LASIK for Older Adults: Is It Still Worth It After 60?

Educational only. After 60, lens changes and cataract timelines matter as much as corneal options.

At a glance

• LASIK can still help selected older adults, especially with stable prescriptions and healthy tear film.
• Presbyopia remains: most will still need readers for near tasks unless using monovision strategies.
• If lens changes are significant, lens‑based options (premium cataract IOLs or RLE) may fit better.

When LASIK may still be worth it

• Corneas are regular and thick enough; dry eye is well controlled
• Distance vision is the priority, with acceptance of readers for near
• No visually significant cataract yet and stable refraction

When to consider lens‑based alternatives

• Early cataract signs and worsening night glare/halos from the lens, not the cornea
• Strong desire to address presbyopia with a lens solution (e.g., extended depth‑of‑focus IOLs)
• Significant hyperopia where corneal options are limited

Decision framework

1. Comprehensive exam: confirm source of blur (cornea vs lens) and measure tear film
2. Discuss priorities: night driving vs near tasks, tolerance for readers, glare sensitivity
3. Map timelines: how soon cataract surgery is likely, and whether LASIK would complicate or delay plans

Questions to ask

• How do you decide between corneal and lens‑based solutions for someone my age?
• What outcomes do you see with monovision in patients like me?
• If I choose LASIK now, how will you handle IOL calculations when I need cataract surgery later?

The right choice balances today’s goals with tomorrow’s lens realities. A surgeon experienced in both corneal and lens procedures can help you chart a path that spans the next decade and beyond.