Question: I am over 60 years old and have been nearsighted almost all my life. I wear monovision contacts and have for many years. I am considering LASIK surgery and was told about 25% of patients try monovision surgery LASIK and about 10% of them are not happy with it. What are your views.
Answer: Our views regarding the success rate of monovision LASIK are much less significant than the actual published literature on the matter. The most recent carefully conducted study reported that about 28% of patients who had monovison LASIK elected to have an enhancement in order to neutralize the monovision effect. However, this was NOT in a population of previously successful monovision contact lens wearers. In a population of already adapted monovision patients who are successful, the dissatisfaction rate is likely to be MUCH lower and be in the single percentages at highest. The 28% dissatisfaction with LASIK is consistent with many other previous studies and so we believe it to be reliable. The fact that do well with monovision contacts bodes well for your success with monovision LASIK. The only question you need to consider is whether you have even the beginning of Cataracts in which case you should not have LASIK Surgery but should consider Lens Replacement Surgery which will address any newly forming Cataract, your nearsightedness and your need for help seeing up close.
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