Question: Can I correct both my extreme nearsightedness (-9) as well as my recent presbyopia with LASIK Surgery?
Answer: The technical answer to whether LASIK can correct presbyopia is "sort of". First lets discuss whether you would be suitable for LASIK Surgery at all given your extreme nearsightedness. At -9.00 you are certainly within the programmable range of the lasers used today. However, whether you can have LASIK or any Laser Eye Surgery for vision correction is going to depend on the health and shape of your cornea as well as its thickness. A -9.00 correction requires a significant amount of tissue removal and this means that you have to have an adequate corneal thickness. Along with this of course you need a healthy and sufficient tear film and good ocular, retinal and overall health. Now-regarding the recent onset of presbyopia and near vision problems-it is possible to use a monovision correction for many patients even with high myopia to obtain a reasonable amount of presbyopia correction. You should approximate this with contact lenses first however. there are a number of "multifocal" laser procedures either in clinical trials or being used on an experimental basis throughout the world and the U.S. For some low degrees of myopia the results are "okay"-for a challenging highly myopic patient our counsel would be to avoid them at this time. Find the best LASIK Surgeon in your area and schedule a consultation-then you will be able to fully explore your candidacy and alternatives.
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