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.
(..) Paul, are you okay in there? Captain, what is it? Picard to Enterprise. Mr Worf, is everything all right up there? We are experiencing some environmental difficulties. Humidity has risen % and the temperature is up degrees. Mr Data and I will be right there. Number One, take charge down here. (..)1996 Star Trek: First Contact