Is LASIK worth it over 40?

Asked by: Myrna Glover DDS  |  Last update: October 10, 2025
Score: 4.7/5 (10 votes)

Even those over 40 or 50 years old can benefit from the procedure, which is an investment that is worth it compared to wearing glasses or contacts for the rest of their lives. LASIK after 40 can provide improved vision for a long time after the initial surgery, although it is important to have realistic expectations.

Does it make sense to get LASIK at 40?

LASIK: 40–55

If you're a non-smoker in good health with no history of medical problems, you have a good chance of being given the green light on the procedure by your LASIK eye surgeon. A family history of corneal disorders, glaucoma, and diabetes are also considerations for this age group.

What is the regret rate for LASIK eye surgery?

Furthermore, 99% of patients achieve 20/40 vision. Only 3% of patients regret getting LASIK.

When is LASIK not worth it?

If your pupils are large, especially in dim light, LASIK may not be appropriate. Surgery may result in debilitating symptoms such as glare, halos, starbursts and ghost images. Glaucoma. The surgical procedure can raise your eye pressure, which can make glaucoma worse.

What happens after 20 years of LASIK?

Many individuals who had LASIK surgery several decades ago may experience changes in their vision over time due to factors like aging or developing new refractive errors.

FDA re-evaluates Lasik eye surgery

44 related questions found

Does LASIK surgery cause problems later in life?

When it comes to the chance of complications, laser eye surgery long term risks are significantly lower than some other vision correction solutions. Did you know that contact lens wearers are at significantly higher risk of complications? The risk of serious complications with LASIK eye surgery is less than 1%.

Why are my eyes blurry 10 years after LASIK?

We know that when patients return unhappy with their vision about 10 years after a LASIK procedure, the chief suspects are presbyopia and cataract. So the answer is: “It's almost always the lens, not the LASIK.”

Why do doctors not recommend LASIK?

Unresolved Vision Problems

Our eyes may encounter more problems than simple refractive errors. Dry eye is a common condition that may not seem serious but can prevent you from being eligible for LASIK. Scarring from a previous eye injury or surgery can impede the surgeon's ability to perform the operation safely.

Is there a better alternative to LASIK?

Refractive lens exchange

RLE is a good alternative for patients with severe nearsightedness, farsightedness, presbyopia or astigmatism, or if the surgeon believes laser surgery is not the best option. In both younger and older patients, RLE has a high success rate.

Why is LASIK on the decline?

These include market saturation, overexposure of LASIK's complications by the media and government agencies, and changes in demographics and culture. The combination of these factors has sullied the image of LASIK, and as a result, the market will never return to the same level of procedures as in 2007.

What are the drawbacks of LASIK surgery?

Con: Some LASIK risks are possible

Although LASIK may cause dry eyes for up to three months (and can be managed with artificial tears), the odds of it becoming a permanent issue are rare. Another uncommon side effect: nighttime glare or halos.

Is LASIK worth it financially?

The national average cost of LASIK surgery is $2,436 per eye. Understandably, prospective patients may find the price of LASIK unsettling, however, most people will save money over time by having the procedure, especially those who wear contacts.

Who should not have laser eye surgery?

Patients with autoimmune diseases are not good candidates for laser eye surgery. Many autoimmune conditions cause dry eye syndrome. A dry eye may not heal well and has a higher risk of post-surgery infection. Other conditions such as diabetes, rheumatoid arthritis, lupus, glaucoma or cataracts often affect results.

When is the best time to get LASIK?

Fall is an ideal time for LASIK surgery due to the many benefits it offers. One major advantage of having LASIK in the fall is the quicker recovery time. With the cooler temperatures and shorter days, your eyes can heal more efficiently, allowing you to get back to your daily activities sooner.

Do you like monovision or regret it?

Most patients who choose Monovision are satisfied with both near and far vision without glasses. Alternatively, about 15% of Monovision patients notice certain tradeoffs, including difficulty with high performance sports or night driving, or with intricate close work.

Can you develop astigmatism in your 40's?

Anyone can experience astigmatism. You can develop it at any point in your life. Some people are born with astigmatism.

Is it better to wear glasses or get LASIK?

LASIK offers a more permanent solution with greater convenience but comes with higher costs and surgical risks. Glasses, while non-invasive and adjustable, require ongoing maintenance and can pose lifestyle limitations.

What new treatment is better than LASIK?

In 2022, the FDA approved the EVO Visian ICL (Implantable Collamer Lens) for treating nearsightedness in patients with moderate to severe myopia with or without astigmatism. Unlike LASIK surgery, which reshapes the cornea, inserting the permanent implantable contact lens does not change the shape of the cornea.

How long does LASIK last?

While the effects of LASIK surgery are permanent, the benefits can decrease over time. For most patients, the results of this surgery will last a lifetime. About 10-12% of patients nationwide will need enhancement surgery because of anatomical changes to the eye/eyes.

What disqualifies you from getting LASIK?

When is LASIK not for me?
  • You required a change in your contact lens or glasses prescription in the past year. This is called refractive instability. ...
  • You have a disease or are on medications that may affect wound healing. ...
  • You actively participate in contact sports. ...
  • You are not an adult.

How long after LASIK can I see 20/20?

While most folks reach 20/20 vision within a few weeks or months, it might take longer for others. Your vision can even improve up to six months after LASIK!

Who is not a good candidate for LASIK?

A patient may not be a good candidate for LASIK if they have thin corneas, an irregular shaped cornea, corneal scarring, or other unusual findings. In those cases, your eye doctor may recommend photorefractive keratectomy (PRK) surgery.

Can my eyes go bad again after LASIK?

In some cases, the eyes may gradually revert to their pre-LASIK prescription, causing vision to become blurry once again. This regression can occur due to the natural ageing process, changes in the shape of the cornea, or other factors that affect the eye's refractive properties.

Why does your vision go black during LASIK?

The first thing we do is put numbing drops in your eyes. This reduces any potential discomfort. During the first step — when we make the flap in your cornea — you feel some pressure, and your vision goes black for about 10 seconds.

What is the success rate of Lasik eye surgery?

No surgical procedure is 100% effective. However, LASIK has one of the highest success and satisfaction rates of any elective procedure, with 96% of LASIK patients reporting high satisfaction after treatment. Effectiveness studies show that 70% to 90% of LASIK patients achieve 20/20 vision or better after treatment.