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Andrew,

I too suffer from presbyopia and astigmatism. I've learned that I can still shoot acceptably well wearing my "street" glasses (progressive bifocals). My sight picture is not as clear as when wearing Knoblochs.

I've found that certain sight types, Novak and Heinie, with deeper and wider rear sight notches help me in obtaining an acceptable sight picture.
I can readily distinguish an equal amount of light on either side of the front sight. Distinguishing front sight elevation is more of a problem. This shouldn't represent much of a problem for distances under 25 yds. I can manage to keep the majority of my slow fire shots in the X ring at 15 yds. I use all the verticle portion of the 10 ring at 25 yds unless I wear shooting glasses appropriate to the task.

I'm the match director for the XTC match at BRI this Saturday. I'll bring a few pistols with different sight types for you to shoot.

Regards,

Mike