He has 'difficulty' [='trouble'] reading without his glasses. [=it is difficult for him to read without his glasses]
It was only 'with' (great/considerable) 'difficulty' that we were able to continue.
She underestimated the 'difficulty' of saving so much money.
(..) Yeah, a little more than four hours. This the first time she's run away? She didn't run away. She's... She's missing. Any problems at home? Family difficulties? No, there really are no problems. This is a happy... She's a happy child. - She's never done this, Detective. She... - I understand that. (..)2009 The Lovely Bones