42 and +5 Hyperopia - What Are my Options?

asked 4 months ago by Jason Aliso in Aliso Viejo, California
Latest answer by Christopher Coad, MD
Question viewed 193 times
Tags: alternative

I've been farsighted since my teens. I started in the 2-3 Diopter range as a teen, and now I am +3.75 in my dominant eye and +5.00 in my non-dominant eye. My ADD for reading is +1.50 (both eyes). A few years ago I looked into LASIK, but was told that my eye was already too round, so making the lens steeper would result in extreme eye dryness toward the center of my eye. That was 10 years ago. I'm wondering what my options are today.

5 answers to 42 and +5 Hyperopia - What Are my Options?

Laser vision correction for hyperopia

Laser vision correction is still not an option in my opinion. You will need to consider clear lens extraction with multifocal lens implants. Technically this is not FDA approved in the US but could be possible “off label” with full discussion of risks, benefits and alternatives.

Christopher Coad, MD
New York Ophthalmologist

www.lasikdoctornyc.com

42 Years Old and +5 Hyperope-What Are My Options?

Your surgical options range from PRK to Lasik to RLE(Refractive Lens Exchange). Considering your age and the severity of hyperopia in your nondominant eye, I would most likely encourage lens based rather than corneal based surgery. A Refractive Lens Exchange is, essentially, a lens removal procedure identical to a cataract surgery(except you don't have a cataract). Once your natural lens is removed, a replacement lens can be put in place that takes away your farsightedness(hyperopia) and... more

Anthony J. Kameen, MD
Baltimore Ophthalmologist

www.kameen.com

LASIK for high hyperopia

I would encourage you to consider options to LASIK or surface ablation. In my opinion, laser refractive procedures should usually be limited to somewhere between +3 and +4. As a +5, I think that you would be better served with either contact lenses or consider clear lens extraction with a multi-focal implant. If phakic IOL's were available in the U.S. they would also be potential options. I personally do not treat +5 patients as they tend not to do well. more

Mark Golden, MD
Chicago Ophthalmologist

LASIK for Far-sightedness

A plus(+) spectacle prescription is a far-sighted prescription. When treating far-sightedness, LASIK makes the cornea steeper rather than flatter. A high amount of far-sightedness is often difficult to treat and can result in increased dryness. Many surgeons would advise a pseudophakic lens implant (often called an implantable contact lens) rather than LASIK surgery. A pseudophakic lens implant would not require a change in the shape of the cornea and would... more

Jay Bansal, MD
San Francisco Ophthalmologist

www.laservue.com

Why LASEK is better than LASIK for older patients because of dry eyes

You were told correctly that LASIK caused the eyes to be more dry, because when the corneal flap is cut, that cuts your corneal nerves, so you wind up staring your eyes dry. i had LASIK myself, and have to take tears for the rest of my life this is one of the main reasons why i switched from performing LASIK to the more advanced, noncutting procedures, called ASAs (Advanced Surface Ablation) which are LASEK and epiLASEK. these do not cut flaps, so don't cut your corneal... more

Emil Chynn, MD
New York Ophthalmologist

www.ParkAvenueLasek.com

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