Premature presbyopia refers to the early onset of age-related vision changes typically associated with presbyopia, a condition characterized by the loss of near vision accommodation. This review article aims to provide an overview of the causes, diagnosis, and management strategies for premature presbyopia. The database collected from PubMed, PubMed Central (PMC), Cochrane library, and Google scholar and research gate. This review discusses the potential underlying mechanisms contributing to premature presbyopia, including genetic factors, environmental influences, and ocular conditions. Additionally, the diagnostic criteria and assessment methods used to identify premature presbyopia and differentiate it from other vision disorders. Finally, this review examines various management options for premature presbyopia, including corrective lenses, pharmacological interventions, surgical procedures, and emerging treatments. By understanding the factors contributing to premature presbyopia and implementing appropriate management strategies, healthcare professionals can effectively address the needs of individuals experiencing early onset age-related vision changes.