Presbyopia, i.e. the loss of accommodative amplitude with age, results from increasing stiffness and thickness of the lens and leads to inability of the lens to change shape, refractive power and focus of the eye in response to the contraction of the ciliary muscle inside the eye. Multiple remedies are available, the most common being reading glasses. Alternative options include a monovision combination of monofocal lenses or the use of multifocal lenses, in the form of contact lenses or intraocular implant lenses, corneal implants or corneal refractive surgery. This review provides an update on current options and their limitations.