Introduction: Presbyopia is an age related loss of lens accommodation resulting in inability to read and/write or to do near work. Though literacy level may be low in rural female population of South India, but household works like sewing, sorting grains and operating mobile phones must be difficult due to presbyopia. Aim:To determine the awareness of presbyopia in rural females; also, to determine the knowledge levels regarding presbyopia, spectacle coverage and reasons for not wearing spectacles. Materials and Methods:A hospital based cross-sectional study was conducted at SDM College of Medical Sciences, Dharwad, Karnataka, India, on 1000 female subjects of age group 35 years and above coming from rural area (around Dharwad). They were examined and open-ended questionnaire was used to record subject's awareness and knowledge about presbyopia and their responses were analysed.