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Dispensing for early presbyopes
Dispensing optician and AOP member, James Dawson, shares advice on dispensing early presbyopes as first-time spectacle wearers
03 October 2025
Dispensing glasses to first-time spectacle wearers and individuals in the early stages of presbyopia requires both technical knowledge and a sensitive, tailored approach.
These individuals often have unique concerns – first-time wearers may feel anxious or self-conscious, while early presbyopes face new visual challenges that affect daily tasks.
For first-time wearers, the dispensing process should begin with a detailed conversation about their lifestyle and visual needs. Some may need glasses for specific activities such as driving, reading, or screen use. Understanding these requirements helps ensure that the chosen solution fits seamlessly into their daily lives and makes the transition to wearing glasses smoother.
Frame selection plays a key role in this process. It’s important to balance style, comfort, and the frame’s compatibility with the recommended lenses. Encouraging clients to try on different styles helps build confidence in their appearance and increases the likelihood they will wear their glasses regularly.
Managing expectations is critical. While progressive lenses offer great flexibility, they may not suit every task
Lenses and lifestyle
Early presbyopes now have a wide range of lens options to choose from. Progressive or multifocal lenses are often ideal, offering the convenience of clear vision at multiple distances – near, intermediate, and far – all in a single pair. It’s essential to clearly explain how these lenses work and what to expect during the adaptation period. Visual demonstrations can help clients understand the transitions between different focal points.
Managing expectations is critical. While progressive lenses offer great flexibility, they may not suit every task. Clients should know that supplementary glasses may be needed for specific activities.
Antifatigue lenses are another excellent option for both early presbyopes and younger wearers under increasing visual stress. These lenses provide extra support in the near zone, easing the strain on the extraocular and ciliary muscle during prolonged near tasks. In today’s world, where digital demands start from a young age, these lenses are often more suitable than standard single vision options. With different designs available across all age groups, they effectively reduce visual fatigue.
For those with near vision needs only, it’s essential to ask about digital device use. Reading glasses are not just for books – screens and other near tasks are equally important. In many cases, enhanced reading or office lenses are a better alternative to basic single vision reading lenses. These options offer a wider and more versatile range for close and intermediate work, making them more practical and comfortable throughout the day.
Ultimately, patience and reassurance are key. It’s normal for individuals to need time to adjust to new glasses
Lens coatings are another vital consideration. Anti-reflective coatings reduce glare, enhancing clarity – especially for screen users. Blue light filtering coatings have also gained popularity for their potential to reduce digital eye strain. Discussing these options ensures clients choose solutions that match their daily routines.
Ultimately, patience and reassurance are key. It’s normal for individuals to need time to adjust to new glasses. Offering tips on proper care and setting expectations for the adaptation period can make the experience less daunting. Encouraging follow-up visits also allows for frame adjustments or prescription refinements as needed.
By understanding each client’s specific needs, offering the right lens solutions, and providing consistent support, we can help make wearing glasses a comfortable, positive, and empowering part of their lives.
The past 60 days: my highlights
- When summer was in full swing and temperatures were high, we noticed an increase in coating issues. It seemed that all of a sudden customers lenses were going crazy. None admitted to leaving their glasses in the car or window sills, but I guess more education on lens care is needed
- With back-to-school time upon us, it feels like more parents are focused on and aware of the importance of their children’s vision. We had more patients asking about myopia management and lenses to help with school vision. It shows that advertising and support from manufacturers does help raise awareness
- I may have spotted a new business opportunity. After a day at the beach, my wife’s glasses needing a bit of attention as she had sat on them – family are the worst patients. A group sitting near us saw me fixing them, and one then asked if I would look at theirs. 12 other pairs later, I finally got to work on my tan. I may set up a stand on the beach at weekends.
About the author
James Dawson 
Dispensing optician
James Dawson is a dispensing optician and was an AOP Councillor for nine years, stepping down in 2024.
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- Practice team
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- Dispensing
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- Presbyopia
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