History of eye surgery
A short history of spectacles, and why lenses changed society

Reading stones appeared in monastic scriptoria before mounted lenses did. By the late thirteenth century Italian workshops were producing wearable spectacles, and within decades they had spread across Europe.
The economic effect
Presbyopia ends the working life of anyone doing fine work in their forties. Spectacles extended that life by decades, and historians link their spread to the expansion of skilled crafts, printing and literacy.
From bifocals to varifocals
Bifocals, popularised in the eighteenth century, split the lens into two zones. Varifocals blended them. Every version traded some field of view for some range of focus.
The modern parallel
Extended depth-of-focus and trifocal implants apply the same compromise inside the eye, permanently, at the same time as removing a cataract.
What has not changed
The right correction depends on how a person actually uses their eyes — the question an optician asked in 1400 and a consultant asks today.
What this means if you are considering surgery in the UK
New technology only helps when it is matched to the right eye. Ms Tahmina Pearsall FRCOphth is a UK consultant ophthalmic surgeon on the GMC specialist register with more than 40,000 eye procedures performed, and she assesses every patient personally before recommending anything. If life without reading glasses is relevant to you, a consultation will tell you whether it changes your options — or whether a simpler, better-established treatment gives you a safer result.
Book a consultation with Ms Pearsall
Consultations are available at clinics across the UK, including London Harley Street, Birmingham, Manchester, Leeds, Edinburgh, Cardiff, Reading and Southampton. You can book a consultation, arrange a free 15-minute call, see treatment prices, read verified patient reviews or find your nearest clinic.
Explore more on History of eye surgery
Related reading
- From couching to phacoemulsification: the history of cataract surgery
Cataract surgery has a two-thousand-year history — and almost all of its safety was gained in the last seventy years.
- Harold Ridley and the invention of the lens implant
A British surgeon noticed that fragments of aircraft canopy did not inflame pilots' eyes — and invented the lens implant.
- The history of laser eye surgery, from accident to routine
Laser vision correction began with an accidental discovery about how ultraviolet light cuts tissue without heat.
- Eye banking and corneal transplantation: a century of progress
The cornea was the first human tissue to be successfully transplanted — in 1905, decades before any other organ.
Ready to discuss your options?
Book a private consultation with Ms Tahmina Pearsall, or call our secretary directly — mention this article and we'll pull up the treatment details for you.
Prefer to read first? 10 questions to ask your cataract surgeon
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