LASIK After 40: Options for Presbyopia and Aging Eyes

9 min read Updated June 2026

LASIK After 40: Your Options for Age-Related Vision Changes

If you're over 40, you've probably noticed that reading menus, phone screens, and medication labels has gotten harder. This is presbyopia — the gradual loss of near-focus ability that affects everyone, typically starting in the early-to-mid 40s. LASIK can help, but the approach is different than for younger patients.

Key TakeawayTraditional LASIK corrects distance vision. After 40, you also need a near-vision strategy. Monovision LASIK — correcting one eye for distance and one for near — is the most popular approach and works well for about 85% of patients. It's available in Medellín at standard LASIK pricing.
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OptionHow It WorksBest ForMedellín Cost
Monovision LASIKOne eye corrected for distance, one for nearPatients 40-55 who want to ditch reading glasses$600-$1,200/eye (standard LASIK pricing)
Blended visionModified monovision with extended depth of focusPatients wanting a smoother transition between eyes$800-$1,400/eye
LASIK + reading glassesFull distance correction, readers for close workPatients who want the sharpest possible distance vision$600-$1,200/eye + $10 readers
Premium IOL (lens replacement)Internal lens replaced with multifocal lensPatients 55+ with early cataracts$1,200-$2,500/eye

The key is an honest conversation with your surgeon about what you're willing to trade. Monovision provides the most glasses-free lifestyle, but some patients notice a slight reduction in depth perception or find that one eye feels dominant. Most adapt within 2-4 weeks. A trial with monovision contact lenses before committing to surgery lets you experience the effect risk-free.

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