This study focused on the acceptance of progressive lenses among the elderly population and investigated its influencing factors and improvement strategies through questionnaire surveys and field visits. Against the backdrop of China's aging society and the growing demand for vision health, sampling surveys and offline interviews were conducted with 500 elderly individuals aged 61 and above who wear glasses to investigate their acceptance and awareness of progressive lenses. The research found that the elderly population demonstrated low acceptance of progressive lenses, primarily due to factors such as information cocoon effect and uncomfortable wearing experiences. Based on the findings, improvement strategies were proposed focusing on three aspects: consumer awareness, professional services from retail enterprises, and ethical business practices.