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What is refractive surgery? Refractive surgery is eye surgery that is designed and performed to reduce or eliminate refractive errors of the eye—nearsightedness, farsightedness and astigmatism. Refractive surgery can also “correct” presbyopia (the normal age-related loss of near focusing ability) by eliminating the refractive error of one eye and intentionally making the other eye mildly nearsighted. This is called monovision—one eye sees distant objects clearly and the other eye sees near objects clearly. With both eyes open, vision is clear and comfortable at all distances.