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Monovision LASIK Pros and Cons

By Manjari Bansal
Thinking of correcting your presbyopia with LASIK? Here’s what experts have to say about the advantages and disadvantages of monovision LASIK.

If you’re over the age of 40, you may experience both nearsightedness and farsightedness. You’ll have to keep both of these conditions in mind when considering vision correction options. Monovision LASIK is a corrective surgery for patients with difficulty seeing both up close and far away. Keep reading to learn the pros and cons of the procedure.

Pros and Cons of Monovision LASIK

Almost everyone above the age of 40 eventually finds it difficult to read newspapers, menus, or their smartphone screenaccording to the American Academy of Ophthalmology. This happens due to presbyopia, a normal effect of aging in the eyes that makes it difficult to see up close. If presbyopia is the only vision problem you have, you can opt for traditional LASIK.

However, if you also experience nearsightedness (myopia), your doctor may recommend monovision LASIK. During monovision LASIK, an ophthalmologist uses a laser to reshape the cornea of one eye for far vision and the other eye for near vision. This may significantly reduce or even eliminate your need to wear glasses to see both near and far objects.

Amir Moarefi, MD, a cataract and refractive surgeon at Eye Physicians of Long Beach in California, tells WebMD Connect to Care that monovision LASIK has certain advantages for patients who are of presbyopic age, which is generally between the ages of 45 and 60.

Some of those advantages include the following:

  • Patients can see distant and near objects simultaneously.
  • Patients are less dependent on glasses or contact lenses.
  • The procedure is quick and involves minimal downtime.

“Monovision LASIK is indicated for all patients age 40 and older who are experiencing signs of emerging or developing presbyopia or loss of accommodative function,” Eris P Jordan, OD, an optometrist at Siepser Eyecare in Wayne, tells WebMD Connect to Care. Accomodative dysfunction is when your eye has trouble focusing and your vision is blurry, according to the American Optometric Association.    

Luke Rebenitsch, MD, refractive surgeon and owner of ClearSight Center in Oklahoma City, tells WebMD Connect to Care that some of the drawbacks of monovision LASIK may include the following:

  • Patients may lose some degree of depth perception.
  • Patients may need time to adjust to monovision.
  • Patients may still need readers or driving glasses in some situations.

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