Updated on July 29, 2024

5 min read

When Would You Need Glasses After LASIK?

Vince Ayaga
Dr. Melody Huang, O.D.
Written by Vince Ayaga
Medically Reviewed by Dr. Melody Huang, O.D.

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LASIK is a life-changing procedure for many, offering freedom from glasses and contacts. 

While LASIK often eliminates the need for corrective lenses, some people might experience changes in their vision over time. Let's explore the factors that can influence your vision after LASIK and ways to maintain optimal eye health.

Will I Need Glasses After LASIK?

Typically, most people wonโ€™t need glasses or contacts after LASIK. However, some peopleโ€™s vision may regress over time.

LASIK canโ€™t prevent age-related presbyopia. This means many people will still need glasses in their 40s due to presbyopia.

Other complications that can result in vision regression include:

  • High initial prescriptions that canโ€™t be fully corrected
  • Fluctuating vision
  • Residual Astigmatism
  • Overcorrection or undercorrection
  • Changes in vision as you age
  • Cataracts
  • Keratoconus
  • Diabetic retinopathy

According to one study, 35 percent of people who have had LASIK may require enhancement after 10 years. However, in most cases, LASIK enhancement is necessary when an underlying issue affects vision, not because LASIK has failed. 

Why Does Vision Regress After LASIK?

Aside from age-related changes and presbyopia, various factors can result in vision regression after LASIK:

  • Your cornea may undergo changes during the healing process, leading to a gradual return to its original shape and reversing the changes made by LASIK.
  • Epithelial and stromal changes can cause post-operative visual regression. 
  • Fluctuations in hormones can affect the shape of your cornea.
  • Environmental factors like eye rubbing or injury can also affect the stability of your vision.

If your vision regresses, talk to your doctor. They can help you correct it with different methods tailored to your needs.

Should You Wear Glasses After LASIK?

If your vision regresses after LASIK, glasses are a great option for managing refractive errors. Theyโ€™re simple, convenient, and easy to maintain.

Contact lenses are also a good option if you donโ€™t want to wear glasses. However, you can get a second LASIK operation to improve your vision.

LASIK enhancement is a follow-up procedure that is sometimes performed if the original surgery is unable to correct the refractive error. It can also be used if your vision changes over time. 

Tips to Maintain Eye Health

Although regression can occur, itโ€™s not inevitable for all LASIK patients. Most people can maintain stable vision for years after the procedure.

Here are some of our tips to maintain your eye health:

  • Get regular eye exams to monitor visual changes
  • Eat leafy greens, omega-3 fatty acids, and fruits
  • Exercise regularly
  • Spend more time outside 
  • Use protective eyewear when going outside
  • Take regular breaks from screens
  • Quit smoking
  • Keep your hands clean and avoid rubbing your eyes 
  • Manage chronic health conditions like diabetes and high blood pressure

Understanding the potential for vision changes after LASIK empowers you to make informed decisions about your eye health. While LASIK is highly successful for most, factors like age, healing, and lifestyle can influence your long-term vision.

By prioritizing regular eye exams, adopting healthy habits, and following your doctor's guidance, you can maximize the benefits of LASIK and enjoy clear vision for years to come.

7 sources cited

Updated on July 29, 2024

2.
Moshirfar et al. โ€œLASIK Enhancement: Clinical and Surgical Management.โ€ Journal of refractive surgery, 2017.
3.
Espandar et al. โ€œLASIK Complications.โ€ American Academy of Ophthalmology, 2024.
4.
Gudgel, D. โ€œFacts About LASIK Complications.โ€ American Academy of Ophthalmology, 2023.
5.
Katz et al. โ€œPresbyopia - A Review of Current Treatment Options and Emerging Therapies.โ€ Clin Ophthalmol, 2021.
6.
McKinney S.โ€œBefore Enhancing Post-LASIK Patients.โ€ Review of Ophthalmology, 2020.
7.

About Our Contributors

Vince Ayaga
Author

Vincent Ayaga is a medical researcher and seasoned content writer with a bachelor's degree in Medical Microbiology. Specializing in disease investigation, prevention, and control, Vincent is dedicated to raising awareness about visual problems and the latest evidence-based solutions in ophthalmology. He strongly believes in the transformative power of ophthalmic education through research to inform and educate those seeking knowledge in eye health.

Dr. Melody Huang, O.D.
Medical Reviewer

Dr. Melody Huang is an optometrist and freelance health writer with a passion for educating people about eye health. With her unique blend of clinical expertise and writing skills, Dr. Huang seeks to guide individuals towards healthier and happier lives. Her interests extend to Eastern medicine and integrative healthcare approaches. Outside of work, she enjoys exploring new skincare products, experimenting with food recipes, and spending time with her adopted cats.