Laser Surgery to Treat Presbyopia (Monovision)

man getting eye exam

Presbyopia is the gradual decline in close vision that occurs with age. The condition occurs as the lens in the eye stiffens and loses its flexibility, thereby impairing its ability to focus at images or objects up close.

While multifocal prescription glasses, such as bifocals, are one possible treatment option for presbyopia, the popularity of vision correction surgery to treat presbyopia is increasing. Your ophthalmologist may use one of several surgical approaches to treat presbyopia.

About Monovision

With all of the following presbyopia treatment options, the surgical goal is to create monovision. With monovision, the ophthalmologist corrects one eye so that it can see up close and the other eye so it can see in the distance. Over time, many patients are able to adapt to monovision, so they can ultimately see at multiple distances.


When performing LASIK, or laser-assisted in-situ keratomileusis, the ophthalmologist creates a hinged flap in the surface of the cornea. After gently lifting back the flap, the eye surgeon removes tiny particles of corneal tissue to reshape the curvature of the cornea. In traditional LASIK surgery, this corrects the refractive error that is causing nearsightedness, farsightedness and / or astigmatism.

When performing LASIK to treat presbyopia (by creating monovision), the ophthalmologist typically reshapes the curvature of cornea in the dominant eye so it can see in the distance. He or she intentionally leaves the non-dominant eye slightly nearsighted, so the patient can see up close with that eye.

Photorefractive Keratectomy

With photorefractive keratectomy (PRK), the ophthalmologist removes the front layer of the cornea (the epithelial layer) instead of creating a hinged flap in it. The remaining steps of PRK to treat presbyopia are the same as with LASIK. PRK is often a suitable treatment option for patients with corneas that are too thin to withstand corneal flap creation.

Conductive Keratoplasty (CK)

Unlike LASIK and PRK, conductive keratoplasty (CK) involves the use of low-energy radiofrequency (RF) waves instead of laser energy to reshape the curvature of the cornea.

During the CK procedure, the ophthalmologist uses an extremely thin probe that is finer than a human hair to apply RF energy around the outer section of the cornea. The connective tissue that was treated with RF energy shrinks, thereby creating a tightening effect around the circumference of the cornea. This causes the cornea to steepen, which helps restore near vision.

To treat presbyopia, the eye surgeon, again, only corrects one eye for near vision, leaving the other eye farsighted.

Monovision Candidacy

Some patients may not be able to adapt to monovision. To find out whether you might benefit from undergoing LASIK, PRK, CK or another type of vision correction procedure that addresses presbyopia by providing monovision, please schedule an appointment with us. That way, you can try out monovision in our office to determine whether it is a suitable treatment option for you.

If you are not an appropriate candidate for monovision, don’t worry. We will suggest alternative treatment options to help correct your presbyopia.

Exclusive Offer

Free Pair of Single Vision glasses with purchase of complete pair of glasses!

Hours of Operation

Our Regular Schedule


Please Call


Please Call


Please Call


Please Call


Please Call


Please Call




Find us on the map


Reviews From Our Satisfied Patients

  • "TSO Bishop Arts is the best at what they do and make you feel right at home."
    Brian N.
  • "Doctors and staff are courteous and very professional. I wholeheartedly recommend TSO Bishop Arts!"
    Rebecca M.

Featured Articles

Helpful and Informative Resources

  • Age-Related Macular Degeneration

    One of the leading causes of vision loss in people who are age 50 or older is age-related macular degeneration (AMD). This common eye condition leads to damage of a small spot near the center of the retina called the macula. The macula provides us with the ability to clearly see objects that are straight ...

    Read More
  • Diabetic Eye Diseases

    Diabetes is a condition that involves high blood sugar (glucose) levels. This can affect many parts of the body, including the eyes. One of the most common diabetic eye diseases is diabetic retinopathy, which is also a leading cause of blindness in American adults. Diabetic Retinopathy Diabetic retinopathy ...

    Read More
  • Presbyopia

    Somewhere around the age of 40, most people’s eyes lose the ability to focus on close-up objects. This condition is called presbyopia. You may start holding reading material farther away, because it is blurry up close. Reading suddenly gives you eyestrain. You might wonder when manufacturers started ...

    Read More
  • Laser Cataract Surgery

    The only way to correct the clouded vision caused by advanced cataracts is surgical intervention. If you find yourself pursuing cataract surgery to remove one or both cataract-disease lenses, you may be wondering what surgical approaches are available for treatment. Although eye surgeons have successfully ...

    Read More
  • Cataract Surgery

    With cataract surgery, your ophthalmologist removes the cataract-diseased lens of your eye. The ophthalmologist then replaces your natural lens with an artificial one. The Procedure This outpatient procedure is generally safe and takes less than an hour. Your ophthalmologist will dilate your pupil ...

    Read More
  • Fuchs' Corneal Dystrophy

    Fuchs' dystrophy (pronounced fooks DIS-truh-fee) is an eye disease characterized by degenerative changes to the cornea’s innermost layer of cells. The cause for Fuchs' dystrophy is not fully understood. If your mother or father has the disease, then there is roughly a 50 percent chance that you will ...

    Read More
  • Peripheral Vision Loss

    Normal sight includes central vision (the field of view straight ahead) and peripheral vision (the field of view outside the circle of central vision). The inability to see within a normal range of view often indicates peripheral vision loss. In severe cases of peripheral vision loss, individuals only ...

    Read More
  • Presbyopia

    As we age, our eyes—like the rest of our bodies—begin to lose flexibility and strength. When this happens to the lens of the eye and its surrounding muscles, your lens will become stiff. This makes it harder to see close objects clearly because the eyes can't focus properly. It's a natural part of ...

    Read More
  • Patches

    Eye patches are used to strengthen muscle control in weak eyes. By placing a patch over the strong eye, the weaker eye is forced to do the heavy lifting. While it may be uncomfortable for the patient at first, the muscle controlling the weaker eye will become tougher and more resilient. This will allow ...

    Read More
  • Learning Disabilities and Vision Therapy

    Does your child struggle in school due to learning disabilities? Vision therapy may make learning easier. ...

    Read More

Newsletter Signup

Sign Up to Receive More Articles