
Laser vision correction can be a life-changing option for people who want clearer vision without relying on glasses or contact lenses. One of the first questions many patients ask, however, is whether they are “too young” or “too old” for treatment. When it comes to Laser Vision Correction Surgery, including PRK (Photorefractive Keratectomy), age plays a role - but it is only one part of a much bigger picture. Understanding how age factors into candidacy can help set realistic expectations and guide you toward the right decision for your vision.
Most eye surgeons recommend waiting until at least 18 years old before considering laser vision correction. This is because vision often continues to change throughout the teenage years. Performing PRK before the eyes have fully stabilized can increase the likelihood that a patient’s prescription will shift after surgery, reducing long-term results.
In many cases, surgeons prefer patients to be in their early 20s or older, as this provides greater confidence that the prescription has remained stable for at least one year.
There is no strict upper age limit for PRK. Adults in their 40s, 50s, 60s, and beyond may still be candidates, depending on their eye health and visual goals. However, age-related eye conditions can influence whether PRK is appropriate. For example, presbyopia (age-related near vision changes) or cataracts may affect expectations and treatment planning. While PRK can correct distance vision, it does not stop the natural aging process of the eyes, so a thorough evaluation is essential.
While age provides a general guideline, candidacy for laser vision correction depends on a combination of medical and lifestyle factors, including:
Prescription Stability: Your eyeglass or contact lens prescription should be stable for at least 12 months. Significant changes over time may indicate that your vision has not yet settled or is still evolving.
Overall Eye Health: Conditions such as dry eye, corneal disease, glaucoma, or retinal issues can affect whether PRK is recommended. Healthy corneas are especially important, as PRK reshapes the corneal surface.
Corneal Thickness and Shape: PRK is often chosen for patients with thinner corneas or certain corneal irregularities, but detailed measurements are still required to ensure safety and effectiveness.
General Health Considerations: Autoimmune disorders, uncontrolled diabetes, or medications that affect healing can influence outcomes and may require additional evaluation.
Lifestyle and Visual Needs: Your career, hobbies, and daily activities matter. Athletes, military personnel, or individuals in physically demanding environments may be excellent PRK candidates because there is no corneal flap involved.
PRK has a long track record of safety and effectiveness and is often recommended for patients who are not ideal candidates for other laser vision correction techniques. While recovery can take longer compared to some procedures, the long-term visual outcomes are excellent for appropriately selected patients across a wide age range.
There is no single “perfect age” for laser vision correction surgery. While most patients need to be at least 18 with stable vision, there is no upper age limit for PRK. What matters most is the overall health of your eyes, the stability of your prescription, and your personal vision goals. A comprehensive eye exam is the only way to determine if PRK is right for you.
Schedule a consultation with Laser Vision Delaware to learn more about your candidacy for laser vision correction. Visit our office in Wilmington, DE, or call (302) 515-0700 today.