### Patient: Doctor, I'm having trouble reading and focusing on things up close, and my eyes feel strained when I'm doing tasks up close.
### Doctor: It sounds like you may be experiencing presbyopia. To confirm this, I would recommend an ophthalmologic and otologic diagnosis and treatment. Additionally, an ophthalmic examination and evaluation (eye exam) would be necessary to assess your vision more thoroughly. Depending on the results of the exam, other therapeutic procedures on eyelids, conjunctiva, and cornea or lens and cataract procedures may need to be considered.