Is It Safe to Have Vision Surgery After 45? Here’s What You Should Know

If you’re over 45 and thinking about vision correction surgery, you might be wondering: Am I too old? Is it still safe? Are there options beyond LASIK?

The good news: Yes, it’s safe—and yes, there are multiple proven options that can help you reduce or eliminate your need for glasses. At Peninsula Laser Eye Medical Group, we specialize in customized vision correction for patients in their 40s, 50s, 60s, and beyond. The key is choosing the right procedure based on your age, eye health, and lifestyle.

Let’s explore your options.

First: Is Age Really a Factor?

Not exactly. While certain procedures are more common at different life stages, it’s not your age that determines candidacy—it’s the health of your eyes. That’s why a full eye exam is essential. We look at your cornea, lens, retina, and overall eye health before recommending anything.

Option 1: LASIK or PRK (Still Possible After 45!)

Many people think LASIK is only for the under-40 crowd. But if your corneas are healthy, your prescription is stable, and you don’t mind using reading glasses, LASIK or PRK may still be a good fit after 45.

Ideal for:

  • Patients with healthy eyes and no signs of cataract
  • Those who want to correct distance vision but are okay using readers for up-close tasks

Keep in mind: LASIK doesn’t correct presbyopia, so if you’re struggling with reading vision, you may still need glasses—or consider monovision LASIK (one eye for distance, one for near).

Option 2: Clear Lens Removal (Refractive Lens Exchange)

As the natural lens of the eye becomes less flexible with age, presbyopia sets in—causing difficulty seeing up close. Clear Lens Removal (CLR), also known as Refractive Lens Exchange (RLE), replaces your aging lens with an artificial intraocular lens (IOL) designed to correct distance, near, and astigmatism—sometimes all in one.

Ideal for:

  • People over 45 with early signs of lens aging or presbyopia
  • Those who want to reduce or eliminate glasses for both distance and near
  • Patients not eligible for LASIK due to dry eyes or thin corneas

Option 3: Cataract Surgery with Vision Correction

If you already have early-stage cataracts, vision correction can be built into your cataract surgery. Thanks to advanced lens options, we can correct refractive errors (like nearsightedness or astigmatism) at the same time your cataract is removed.

Ideal for:

  • Patients 60+ with cloudy vision or glare at night
  • Anyone told they have “early cataracts”
  • Those wanting to combine medical treatment with visual improvement

What Makes Vision Surgery Safe After 45?

Today’s technologies are safer and more precise than ever, especially when paired with individualized planning and experienced surgeons.

At Peninsula Laser Eye Medical Group, we offer:

  • Advanced imaging to evaluate your eye health
  • Personalized IOL and laser treatment plans
  • Thorough safety screening to rule out risks like glaucoma or macular issues

Your consultation is where we’ll help you decide which path—if any—is right for your eyes.

The Bottom Line

Vision correction after 45 is not only safe—it’s often life-changing. Whether you’re frustrated with reading glasses, struggling with night driving, or just want clearer vision for the next stage of life, there’s likely a solution that fits your needs.

Let’s explore it together. Call us at (650) 961-2585 or schedule your consultation online with our experienced team at Peninsula Laser Eye Medical Group in Mountain View, CA.


Share This