Well, I'm ready for an exam (have been for a while now...) and new glasses, contacts, cataract evaluation, etc. For now, it's at the point where when I'm just reading at home, I take my glasses off and hold the book or iPad or whatever right up to my face. That's become my most relaxing and clear-sighted method of reading. For reading music at the piano I make sure I learn the music enough that following what's on the page is more a reminder. When REALLY reading (and God forbid, sightreading) I simply have to lean in a bit to catch as much as I can.