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An alternative to multifocals is glasses with one lens for near and the other for far or to use a contact lens in only one eye in addition to your normal glasses. This also obviously comes with downsides that take some getting used to but some people prefer it.
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I don't want to reject this idea immediately without trying it, but this really sounds like it would be unpleasant to experience on a day to day.
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Yes, It's something you'd only want to do in particular situations where you know you'd otherwise keep swapping between two pairs of glasses annoyingly often.
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I'm in a similar situation but found that getting "computer glasses" made which use the near prescription (and are not for long distance) work well for this. (I run D&D as well lol) I could not handle multifocal at all, was disorienting for me.
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How does that work for far vision?

I'm nearsighted, myself - so for near vision, I need zero prescription at the moment. (We'll see how that changes in a deacde, I guess.)

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It's not for all day wear if you are going outside or driving, etc. But around the house or in a room it's fine. All depends on your prescription though. In my case, far vision is better than not wearing any glasses, but I'd not been comfortable driving wearing these.
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They do! The command is, cross your eyes a little bit
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