Cataract or lens surgery may be more suitable than corneal laser in older patients or those with early lens changes or strong presbyopia.
When lens surgery is a better choice
Treating the lens can address both clarity and focus.
- Age typically mid‑forties or above with noticeable near‑vision issues
- Early cataracts or lens changes already affecting quality of vision
- High hyperopia or mixed prescriptions outside safe laser ranges
- Desire to avoid future cataract surgery by addressing the lens now
- Corneal thickness or shape that makes laser less safe
When laser remains preferable
Laser suits younger adults with clear lenses.
- Stable myopia, hyperopia, or astigmatism in otherwise healthy eyes
- Minimal or no lens changes on examination
- Wish to keep the natural lens and accommodation for longer
- Appropriate corneal thickness, topography, and tear‑film quality
- Understanding that lens surgery, if needed later, remains an option
