DocH wrote:(yes Glenn I am planning on trying a contact lens in that eye first)
Am I that obvious, or is it that I'm that consistent!
You stated that you are left eye dominant. Please take a look at our
eye dominance test.
DocH wrote:1) should I do it?
Only you can decide if the relative risk is worth the relative gain. You appear to be aware of the issues with the
sudden need for reading glasses after Lasik and
monovision as a workaround to presbyopia.
DocH wrote:2) should it be lasik or PRK?
This depends upon the recommendation of the surgeon. Both are likely appropriate.
DocH wrote:3) Are the risks for enhancement surgery much higher than the first?
A flap lift will increase the probability of
epithelial ingrowth, but that is normally a benign problem that can be successfully resolved. Vision recovery after
PRK on the Lasik flap will be slow compared to vision recovery after Lasik enhancement.
DocH wrote:4) If he 'overshoots' and I end up hyper in that eye will it matter if I'm not using that eye for close stuff?
It will matter hugely. Hyperopia (farsighted, longsighted) is more challenging to correct than myopia (nearsighted, shortsighted). The combination of hyperopia and
presbyopia commonly results in poor vision quality at all distances. Near vision would undoubtedly be nearly impossible and distance vision would be likely poor. If there will be an error, err on the side of myopia. Myopia would reduce your distance vision clarity, but would improve your near vision in that eye.