As we age, changes to our vision become more noticeable and, in many cases, unavoidable. Many options exist for people over 50 who are tired of reading glasses, bifocals, or blurry vision. These offer freedom and clarity without the daily hassle. Two of the most effective options are lens replacement surgery and LASIK, but they serve different needs.
So, what’s the better choice for vision correction after 50?
How do your eyes change after 50?
Around age 45, most people begin to notice it’s a bit harder to read up close; this phenomenon, called presbyopia, is due to an age-related loss of flexibility in the eye’s natural lens. After age 50, loss of near vision becomes more pronounced. Even those who previously had LASIK or excellent distance vision, find themselves reaching for readers or progressive lenses.
Cataracts, an aged related clouding of the natural lens, also start developing in your 50s and 60s, gradually diminishing vision. Some people may not notice the changes right away, but over time, cataracts can interfere with driving, reading, and seeing in low light.
Lens Replacement vs. LASIK After 50: What’s the better choice?
Both LASIK and lens replacement surgery are designed to reduce dependence on glasses, but they work differently and are best suited for different age groups.
LASIK reshapes the cornea to correct nearsightedness, farsightedness, astigmatism and presbyopia. It’s ideal for patients with healthy eyes, a stable prescription and no signs of cataracts. LASIK can treat presbyopia by utilizing monovision (one eye set for distance and one eye set for near). Many people do not tolerate monovision. Furthermore, LASIK does not treat cataracts.
Lens replacement, also known as refractive lens exchange (RLE), removes the eye’s natural lens and replaces it with an advanced technology intraocular lens (IOL), similar to cataract surgery. This option can correct distance, intermediate, and near vision and eliminates the need for future cataract surgery.
Here’s why many people over 50 are turning to lens replacement:
- It corrects both distance and near vision.
- It eliminates the need for cataract surgery in the future.
- It offers a more permanent solution than LASIK in an age group likely to develop cataracts in the future.
At One EyeCare LASIK, Dr. Wu evaluates each person’s vision goals, eye health, and lifestyle to help determine whether LASIK or lens replacement is the better option.
Schedule Consultation
We’d love to help you get all the information you need in order to make the best choice for your eyes. Schedule consultation today! Our staff is available and happy to answer your every question.
Am I a good candidate for lens replacement or LASIK?
Candidacy depends on your vision, health, and the structure of your eyes. Dr. Wu performs a thorough eye exam to recommend the most appropriate procedure.
You may be a better candidate for LASIK if:
- You’re under 50 with no signs of cataracts.
- Your corneas are healthy and thick enough for reshaping.
- Your prescription is within the range that LASIK can treat
You may be a better candidate for lens replacement if:
- You’re over 50 and wearing reading glasses or have early cataracts.
- You want to reduce dependence on both reading and distance glasses.
- You prefer a long-term solution that prevents future cataract surgery.
Even if you’ve previously had LASIK or another vision procedure, lens replacement may still be an option to reduce dependence on glasses.
What is recovery like after lens replacement?
Recovery from lens replacement is generally smooth and relatively quick. The procedure is typically done at an outpatient surgery center under topical anesthesia, one eye at a time and only takes about 20 to 30 minutes per eye.
Most people return to light activities within a day or two. You may notice clearer vision as early as the next day, with full results improving over the following weeks.
Here’s what to expect during recovery:
- Mild dryness or light sensitivity, which fades within a few days
- Use of prescribed eye drops to prevent infection and inflammation
- Avoiding strenuous activities or swimming for about a week
- Regular follow-up visits to ensure optimal healing
Unlike LASIK, which may not address all vision concerns over 50, lens replacement provides a more comprehensive solution, especially when presbyopia and cataracts are part of the picture.
Take the Next Step
Want to know more about LASIK or lens exchange if you’re over 50? Please fill out the form on this page or call 949.208.9090 to schedule your appointment.
We proudly serve the Costa Mesa & Newport Beach areas.
