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42 and +5 Hyperopia - What Are my Options?
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.
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5 Doctor Answers |
Asked by
Jason Aliso
in Aliso Viejo, California
+1
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.
New York Ophthalmologist
+1
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...
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+1
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.
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+1
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