I’m 38 and I already had one eye LASIK 2 weeks ago which I obtain 20/20 vision. I have problem seeing close. If I do Lasik on the the remaining eye for -1.25, will it prevent me having to wear reading glasses later? (I don’t need reading glasses currently) Will it be difficult for me to work seeing close? Also, would you rather treat both eyes to 20/20 and worry about reading glasses later or go with the option mention above? What is the pro and con?

A: Monovision at age 38 with LASIK

Congratulations on your good result for the first eye. It was unclear from your question what your current Rx is for the untreated eye. If you correct both eyes for distance, you will see well at near for now, although like you said, you will gradually feel the need for reading glasses after age 40.

We generally don’t correct someone with monovision at age 38. Most often they feel that the vision in the near eye is not as good as they would like and they could have greater difficulties with night driving.

The exception we tend to make is if one eye is already slightly near-sighted. In that case, we might treat one eye only and leave the other eye uncorrected to see how well the person likes monovision. We can always go back and treat the other eye later.