El óptico confirmó que soy miope y tengo presbicia.

In Spain, el óptico usually means the eye-care professional in an optician’s shop, often someone who checks your vision and helps with glasses or lenses.

A useful comparison is:

• óptico = optician / optical professional
• oftalmólogo = ophthalmologist
• optometrista = optometrist

In everyday Spanish in Spain, people often say óptico in situations where an English speaker might say optician or sometimes even optometrist, depending on the context.

Confirmó is the preterite form of confirmar, meaning confirmed.

• confirmar = to confirm
• confirmó = he/she confirmed

Here, el óptico is the subject, so confirmó means the optician confirmed.

The accent mark matters:

• confirmo = I confirm
• confirmó = he/she confirmed

Que introduces the information that was confirmed. It means that.

So the structure is:

• El óptico confirmó = The optician confirmed
• que soy miope y tengo presbicia = that I am short-sighted and have presbyopia

This is very normal in Spanish. After verbs like decir, pensar, saber, confirmar, and creer, Spanish often uses que before the following clause.

Spanish uses ser for more permanent or defining characteristics, and estar for temporary states or conditions.

Here, miope describes a vision condition, so Spanish treats it as a characteristic:

• soy miope = I am short-sighted / I’m myopic

Using estoy miope would sound unnatural in standard Spanish.

A good general pattern is:

• ser + adjective for traits/conditions seen as part of someone’s makeup
• tener + noun for many illnesses or medical conditions

Because presbicia is a noun, not an adjective.

Spanish often uses tener with nouns for illnesses or medical conditions:

• tengo gripe = I have the flu
• tiene fiebre = he/she has a fever
• tengo presbicia = I have presbyopia

By contrast, miope is an adjective, so it goes with ser:

• soy miope

So the sentence mixes two very common patterns:

• ser + adjective → soy miope
• tener + noun → tengo presbicia

Because Spanish usually does not use an article with medical conditions after tener.

So you normally say:

• tengo presbicia
• tiene diabetes
• tenemos gripe

Not:

• tengo la presbicia in this kind of general statement

Sometimes an article can appear in other structures, but in this sentence the natural form is simply tengo presbicia.

Because the optician confirmed something that is still true now.

Spanish often keeps the present tense in the subordinate clause when the situation is current:

• confirmó que soy miope = he confirmed that I am short-sighted
• confirmó que tengo presbicia = he confirmed that I have presbyopia

This is also possible in English: He confirmed that I am...

If the meaning were more clearly tied only to the past, Spanish could use past forms in some contexts, but here the present is the most natural choice because the condition still applies.

Because Spanish often omits subject pronouns when they are already clear from the verb form.

• soy already means I am
• tengo already means I have

So:

• que soy miope y tengo presbicia

already clearly means:

• that I am short-sighted and I have presbyopia

You could add yo for emphasis:

• El óptico confirmó que yo soy miope y tengo presbicia.

But in a neutral sentence, leaving it out is more natural.

Miope is an adjective that usually has the same form for masculine and feminine.

So you say:

• soy miope if the speaker is male
• soy miope if the speaker is female

The article or other words around it may change, but miope itself stays the same:

• un chico miope
• una chica miope

It can also be used as a noun in some contexts:

• es miope = he/she is short-sighted
• los miopes = short-sighted people

A simple pronunciation guide:

• óptico → roughly OP-ti-ko
• miope → roughly MYO-pe or mee-O-pe, depending on how you break it up, but the stress is on o
• presbicia → roughly pres-BI-thya in most of Spain, or pres-BI-sya in Latin American pronunciation

A few notes:

• The accent in óptico shows the stress is on the first syllable: ÓP-ti-co
• miope has no written accent because it already follows normal stress rules
• In most of Spain, ci is pronounced like th in thin, so presbicia sounds closer to pres-BI-thia

They are related, but they are different kinds of words:

• miope = adjective or noun = short-sighted / myopic person
• miopía = noun = myopia / short-sightedness

So:

• soy miope = I am short-sighted
• tengo miopía = I have myopia

Both are possible, but soy miope is very common in everyday speech.

That means this sentence could also be phrased as:

• El óptico confirmó que tengo miopía y presbicia.

But the original version sounds very natural.

Yes. Vista cansada is a very common everyday expression for presbicia, especially in less technical language.

So these are close in meaning:

• tengo presbicia
• tengo vista cansada

The first sounds more medical or technical.
The second sounds more everyday and conversational.

Yes, a little. Spanish word order is flexible as long as the meaning stays clear.

For example, these are all natural:

• El óptico confirmó que soy miope y tengo presbicia.
• El óptico confirmó que tengo presbicia y soy miope.
• El óptico me confirmó que soy miope y tengo presbicia.

The version with me makes it explicit that the optician confirmed it to me:

• me confirmó = confirmed to me

The original sentence is already completely natural and correct.