“Can Lasik fix both astigmatism and near vision?”

no, just astimatism

Yes, LASIK can correct nearsightedness (myopia) and astigmatism. I would recommend getting a refractive surgery consultation to know what you are a candidate for.

Yes, LASIK can correct both near vision and astigmatism. However, the safety of this procedure varies from person to person and sometimes on your individual eye condition. It is best to have consult with an experienced refractive surgeon.

When we are younger and your prescription for glasses works well for far and near, so will lasik. As we approach 40 yrs old and our reading prescription becomes a greater problem than you will have choices in refractive surgery. Lasik for distance and use reading glasses. Refractive lens exchang3 which is more complicated will address both far and near. So your age and prescription are the most important facts.

There is no multi focal LASIK. Some doctors perform mono vision LASIK. There is correction for up to certain amounts of astigmatism.

Lasik can correct farsightedness, nearsightedness, astigmatism as well as monovision for those who needed multifocal correction…please see your local optometrist for eye exam and proper advice for your visual needs

This is an age issue, an issue of professional and hobby visual requirements, as well as a refractive surgery question. There are refractive surgery procedures that can correct astigmatism and nearsightedness. If your distance vision is corrected, how will this affect your close vision? If you are under 40 years of age, your distance and close vision should be OK. But if you are over 40, correcting your distance vision may reduce your close vision depending upon how much nearsightedness or astigmatism you have before any surgery would occur. You would then need reading glasses. My suggestion would be to see an ophthalmologist who is a refractive surgeon. Then your actual current prescription can be determined in order to figure out what surgical options would be best for you. And your corneas can be evaluated to be sure that any refractive surgery would be safe to do and your outcomes would be in line with your professional and personal needs. And at the time of any eye examination, your retinas can be checked with dilating your eyes, and your eye pressures can be measured to be absolutely certain that the health of your eyes are A+.
Good luck and best wishes.

If you go for mono vision correction . Otherwise , you get distance vision corrected and wear reading glasses.