comprehensive ocular care must remain central when prescribing presbyopia drops.

According to Lang, pharmacologic options for presbyopia represent a long-awaited shift in how eye care professionals can help patients manage age-related near vision loss. What excites him most is the flexibility these therapies offer. “Pharmacologic correction gives patients the freedom to use it when they need it," he explained. “It’s about enabling lifestyle choices and offering convenience in the busy presbyopic years.”

This shift isn’t just about avoiding reading glasses—it's about empowering patients with control over their vision, particularly those who lead dynamic personal and professional lives.

Identifying ideal candidates

When it comes to choosing candidates for pharmacologic treatment, Dr. Lang emphasizes motivation as the key driver. “We're looking for patients who are motivated to do something different,” he said. These patients often want more freedom in their daily routines and are willing to try new options to achieve it. The ideal candidate is one who values the flexibility these therapies offer and has realistic expectations about their use.

Breaking down barriers

Lang also highlighted a surprising barrier: provider awareness. “One of the biggest challenges is that many doctors aren’t familiar with the available pharmacologic options,” he said. As a result, patients may not even be offered these treatments. For Lang, continued professional education and openness to innovation are critical. “We need to embrace new tools and understand how they can benefit our patients.”

Preserving comprehensive ocular health

Finally, Lang reminded attendees that any pharmacologic intervention must be grounded in sound clinical judgment. “We have to treat the entire eye—front to back. From ocular surface to retina, we’re still the doctor.” He stressed that presbyopia drops are, after all, pharmaceuticals and should be managed with the same diligence as any other ocular therapy.

Newsletter

Want more insights like this? Subscribe to Optometry Times and get clinical pearls and practice tips delivered straight to your inbox.

Recent Videos
Dr Robert Maloney at the 2025 Controversies in Modern Eye Care meeting
Dr Steven Ferrucci at Controversies in Modern Eyecare 2025
At CIME 2025, Selina McGee, OD, FAAO, says some patients underestimate oculoplastic care. She stands in front of a sign that says Controversies in Modern Eye Care 2025.
Patricia Buehler, MD, MPH, at ASCRS 2025
Brett Bielory, MD, at ASCRS 2025
At ASCRS 2025, Alex Hacopian, MD, shares information from his presentation on next-gen presbyopia-correcting intraocular lenses.
Eva Kim, MD, shares visual outcomes of EVO implantable collamer lens in patients with low to moderate myopia.
Dr Ashley Wallace Tucker speaks on the Myopia Management Navigator.
Arkansas Optometric Association legislative cochairs Matt Jones, OD; Matt Burns, OD; and Joe Sugg, OD, discuss their involvement in their bill and provide context for its relevance.
CRU 2025 provided the latest insights regarding glaucoma, dry eye disease, retina, myopia, neurotrophic keratitis, and keratoconus.
© 2025 MJH Life Sciences

All rights reserved.