I'm 45 and I've had presbyopia for five years, bad enough that I always need separate glasses when reading or working in front of a screen, or even using my phone. I still went ahead with surgery last winter. And I'm very happy I did.
I had pronounced astigmatism in addition to nearsightedness. When you add presbyopia it becomes almost impossible to get a pair of lenses that will correct all of it anywhere but right in the center of vision. In practice I had to movemy head instead of my eyes when reading, playing games, programming... It was frustrating and gave me increasingly common headaches.
With LASIK (a fairly new type that maps the eye and removes the stigmatism) I now have 15/15 and only need glasses for presbyopia. I have one pair for close-up work, that now lets me see in my entire field of vision; and my old favourite pair has no correction at all except at the bottom, where mild close-up power lets me see my phone, read labels and stuff like that when I'm out and about.
It may not sound like much of a difference since I still often wear glasses. But it's night and day - headaches are gone, I really see much better now (I actually see towards the sides again!) and for many activitites such as snorkeling or photography I need no eye correction at all.