Question: I am 57 and had Monovision LASIK surgery in 2004. My distance vision remains good, however I'm now REALLY struggling to be able to read. Do I possibly have any options to have a 'redo'? If so, might I be facing this again in a few years as my vision continues to change.
Answer: Monovision LASIK is a good choice for some patients who suffer from presbyopia and need help with near vision and reading. Presbyopia is not static and the need for help with near vision continues to increase with age in most patients. Thus, what you are experiencing in terms of vision changes and the relative loss of effectiveness of monovision LASIK is to be expected over time. Whether you are able to have a LASIK enhancement to increase the effective reading vision is really dependent on the amount of additional correction needed, the shape, thickness and health of your cornea as well as the quality and quantity of your tear film in addition to other systemic factors that might impact the results-so it is possible. It is also possible that other options might be suggested that might be considered at 57 years old such as Lens Replacement Surgery. This may provide a more permanent solution whereby there is no additional degradation in near vision due to the continuing crystalline lens changes that cause presbyopia. Your best next step is to schedule a consultation with a comprehensive Refractive Surgeon who does BOTH LASIK Surgery and Cataract Surgery and Lens Implants as they will be able to fully assess the options with you.
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