LASIK Guides

LASIK for Hyperopia and Mixed Prescriptions

Updated 7/2/2025

Farsighted (hyperopic) and mixed astigmatism prescriptions can be treated with LASIKโ€”careful planning is key.

Hyperopia basics

Hyperopia focuses light behind the retina, making near tasks harder and distance fluctuating. LASIK steepens the central cornea to shift focus forward. Stability, pupil size, and tear film quality influence results.

Mixed astigmatism

Some meridians are myopic while others are hyperopic. Customized ablations aim to balance these differences for crisp images.

Candidacy and expectations

  • Stable prescription and healthy cornea
  • Realistic expectations: hyperopic corrections can be more sensitive to small healing changes
  • Diligent dry eye management to stabilize quality

Alternatives to consider

  • PRK in select corneas
  • Lensโ€‘based options in older adults with lens changes or early cataract

Questions to ask

  • How stable is my refraction and how does that affect longโ€‘term clarity?
  • What optical zone and guidance method do you recommend?
  • If I develop presbyopia, how would monovision or blended strategies apply to me?

Bottom line: Outcomes are very good when candidacy is right and expectations are set. Work with your surgeon on a plan matched to your measurements and lifestyle.

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