It sounds a lot like presbyopia. Some people get lucky and don't need reading glasses into their 60's, but usually 40 is about where they start to be needed. RK will not fix presbyopia. ( RK is performed on the cornea, presbyopia develops in the crystalline lens.) It is the increasing inability if the crystalline lens in the eye to be shaped by the ciliary muscles and zonules. The crystalline lens hardens over time, and first becoming hard to focus close, then eventually becoming more and more opaque, which is the onset of cataracts.