LASIK Guides
LASIK and Presbyopia: Monovision & Blended Vision Options
Updated 7/2/2025
If you’re 40+, near vision changes (presbyopia) are normal. LASIK can incorporate strategies to help with reading.
Presbyopia 101
With age, the natural lens loses flexibility, making near focus harder. LASIK does not stop presbyopia, but it can set one eye to help with near tasks.
Monovision vs blended vision
- Monovision: One eye targets distance, the other a mild near focus. The brain blends inputs.
- Blended vision: A smaller difference between eyes to preserve more depth perception.
Trial first
Many surgeons recommend a contact lens trial to preview monovision or blended vision before surgery. This helps decide comfort with depth perception changes.
Who it helps
- People who want less dependence on readers for daily tasks
- Those comfortable with slight compromises in fine depth perception
Considerations
- Night driving and fine detail work may feel different with monovision.
- Enhancements must respect the chosen strategy.
Alternatives
- Reading glasses when needed
- Lens‑based options (e.g., refractive lens exchange) in appropriate ages/eyes
Bottom line: Work with your surgeon to test and fine‑tune a plan that fits your lifestyle.
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