Of the 1.8 billion people worldwide estimated to have presbyopia, nearly half (as many as 826 million) do not have access to optical correction. Ready-made near-vision spectacles are a simple and accessible intervention that cost less than USD 1 to manufacture and can dramatically improve vision. However, access remains limited, especially in low- and middle-income countries. In this issue, we show how presbyopia can be addressed in the next decade, leading to improved quality of life, earning capacity, and national productivity gains.