PROductivity Study of Presbyopia Elimination in Rural-dwellers III

The investigators will conduct an embedded mixed methods study in which the primary approach is a randomized controlled trial (RCT), and the secondary or embedded approach is a descriptive qualitative study. The aim of the RCT is to assess the impact of presbyopic correction on workplace productivity and retention in the textile industry in a low middle-income country. Additional qualitative data will be collected to enhance understanding of factors linked to reasons why enrolled sew-ers left their job during the study. Participants will be textile workers aged 30 years and above with uncorrected presbyopia who are employed by Shahi Exports Private Limited in Karnataka, India.

Inclusion Criteria: * Aged 30 years and above * Distance visual acuity \>= 6/12 in both eyes * Presence of presbyopia, defined as the inability, correctable with reading glasses, to read the N8 line using both eyes together, on a tumbling near vision chart at a distance of 25cm, 30cm, 40cm, and 50cm based on workers working distance * Employed at the factory for \>=3months in the sewing department Exclusion Criteria: * Current ownership of reading or distance glasses (regardless of accuracy) * Obvious evidence of ocular disease in either eye detected during the eye examination, or history of such disease based on self-report * Low likelihood of completing follow-up in the study due to current plans to move out of the area or leave employment at Shahi during the follow-up period