My fingers haven't gotten any fatter, and the hooks really aren't any smaller. But they sure look fuzzy and out of focus until I slip on the 3 x magnifiers. And I can only wear those and tie for a fairly short time - a dozen flies max - before I get a headache from wearing them. I've been using 2 x reading glasses for years now with no issues, the "new normal", but they aren't enough for tying unfortunately. I've been taking the easy way out tho, for some years and just buying the small stuff, from size 14 or 16 on down.

Sg