Monofocal lenses offer vision at one distance only (far, intermediate, or near). The doctor will help decide whether it is most important for a patient to see up close, mid-range or at a distance without glasses. If the patient chooses the distance option, glasses will likely still be required for reading and computer work. A patient who chooses to remain nearsighted and be able to read up close without glasses will likely still need glasses to see at a distance, for tasks like driving. If you have astigmatism and choose a monofocal lens, you may still need to wear glasses all the time