Hi Jun Wei,
This is a frequently asked question. There is no evidence nor reason to suggest that Lasik can worsen presbyopia as presbyopia is a condition that occurs in middle age due to stiffening of the native lens, whilst Lasik is corneal-refractive surgery.
The most common reason why people believe that Lasik worsens presbyppia is that the patients pre-existing short-sightedness means that NO accommodation is required to see near objects. Hence once presbyopia sets in for everyone after the age of 40 years old, myopic patients are still able to see by removing their spectacles.
Patients who have undergone vision correction for distance, and subsequently develop presbyopia will not be able to see near objects simply by removing their spectacles (since they don't have any residual short-sightedness, and hence do not wear spectacles)
This is most likely the source of the mistaken impression that presbyopia is caused by Lasik surgery.
Patients who have performed Lasik many years ago and subsequently develop presbyopia have several options to deal with their new state, including monovision enhancement and PiXL treatment of the non-dominant eye.
In summary - Lasik is still a great option for young people and very few people have ever regretted their decision to be spectacle-free. Have an indepth discussion of your concerns with your treating ophthalmologist and they would be able to clear up any concerns that you have.
ESG
