would latent hyperopia / astigmatism make me a bad lasik candidate?

Discussion in 'Laser Eye Surgery' started by isaacyho, Feb 14, 2005.

  1. isaacyho

    isaacyho Guest

    Hi guys,

    I'm 28, a healthy male, and for a long time would only need glasses
    when I did computer work/reading. Before, they had diagnosed me with
    minor nearsightedness and some astigmatism correction. Turns out,
    however, that the optometrists found out ( after dialating me ) that
    I'm actually a latent hyperope; my muscles were just working extra hard
    to focus before. In fact, I was starting to get headaches easily
    while doing computer work, so it makes sense. They prescribed a
    half-way prescription that doesn't go all the way to what my dialated
    state would be, just takes some of the strain off my eyes while making
    a more gradual adjustment. The downside is that now, though the
    headaches have gone away, I can no longer see as clearly without my
    glasses. This all makes sense to me: my muscles have been trained to
    work less hard, but that means blurrier vision without correction.

    But sounds like when I'm 40, as my eye muscles weaken, I'm going to
    need the full correction, and wear them all the time. I'm just
    wondering if eye surgery will be an option for me. My ex actually was
    the one who did the exam (we were together at the time ) and she said
    that lasik was not a good idea for someone like me, but I never really
    understood why not. ( I'd feel weird asking her now what the logic
    was. ) Any ideas, or maybe she was just being conservative?


    isaacyho, Feb 14, 2005
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  2. isaacyho

    Dr. Leukoma Guest

    According to the website of one laser manufacturer, for example, only
    61% of patients who had up to 4 diopters of hyperopia and up to 2
    diopters of astigmatism achieved 20/20 vision. Not exactly stellar
    results for your kind of prescription.

    Dr. Leukoma, Feb 15, 2005
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  3. isaacyho

    RM Guest

    You seem to understand the underlying issues regarding your prescription
    pretty well. Yes, you are not the ideal candidate for LASIK. If the
    surgery procedure uses your current distance prescription (which is actually
    only "half-way" as you describe) then you will see fine until you approach
    age 40. Then your ciliary muscle will relax further and you will manifest
    more hyperopia. LASIK is much better for myopes than hyperopes.

    But to look at it another way-- you will probably have about 8-12 years
    after the surgery where you will not need any glasses. And even then, your
    prescription will be much less than if you didn't get the surgery at all.

    The bottom line is that while you are not an "ideal candidate", you will
    enjoy some years of good vision without specs and then afterward you will be
    somewhat better off than if you did nothing.

    RM, Feb 15, 2005
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