Astigmatism and presbyopia are two different diseases, so they are not the same thing. Astigmatism is a kind of refractive error, mainly due to the irregular shape of the cornea, which is manifested as a loss of distance vision; presbyopia is a degenerative pathology, mainly seen in middle-aged and elderly people, generally after the age of 40, the symptoms begin to appear gradually, manifested as a loss of near vision, that is, when reading like to put the reading target farther away, so as to feel clearer and more comfortable. However, for the treatment of both diseases, the basic method is the same, both can be improved by wearing frame glasses to improve vision. Presbyopic glasses are usually used at close range and do not need to be worn when going out in general; astigmatism glasses usually need to be worn for a long time to maintain good visual quality in general.