Laser eye surgery can still be suitable over 40, but presbyopia and early lens changes must be carefully considered when planning treatment.
How vision changes in your forties
From around 40, the natural lens stiffens and near focus becomes harder. Laser can still correct distance vision, but reading glasses may still be needed.
- Good option for active people who mainly want clearer distance vision
- Can reduce dependence on distance glasses, even if readers remain
- Corneal scans must exclude early ectasia or significant dryness
- Suitability depends on cataract status and overall eye health
- Alternative options like blended vision or lens replacement may be discussed
Questions to explore with your surgeon
Open discussion helps match treatment to daily life. Some people prefer laser now with later lens surgery; others move straight to lens-based solutions.
- How bothered are you by reading glasses or varifocals?
- Is there any sign of early cataract or lens ageing?
- Would monovision, with one eye slightly near-focused, suit you?
- Are you willing to accept possible need for future lens surgery?
- Shared planning ensures the procedure fits your long-term goals
