Question: I am farsighted and have near vision problems and wonder if I am a LASIK candidate. I am a 49 year old male and started wearing eyeglasses when I was 40. I now struggle to see things up close as well and my near vision is a problem. I hate glasses. Am I a candidate?
Answer: From your description it sounds as if you are both farsighted and presbyopic and thus have reached a point where both your near and far vision are impacted by the two different focusing problems. Further, it sounds as if the vision is changing which is typical of hyperopic or farsightedness as you transition through your 40's. If you had healthy and plentiful tears, a healthy cornea of a normal shape and thickness and had good motivation for LASIK, you would be a marginal candidate at best because of the changing vision and somewhat because of the near vision focusing problem. Near vision focusing problems can be managed with Monovision LASIK in many instances, but is not a good choice if the vision is unstable.
Hyperopic patients who also suffer from presbyopia actually do much better with Lens Replacement Surgery using lens Implants for Vision Correction. If you hate glasses, you may wish to consider the possibility of lens Implants for vision Correction using a Multifocal or Accommodating Lens Implant. It is worth the time to have a consultation with a top LASIK Surgeon who is also Cataract Surgeon, also called a Refractive Cataract Surgeon and get their opinion. You may be a bit on the young side but maybe not.
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