I've been wearing regular bifocals for around 10 years now, they work well for me except for middle-close distance, like 3 - 6 feet. Bugged the crap out of me for playing music - then I got a cheap set of single visions that focus very well at about 4 feet so they are sharp from maybe 2 - 6, and they are great for both reading music and for computer work. Because I didn't need fancy anti-scratch, UV, photogrey, etc, and used a pair of old frames, they were really cheap. A great solution for me.
Most interesting setup my opthamologist told me about was a mechanic who had a set of work bifocals made with the near lenses on top - he was always looking up at cars on a lift, and looking lower for stuff on the other side of the shop, so this "upside down" set worked great for him.
Creative solutions exist.

