Optivisors are better because they have a much wider field of vision. I use optivisors in different lenses numbers to do most work. I highly recommend them for any detail work. The lens number is a magnification index. The larger the number, the more the magnification. What that does is bring the work closer to you without your eyes having to try and focus close. This is great for close work and inspection. The numbers go from #2 to #10 - #2 is 1.5X and has a 20" focal length, #10 is 3.5X and has a 4" focal length. The most useful for many people is the #4 or #5 with 2X and 2.5X magnification, and 10" and 8" focal lengths.
Optivisors just bring the image closer........ If you need better vision at normal working distance, you need bi-focals or prescription close work glasses. You can have the optometrist set the focus distance to match what distance you normally work at. I have forging glasses that have a 30" focal length. That is way too far away for the normal working distance of 14-16", but works perfect for clearly seeing every detail of the blade when forging.
Surgical loupes are much more precise, and have more magnification. I have a pair of Zeiss loupes that have prescription lenses for my vision for very close detail work like engraving and carving. These are quite expensive, and not worth the expense to most people. There are flip up loupes that clip to your glasses, but they generally have pretty poor optics. I would go with an optivisor unless you really needed the extra magnification and clarity.