At 45 years old, the recent inability to read near words with nearsighted glasses may be caused by presbyopia, also known as old eyesight. With age, the lens of the eye gradually weakens in elasticity and the ciliary muscle function gradually decreases, resulting in a gradual decline in the eye’s ability to regulate, causing the appearance of presbyopia. Presbyopia usually starts at the age of 40~45, it is a physiological phenomenon, which is mainly manifested as difficulty in seeing near, so it will appear that you can’t read the words near with myopia glasses. When looking at the near place, you can remove the myopia glasses or wear presbyopia glasses to improve the near vision, if the patient does not want to wear glasses, you can also be treated by laser surgery, which can not only correct myopia, but also correct the presbyopia. Patients are advised to visit the ophthalmology department of regular hospitals in time and follow the doctor’s instructions for treatment.