When evaluating whether LASIK is the right choice, an ophthalmologist will carefully assess several criteria to ensure the procedure is safe and likely to deliver effective results. You may be a good candidate for LASIK surgery if:
Patients must be at least 21 years old to undergo LASIK, as the eyes need to be fully developed and prescriptions stable. The ideal candidates are often in their mid-20s to late 30s, when vision has generally stabilised and age-related changes are less of a concern.
From the age of 40 onwards, presbyopia—a natural decline in near focusing ability—often begins to appear. Since LASIK does not correct presbyopia, individuals in this age group may still need reading glasses for close tasks.
For patients over 60, cataracts become more common and need to be assessed before LASIK is considered. In some cases, cataract surgery may be a more suitable option.
Your prescription should remain unchanged for at least 12 months before surgery. If your myopia is still progressing, LASIK may not provide lasting results. Unstable vision could lead to the need for additional corrections in the future. Regular eye exams can help determine if your vision has stabilised.
LASIK works best for the following prescription ranges:
If you are not suitable for LASIK, there are other effective alternatives such as ReLEx SMILE, advanced surface ablation techniques (TransPRK, LASEK, EpiLASIK), or implantable contact lens (ICL) insertion.
Hormonal changes during pregnancy can temporarily alter your vision and corneal shape. It is best to wait at least six months after childbirth or breastfeeding before considering LASIK to ensure accurate results and stable vision.
Certain eye diseases, like keratoconus (progressive corneal thinning) or glaucoma (optic nerve damage due to high eye pressure), can increase the risk of complications. A comprehensive eye exam will rule out these conditions before surgery.
Medical conditions such as uncontrolled diabetes or autoimmune disorders (e.g., lupus or rheumatoid arthritis) can affect healing and increase the risk of complications. These must be discussed with your doctor during the initial consultation.
LASIK reshapes the cornea, so it needs to be thick enough to safely remove tissue during the procedure. Thin corneas may require alternative treatments to avoid risks like corneal ectasia (weakening and bulging of the cornea).
Excessively large pupils may increase the chances of experiencing glare, halos or starbursts in low-light conditions after surgery. Your ophthalmologist will measure your pupils to determine suitability.
While LASIK can dramatically improve vision, it may not eliminate the need for glasses. Some people may still need them for activities like night driving or reading. Clear communication with your doctor helps align expectations with achievable outcomes.
LASIK surgery offers a promising solution for those seeking to improve their vision and reduce dependence on corrective lenses. If you are considering LASIK as an option, the first step is to consult an eye specialist to determine your eligibility.
Dr Cordelia Chan is a trusted ophthalmologist who offers personalised assessments to help you make an informed decision about your vision correction options. A consultation will involve a thorough examination of your eyes, including tests to assess corneal thickness, pupil size and overall eye health. To schedule your LASIK suitability evaluation, contact us today.
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Dr Cordelia Chan is an established ophthalmologist in Singapore, with decades of experience in cornea and refractive surgery. She cares for both adults and children, offering comprehensive expertise across a wide range of eye conditions. Dr Chan began her training in 1993 and spent 21 years at the Singapore National Eye Centre (SNEC), where she was Head of the Refractive Surgery Service.
Among the first in Singapore to perform bladeless LASIK, she is recognised for her expertise and strong commitment to patient care and safety. Today, she combines advanced diagnostic technology with a personalised approach to deliver the best possible outcomes for her patients.