Which small-aperture therapy would be your approach?

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For patients with presbyopia, it depends on factors such as age of the patient or if there is any other pathology.
Early on in presbyopia, I would vote for pharmacologic therapy. Pharmacologic therapies are simple, easy to use and reversible. If you do not like its effect, you can just stop the drops. If someone can use an eye drop and improve their presbyopia, I cannot think of any downside.
Drops are simple and not something a patient would have to use all the time. If a