Hyperopia (Farsightedness)

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Hyperopia (Long-Sightedness) 1
Hyperopia (Long-Sightedness) 2

What is Hyperopia?

Long-sightedness, or hyperopia as it is known medically, is a refractive error of the eye that can be compensated for or corrected. It usually occurs when the eyeball is shorter than required for the curvature (refractive power) of the cornea or more generally when there is a mismatch between the refractive power and the length of your eye. This results in light rays coming to focus in front of the retina; for normal crisp vision the light rays need to focus on the retina.

Hyperopia is naturally present at birth and the early years of life; over the first 5 to 6 years the degree of hyperopia gradually decreases through a process known as emmetropisation. Although this process may continue throughout childhood, a significant proportion of the population will remain hyperopic in adulthood.

  • Headache after prolonged activities that require close visual attention; this is often caused by partially closing the eyelids and prolonged effort (accommodation) of your lens
  • In low degrees of hyperopia, the near vision is blurred, and the distance vision remains clear
  • In moderate degrees the near vision is blurred, and the distance vision remains clearer
  • In higher degrees of long-sightedness, or in the fourth and fifth decades of life when the lens increasingly loses its ability to accommodate, the vision becomes blurred for near, intermediate and distance

Similar to other refractive errors, the cause of long-sightedness is not fully understood. Overall, it represents a failure of emmetropisation, the biological process that matches the length of the eye to its refractive power. Genetic factors are considered to play an important role, as the condition does run in families. Rural living and prolonged outdoor activities have also been implicated in studies. 

Long-sightedness and other refractive errors can be diagnosed by your optometrist (optician) or eye doctor. The examination involves a refraction in order to assess the refractive status of the eye. Other conditions that may co-exist, such as squint and lazy eye, can also be detected.

Hyperopia (Long-Sightedness) 3
Hyperopia causes blurred vision at short distances.

Hyperopia Correction

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How can long-sightedness be treated?

Treatment options for hyperopia include glasses, contact lenses and refractive eye surgery:

  • Spectacles are by far the most common modality for the compensation of long-sightedness. However, they are associated with distortion of your peripheral vision, especially for moderate and high prescriptions, and inconveniences, such as getting wet in the rain, fogging when walking indoors, inability to wear sunglasses and the requirement for separate readers, to mention a few.
  • Contact lenses are also commonly used for long-sightedness and other refractive errors. They are a good option as they provide better quality of vision and overcome the above limitations of spectacles. They do have their own limitations though; they do reduce oxygen delivery to the eye, they can cause dry eye and with prolonged use can lead to contact lens intolerance and sight-threatening infection.
  • A more permanent solution to hyperopia can be provided by refractive surgery. Depending on your prescription, eye measurements and visual needs, a variety of procedures are available, including LASIK, PRESBYOND, phakic IOL, e.g. ICL, and refractive lens exchange.
    Laser eye surgery is an excellent treatment modality that reshapes the cornea. In LASIK, excimer laser sculpts the cornea, increasing its refractive power so that the light rays come into focus on the retina of the eye. LASIK can also incorporate a PRESBYOND blended vision treatment in order to reduce or eliminate your need for reading glasses.
  • An Implantable Collamer Lens (ICL) is like a permanent plastic contact lens that is implanted inside your eye, in front of your natural lens. No one can see this phakic lens and you cannot feel its presence in your eye. It is a safe alternative to laser surgery, but it is usually reserved for higher prescriptions when laser eye surgery may not be the best option.

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Aris and team made the whole procedure from start to finish an absolute dream. All questions answered in a language that anyone could understand, more detail given when requested. Calming even during the procedure. Appointments ran fairly late, so could go outside of work hours and travel. Everything was efficient, didn't have to chase, they handled all the faff around COVID like champs. Don't forget to enter your reg number on arrival to the hospital though!
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I am today the morning after having completed presbyond surgery and I am absolutely delighted. The actual surgery was nothing to worry about and is completely pain free. I have spent my first night with slightly fuzzy vision and mildly gritty eyes but this really was the only side effect. This morning I opened my eyes to vision better than I can ever remember and on having my first check with Mr. Anderson it was confirmed I have 20/20 vision.
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Mr David Anderson is one of the leading Consultant Ophthalmologists which is why I chose him to perform my surgery. During the consultation I was very much assured that I was in good hands, but also having the ‘Gold Standard’ of laser eye surgery. It was explained that my best option was LASEK due to an eye infection rendering me contact lens intolerant. This also left me with a slightly reduced tear film... read more.
Anna Blackman
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I now have better than 20/20 vision
From start to finish, Mr Anderson and his team were wonderful!! Mr Anderson always took his time, explained every clearly and was happy to answer any questions. I now have better than 20/20 vision - and no more glasses 🙂 I would recommend Mr Anderson to anyone looking into laser eye surgery!
Lynn Farley-Rose
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I wish I hadn't waited so long
Following an injury to my cornea that never healed properly, I had phototherapeutic keratectomy. At all stages I have had the chance to ask plenty of questions and have been given balanced information. The procedure itself was done with great efficiency and professionalism from both the medical and nursing staff. Aftercare has also been good and I am entirely satisfied. I only wish I hadn't waited so long to have it done!
John Waterman
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The process was completely painless and quick. Any concerns you have to do with treatment whether it be the treatment itself, the aftercare... Dr Anderson will explain in detail and with patience. Also your are looked after so well by the nurses just before and after your treatment, they honestly couldn't do more to help you feel comfortable and relaxed. You are booked in for follow up treatments after your surgery and you feel like they really do care about how your eyes are and how much better your vision is, which is an incredible difference ,you feel like you aren't just a customer who they want in and out.
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I have been thoroughly impressed with the level of care and professionalism that Aris and his team have shown at all stages in the process. The initial assessment, the procedure itself and then follow-up consultations. Although this was something that I approached with much trepidation I am really happy with the way that it ended up and the path that I followed.
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