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Hyperopia - Farsightedness

A condition in which the eye becomes to short from front to back, causing images to focus behind the retina instead of directly on it. Because of this error, close objects become blurry and difficult to focus on. Farsightedness is measured in positive diopters. The farther the number is away from zero, the more extreme the farsightedness.


Does my degree of farsightedness matter?

Nearsightedness, farsightedness, and astigmatism can all be successfully treated today with LASIK up to certain approved parameters, depending upon the laser and the skill of the surgeon performing the procedure. For example, people who wear glasses only for reading are not good candidates. In addition to the visual and medical requirements, laser refractive surgery can be done on a patient with up to 14 diopters of myopia, or nearsightedness, and with up to 5 diopters of astigmatism. The best candidates tend to be people who are dissatisfied with their contact lenses or glasses and are motivated to make a change for occupational or lifestyle reasons. However, only an eye doctor who is specially trained can evaluate whether or not a patient is medically suitable for laser vision correction.

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Does age Matter?

In the past, laser eye surgery was only for those under 40. This is not true anymore. More and more patients over 40, 50 and even some over 60 have had successful laser eye surgery. Patients need to be at least 18 years of age or older for the treatment of mild nearsightedness. Patients under 18 may not have finished developing and may need to wait until they are at least 18 years old. If you have a higher degree of nearsightedness or astigmatism you should probably wait until you are 21. This is something you will need to discuss with your ophthalmologist

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What are my choices?

As a person with hyperopia you have several options available to you to enhance your current vision. Up until now, you have probably chosen to wear glasses and/or contacts. Laser vision correction surgery is another option (LASIK, HK, RFK). Hyperopia has proven to be more difficult to treat surgically compared to myopia. At this time, Corneal Ring Segments (permanent contacts) are not approved to be used for hyperopia.

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Advantages of Hyperopic LASIK

- There is virtually no central haze or scar formation. Absence of wound healing, compared to surface ablation by excimer laser PRK, is the key advantage of this LASIK procedure, especially for the highly hyperopic patients, where a large amount of Excimer Laser ablation would be laid down. Eyedrops can usually be discontinued after one week. Stability occurs fast, usually one to three months. Very quick recovery of vision. There is very little pain postoperatively, in the majority of cases. LASIK patients are considered to be one of the most comfortable post-op of all refractive surgery patients.

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Symptoms of hyperopia include:

blurred vision of close objects - eye strain - aching eyes - headache

Mild Hyperopia

<2.00 diopters

Moderate Hyperopia

2.00 to 4.00 diopters

Severe Hyperopia

4.00 to 6.00 diopters

Extreme Hyperopia

>6.00 diopters


Farsightedness, or hyperopia as it is medically termed, is the ability to clearly see objects at a distance but not those up close. In mild cases of farsightedness, your eyes may have been able to compensate without corrective lenses. A person with hyperopia is able to see objects at a distance, but has trouble with close objects like books or newspapers. Many people are not diagnosed with hyperopia without a complete eye exam.

Farsightedness occurs if your eyeball is too short or the cornea has too little curvature, causing light entering your eye to focus incorrectly. The cornea and the lens work together to focus images from the visual world on the back of the eye (the retina). If an image is out of focus, it is typically because the overall shape of the eye is incorrect or the cornea does not have the proper curvature. Farsightedness or hyperopia occurs when the eye is too small or the cornea is too flat. When this happens, visual images are focused behind the retina.

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Surgeries available for astigmatism:




 

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