I am having those issues right now. I have readers on my desk, by the shitter, in the kitchen, in the truck, in the living room. It is mostly for real up close reading. I will admit I was having huge issues recently at the indoor range. The range isn't maintained for shit and only a few booths have lighted shooting points and a light on the target. Most have been shot out. When I use a lighted booth and target, the sights are more clear. Light helps a lot for up close, and the readers really help in lower light. It really became obvious when I shot one hand, off hand and got a better sight picture and groups than I did two handed. The sights were probably about 6" further away.
An old timer once told me he went to his optometrist and told him of his issues. This was one of those guys that always won the local long range BPCR matches. The doc had him bring in his gun and adjusted his prescription for the optimal sight focus and down range focus. My Dad while in his 70s shoots with glasses just fine, as he and many others have had glasses all their lives.
I am getting close to needing to do something, getting old sucks.
I can definitely see the advantage of a red dot in low light. A laser makes good sense. One of my recent acquisitions has a Lasermax guide rod. All you need to do is put the dot on. I know that there are mornings when I don't have a good focus for an hour after awakening. I may need to put one on my nightstand gun. My backup is a short barreled shotgun with buckshot, so there is an option for you.
One of my guns has fluorescent yellow paint on the front post. It helps a lot, and I suspect fiber sights will really help a lot for light collection. I know they really helped me for shooting trap at night.