I Am Over 40 And Nearsighted (Myopia)

I Am Nearsighted (I Have Myopia)

  • You have poor distance vision without glasses and/or contact lenses.
  • You probably have good near vision without glasses or contact lenses, but you probably require extra help at near with glasses or contact lenses (bifocals, trifocals, progressives, etc.)
  • If you wear contact lenses, the sign in front of the prescription power is a minus (-). Example: -4.50 soft contact lens power.
  • Nearsightedness (Myopia) occurs when the eyeball is too long, or the eye’s focusing mechanism (the cornea and lens) is too powerful, causing light rays to focus in front of the retina. Refractive eye surgery can correct the focus of your eye, helping light rays to focus on the retina.
  • As you age, the lens inside your eye loses its ability to focus as well at near – this usually becomes evident around the age of 40. This is when many people begin using reading glasses or bifocals. This is known as Presbyopia (see below).

Nearsighted (Myopia)

I Have Presbyopia

  • If you are over the age of 40, you have probably begun to experience presbyopia.
  • This is a normal age-related vision problem which usually becomes evident around the age of 40.
  • Your near vision may be okay if you remove your glasses or contact lenses, but if your distance vision is corrected, you have difficulty focusing at near without extra help (reading glasses, bifocals, trifocals, progressives, etc.)
  • Presbyopia occurs as the eye’s natural lens hardens and loses its ability to flex and focus with age. The focusing muscles within the eye also become weak with age, contributing to presbyopia.
  •  This leads to difficulty in focusing from far to near, and is usually when many people begin to require the use of reading glasses or bifocals.

Thinking About Your Vision Options:

There are several options available to help reduce or eliminate your need for glasses or contact lenses. Your Free Evaluation will allow us to determine which of these options are best suited for your unique visual needs. Here are some potential options to think about and discuss with the doctor when deciding on your visual goals:

  • Full distance vision correction for both eyes This would provide you with great distance vision, but you would still require reading glasses for near and midrange (computer) vision. This is a good option for patients who have an active outdoor lifestyle and don’t mind wearing reading glasses.
  • Monovision With this option, the dominant eye is corrected for full distance vision, while the non-dominant eye is corrected to see well at near. While this concept may sound strange, most patients actually adapt well. The brain learns to depend more on the distance eye when viewing distance objects, and depend more on the near eye when using a computer or reading. The use of reading glasses may still be needed on occasion (mostly for detailed near work), but patients are not typically dependent on them. Monovision is a good option for patients who multi-task and are willing to accept a slight compromise in distance vision in order to gain near vision.

Here Are Your Potential Surgical Options:

Your Free Evaluation will allow us to determine which of these options are best suited for your unique visual needs. Use the links below to learn more about each procedure:

  • iLASIK This is the newest version of LASIK (Laser Assisted In Situ Keratomileusis), combining the most advanced technology:
    • CustomVue WaveScan This is a mapping system used to create a “fingerprint” of your eye and its individual characteristics. This data is then plugged into your laser program, creating a laser treatment customized for your eye.
    • Intralase “Blade-free” Laser This laser creates a thin flap in the outermost layer of the cornea, the epithelium. Blades are no longer used! The flap is then folded out of the way in preparation for the excimer laser.
    • VISX Star S4 Excimer Laser This laser permanently sculpts the patient’s visual correction into the deeper tissue of the cornea (beneath the flap). This laser utilizes 2 types of eye tracking to ensure accuracy:
      • Iris Registration
      • 3-D Autotracking
  • PRK (Photo-Refractive Keratectomy) This procedure is similar to LASIK, except a corneal flap is not created. Instead, the corneal epithelium (outermost layer) is removed and the Excimer laser treatment is then applied. The epithelium slowly grows back as the eye heals, and ultimately the visual outcomes are similar to LASIK. The procedure does cause discomfort during the initial healing process, and the vision is typically slow to settle, therefore PRK is typically reserved for special circumstances. Cases in which PRK may be utilized include:
    • Patients whose corneas are too thin to safely have LASIK
    • Patients who have previously had refractive eye surgery
    • Patients who have problems with the corneal surface
  • Visian ICL™ This advanced procedure is available to patients between 21 and 45 years of age, with high myopia and wanting to experience superior vision correction. A foldable lens is inserted through surgical micro-incision and placed inside the eye just behind the iris in from of the eye’s natural lens. Lenses are available in a range of prescriptions, allowing the vision to be corrected for a range of nearsightedness.
  • Verisyse This is a great procedure for patients who are extremely nearsighted and outside the range of LASIK. A lens is placed inside the eye, just in front of the iris (the colored part of they eye) and the natural lens of the eye. Lenses are available in a range of prescriptions, allowing the vision to be corrected for a range of nearsightedness. If any residual vision correction is needed after the eye has healed, LASIK may then be performed (available without any additional cost).

Our office offers free evaluations for this procedure and our staff will discuss refractive options with you.


Our pricing is all inclusive and includes pre operative and post operative care, all facility fees, and surgeon fees.

Ask about our cash discount.

Please call our office at (281) 464-9616 to schedule your appointment today.