Does Vision Correction Surgery cause Presbyopia to Come Earlier?

Does Vision Correction Surgery cause Presbyopia to Come Earlier?



Vision correction surgery itself does not accelerate the aging of the crystalline lens, which is the main cause of presbyopia. However, the surgical outcome—whether a person ends up with perfect vision, mild myopia, or mild hyperopi —can affect when presbyopia is first noticed.


If mild myopia remains after surgery, people may notice the symptoms of presbyopia a bit later, because their eyes can still focus on nearby objects. On the other hand, if mild hyperopia remains, presbyopia symptoms may appear earlier because their eyes already struggle to see things up close.


This variation doesn’t mean the surgery failed. Even when the surgery is successful, the small residual refractive error can affect how early or late presbyopia symptoms are felt—usually by a difference of 3 to 4 years.


If I Had Vision Correction Surgery, Can I Still Get Presbyopia or Cataract Surgery Later?



Yes, you can. These days, many people undergo combined cataract and presbyopia correction surgeries, and having had previous procedures like LASIK, LASEK, or SMILE does not affect the eligibility of the surgery.



However, vision correction surgeries do change the shape of the cornea, which can make eye measurements inaccurate. Accurate measurements are essential for choosing the correct intraocular lens (IOL) during cataract or presbyopia surgery.


In the past, inaccurate measurements after refractive surgery sometimes led to lens power mismatches. But, today, even if you’ve had prior vision correction surgery, you can still safely and accurately undergo cataract and presbyopia surgery without major concerns.



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