Myopia surgery after 40: a solution or a new problem?
At age 40, refractive surgery to correct myopia is technically antiestéticasible, but real-world experiences show a wide range of results, from total success to a permanent reliance on reading glasses. One patient, operated on at 46 with 7 diopters in each eye, has gone 13 years without contact lenses or glasses thanks to a technique that left one eye for near vision, bypassing presbyopia. However, another case at age 42 ended up needing reading glasses within a year, even for simple tasks like going to the supermarket.
Laser surgery (LASIK or PRK) reshapes the cornea, whereas cataract surgery replaces the lens, which can also correct myopia. One testimonial describes a 56-year-old who underwent cataract surgery and simultaneously eliminated their myopia, achieving perfect vision. However, risks exist: loss of corneal tissue, calculation errors, and, most notably, presbyopia—the age-related loss of near vision—which can leave patients needing glasses for reading. As an expert noted, myopes often develop presbyopia later, but surgery can accelerate it if not properly planned.
The general recommendation is cautious: undergoing surgery before 40 usually yields better results, but if you are older, it is advisable to evaluate your prescription, corneal health, and expectations. Operating on one eye first and then the other minimizes the risk of serious complications. Bill Gates still wears glasses, and that is no coincidence.
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