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How Old Do You Have to Be to Get LASIK?
Since its invention and approval by the Food and Drug Administration (FDA), laser vision correction has revolutionized the field of optometry.1 Many have achieved 20/20 vision after laser surgery.
Today, the most popular laser surgery is LASIK.
LASIK surgery uses a special laser device known as an excimer laser to reshape the cornea and correct visual issues.
Refractive errors LASIK surgery can correct include:
- Myopia (nearsightedness)
- Hyperopia (farsightedness)
- Astigmatism (uneven flattening of the cornea)
- Presbyopia (age-related farsightedness)
According to statistics, about 700,000 people in the United States undergo LASIK eye surgery every year.2
Studies also indicate that 96 percent of LASIK patients report overall satisfaction after the procedure.3 Among these, 90 percent achieve 20/20 vision or better.
However, not everyone is a good candidate for LASIK. Factors such as age and health status are significant determiners of LASIK eligibility.
Minimum Age for LASIK
There is no strict age limit for LASIK eye surgery. However, the FDA recommends the procedure only if you’re 18 years or older.
For most surgeons, 25 years is the ideal age for LASIK.
When LASIK was first introduced, many older patients could afford it. Today, more younger patients are seeking LASIK surgery to restore their perfect sight. The contributing factors to this include:
Its popularity. More young people are getting to know about LASIK.
Affordability. More young people can afford LASIK surgery due to the availability of financing options such as health savings account (HSA) or flexible spending account (FSA).4
Most patients in their mid-20s have a stable eye prescription and haven’t yet developed presbyopia (age-related nearsightedness).
Although surgeons have successfully performed LASIK on children, the risk of changing vision is high in childhood and early adulthood.5 Such vision instability can affect the LASIK outcomes.
The average best age to get LASIK is between 25 and 40 years. LASIK is not usually performed in children. It requires more studies on its safety and efficacy in younger people.

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Maximum Age for LASIK
Even after enjoying perfect vision for your entire life, your eyesight may start to decline after you turn 40 (presbyopia).
Your eyes lose focusing power because your eye lens becomes less flexible with age.6
To fix your eyesight problem, you may need prescription glasses or corrective surgery. Fortunately, there’s no maximum age limit for LASIK eligibility.
If you’re a non-smoker and you have good general health, you may qualify for the LASIK vision correction procedure.
Some people choose monovision to address their presbyopia.7
Monovision involves correcting the dominant eye to see distant objects while the other is corrected to see nearby objects. This enables you to see far and near at the same time.
If you have a family history of diabetes, glaucoma, cataracts, or other corneal problems, you may not be a good candidate for LASIK.
Cataracts are prevalent in old age and are a major reason why many senior patients don’t qualify for LASIK surgery.8
Research shows that about half of Americans experience some form of cataract by the age of 80 years. However, the presence of cataracts does not entirely disqualify someone from refractive laser surgery.
If your age-related cataracts have caused the impairment, you may have to seek cataract surgery to correct your vision problems.
Other Requirements for Candidacy
Thick cornea
Enough corneal tissue allows for easy creation of the flap. It also reduces the risk of complications associated with a thin cornea.
No underlying conditions
Patients with autoimmune diseases such as rheumatoid arthritis, diabetes, or Sjögren’s syndrome may affect results.
Stable eyeglasses and contact lens prescription
A successful LASIK procedure requires a stable eye prescription for at least a year.
No eye diseases
Eye diseases such as severe cataracts and glaucoma may affect the healing process or lead to complications.9
Not taking certain medications
Certain prescription medications such as steroids, immunosuppressants, and anti-inflammatories can affect healing.
Informed and realistic expectations
It’s important for the patient to gather enough information regarding the procedure to avoid unrealistic expectations.
For best medical advice, talk to your eye surgeon about your health history, previous surgeries, and any medications you may be taking.
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Who Shouldn’t Get LASIK?
LASIK surgery is not the best option for vision correction if you:
- Are below 18 years of age, due to vision instability
- Have thin corneas (may result in corneal complications due to lack of tissue)
- Have large pupils which may cause glares (more than 7 millimeters in the dark)
- Have unrealistic expectations or are uneducated about the procedure
- Don't have a stable prescription of eyeglasses or contact lenses
- Have corneal diseases such as cataracts or glaucoma
- Have underlying autoimmune diseases that can prolong or prevent healing
- Are pregnant or nursing, hormone fluctuations may affect the healing process
- Can’t adhere to the post-LASIK care instructions
- Can’t afford it (it’s an elective that isn’t covered by your insurance)
- Actively participate in contact sports such as rugby, football, etc
- Are at risk of dry eye syndrome, which can cause significant discomfort after LASIK
- Experienced complications after your initial LASIK surgery
- Are healing from an eye injury
If you have visual problems and feel LASIK surgery may work for you, talk to your doctor. Only a qualified eye doctor can determine candidacy.
Alternative Vision Correction Options
If you don’t qualify for LASIK, below are some effective alternatives:
- IntraLase LASIK (iLASIK)
- Epithelial laser in-situ keratomileusis (Epi-LASIK)
- Implantable collamer lens (ICL) or Visian ICL
- Photorefractive keratectomy (PRK)
- Small incision lenticule extraction (SMILE)
- Intraocular lens implant (IOL)
- Refractive lens exchange surgery (RLE)
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