Laser eye surgery can still be suitable once presbyopia has started, but it will not fully reverse the natural loss of near focus, so careful planning is needed.
Options when presbyopia begins
Laser can correct distance vision, and techniques like monovision or blended vision can help reduce the need for reading glasses. However, you may still use readers for some tasks.
- Distance correction in both eyes with reading glasses for close work
- Monovision one eye set more for near, if you tolerate the balance
- Blended approaches with mild difference between eyes
- Possibility of later lens replacement if presbyopia progresses
- Trial with contact lenses can test tolerance before surgery
When lens surgery may be preferable
For some people in their mid-forties and beyond, replacing the lens can better address both distance and near vision at once. Your surgeon will compare options with you.
- Strong desire to minimise reading glasses and varifocals
- Early cataract or lens changes already affecting clarity
- Willingness to accept intraocular surgery and its risks
- Healthy retina and cornea suitable for premium lens designs
- Decision guided by lifestyle, work, and long-term preferences
