Laser eye surgery is sometimes suitable over 50, but many people at this age are better served by lens-based treatments because the natural lens is already ageing.
Limitations of laser in your fifties
By 50, presbyopia and early cataract changes are common. Correcting the cornea alone does not address the clouding or stiffness of the lens.
- Distance laser may still leave you needing reading glasses
- Early cataracts can reduce clarity even after successful laser
- Future lens surgery could “undo” part of the laser result
- Candidacy depends on how clear and flexible the lens remains
- Corneal health and thickness must still meet safety standards
When laser may still be considered
Some over-50s with very clear lenses and strong preference for corneal treatment may still choose laser. A detailed comparison with lens replacement is essential.
- Clear lenses, minimal presbyopia, and strong desire to avoid intraocular surgery
- Moderate prescriptions within safe laser ranges
- Acceptance that reading glasses and later cataract surgery are likely
- Healthy retina and absence of significant dry eye
- Thorough counselling about long-term implications before deciding
