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People over 40, who require glasses for distance vision – nearsighted or myopic individuals – frequently find that they can read up close quite well without their glasses. Correcting their distance vision to 20/20 almost always means that they will need glasses to be able to read up close. This is because they can no longer focus or adjust their focal length.
Typically in Monovision, the eye that is correct for distance is the dominant eye. One can usually determine which eye is dominant by raising a thumb, holding it out in front of both eyes, and blocking an object with the thumb while both eyes remain open. Once the object is blocked, close one eye or the other, and the eye that cannot see the object is the dominant eye.
Patients over forty must make a choice. Either both eyes are
corrected for distance or one eye is corrected for distance and the
other for near. If the patient is unsure of what they would like,
contacts can sometimes be used to simulate post-operative results.
If you are over 40, or wear bifocals or reading glasses, your LASIK
surgeon will want to discuss Monovision as part of your Consultation
in order to make sure you get the best possible results.
If you are over 50 and do not wish to have monovision LASIK, you
will most likely require reading glasses after your LASIK surgery.
For patients over 50 who wish to have both their far and distance
vision corrected without monovision or using reading glasses, a
possible option to explore in order to effectively manage their
presbyopia is Lens Replacement Surgery.


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