Hyperopia long sighted treatment

Long sighted (hyperopia) is age-related and first causes reading vision to be burred, with distance blur following some years later

Vision before laser eye surgery for long sightedness Hyperopia Before long sighted surgery
Vision after laser eye surgery for long sightedness / Hyperopia After long sighted surgery
After long sighted surgery Before long sighted surgery

Long Sighted Laser Eye Surgery: Overview

Long sighted is a vision disorder that gets increasingly common with age. Long sight is also known as farsight in the United States. The correct medical term is hyperopia.

If a patient is long sighted, it is their close vision that is first affected. Near objects become blurry, such as reading a newspaper or seeing a text or number appear on a mobile phone. This blur for near objects gets worse as the patient ages, and eventually even the far vision can also become blurry.

With long sight the close vision will always be worse than the distance vision. The name refers to the fact that it is the long sight which is always the better. The patient normally simply wears glasses for reading, particularly in the early stages. Later, the person may graduate to wearing varifocal glasses.

eye that requires laser eye surgery for long sighted / Hyperopia vision issues

Normal vision without hyperopia

In a normal, healthy eye light rays enter via the cornea, pass through the entrance pupil (the natural opening in the iris) and continue through the lens located just posterior to the iris. If there is no focusing error (glasses prescription), the cornea and lens bend the parallel light rays to converge together to make a sharp image on the retina. This photo-sensitive layer at the back of the eye converts the light into data that passes along the optic nerve coming from the back of the eye, taking the vision information to the occipital lobe at the back of the brain; this brain region then processes this sight information so that you get a visual perception and awareness of the world.

Normal eye: image focused on the retina

NORMAL EYE: IMAGE FOCUSED ON RETINA

The cause of long-sighted blur

Hyperopia is the correct medical term for long-sightedness (farsighted in the US), and which is most commonly caused by the eye being shorter from front to back than a normal length eye. Typically the front focusing section of the eye (the cornea and lens combined as a ‘telescope’) is completely normal but the retinal ‘screen’ where the image is projected is too close. The image is now incorrectly behind the retina, with the light rays failing to meet at the retinal plane, leaving the image out of focus.

long sighted hyperopia - image cannot be focused properly

LONG SIGHTED HYPEROPIA: IMAGE CANNOT BE FOCUSED

Progression of long sighted hyperopia – when to have treatment

Hyperopia can often occur in childhood, before the age of 10, but which then improves as the eye grows. The child will no longer need glasses, often for many years.

When long sight develops in adults, it is often in the 20s or 30s, initially just affecting reading vision. Because this is an age-related problem, it will naturally progress as the person gets older. This process continues until it finally stabilises in the early 60s.

Higher degrees of long sight in younger patients, or all hyperopic patients after 50, will start to notice their distance vision also becoming blurry. Bifocal or varifocal glasses, or simply two pairs of different strengths (one for TV and driving or day to day living, the other for reading), will usually be necessary.

Laser surgery can improve long sightedness but the patient needs to be aware that the condition does progress with age, so a long-term cure is often not possible. The exception to this rule is those patients age 55 and above with mild to moderate degrees of hyperopia, which can get a long-lasting improvement when having their far vision (e.g. driving and TV) vision corrected.

However, long sighted patients can be very happy with the outcome, due to the disabling nature of long sight with every distance often being blurred.

Book your FREE consultation

Treatment for long sighted hyperopia

Depending on your eye, long sight can be treated with either laser eye surgery or, especially those age 50+, with refractive lens exchange (RLE).

Refractive Lens Exchange (RLE)

Lens replacement surgery can usually provide an effective cure as the results are permanent, due to the natural lens inside the eye (the cause of the condition worsening with age) being removed.

You can learn more about lens implants on our comprehensive refractive lens exchange surgery page.

Laser surgery for long-sight

Treatment has developed greatly over the past 10 years. Using an excimer laser we can now correct up to 6 dioptres of hyperopia, with or without astigmatism, although correction works best for up to 4 dioptres.

Long sighted treatment with our LASIK procedure involves creating a very thin flap using a femtosecond laser, which at Focus is the advanced Ziemer LDV, and then using the WaveLight Allegretto excimer laser to remove tissue in the outer part of the cornea so steepening the central zone. This central steepening makes the cornea into a more powerful lens, compensating for the effects of long-sight.

At Focus Clinic, we prefer using LASIK rather than PRK for the correction of hyperopia. Because it is a progressive condition which continues to get worse with age, it is important for the patient to realise that this is not a permanent solution even though they will always retain benefit from having had the treatment. It may be possible to improve the vision further when the patient is older and has more farsight, with a second enhancement procedure.

Hyperopic patients are often the happiest after treatment. This is because higher degrees of this refractive error is a very unpleasant condition, because vision is blurred at every distance. This compares to short sight, where at least the near vision is in clear focus.

Book your FREE consultation

Related Articles
  • Why-it-is-time-for-laser-image

    Why It Might Be Time For Laser Eye Surgery

    Are you fed up with wearing glasses? Do you find contact lenses inconvenient to use in your day-to-day life? Are you over 21, in good health, have healthy eyes and have a stable prescription? If you answered yes to all of the above then it might be time to consider laser eye surgery.

    Learn more
  • the most iconic sunglasses of all time

    The 30 Most Iconic Sunglasses of All Time

    Monday the 27th June is National Sunglasses day, so we thought we'd take a look back at the most iconic sunglasses (and their wearers)!

    Learn more
  • misleading prices of laser eye surgery

    The Misleading Prices of Laser Eye Surgery

    Adverts can be confusing, especially when it comes to pricing, so when we hear of low price laser eye surgery is it really what it seems or is it too good to be true?

    Learn more
  • common prescription drugs that can damage your eyes

    10 Common Prescription Drugs That Can Damage Your Eyes

    10 Common Prescription Drugs That Can Damage Your Eyes For many years there has been speculation over the side effects of major drugs around the world. Whilst adverse reactions are rare, they can and do appear for some of us, especially when drugs are taken for extended periods of time. The below common medications are […]

    Learn more
  • high cholesterol affects vision

    How High Cholesterol Affects your Eyes

    Most people are aware that high cholesterol causes health issues, but many aren’t aware of the impact high cholesterol can have on your vision.

    Learn more
  • common habits that damage your eyes

    Common Habits That Can Damage Your Eyes

    "Don't sit so close to the television...you'll ruin your eyes!" Pretty much all of us will have had this shouted at us as kids! And to be fair to our concerned parents, there used to be some truth in the saying!

    Learn more
  • what is astigmatism

    Smoking Yourself Blind

    It’s common knowledge that smoking is heavily linked to cancer and respiratory problems. What a lot of smokers don’t realise is that smoking is also linked to various eye conditions.

    Learn more
  • Beverley-Knight-sight-loss

    West End Star Beverley Knight’s Vision Transformation

    There sometimes becomes a time where neither contact lenses nor glasses are suitable for vision correction, as West End star Beverley Knight realised.

    Learn more
  • pros and cons of laser eye surgery

    Pros and cons of laser eye surgery

    Pros and cons of laser eye surgery Despite the procedure being more than 25 years old, laser eye surgery is still regarded as a relatively new operation. The pros and cons of laser eye surgery can help a prospective patient decide if vision correction is right for them. Benefits and risks of vision correction It […]

    Learn more
  • How does lasik work

    How does laser eye surgery work?

    How does laser eye surgery work? To answer the question ‘How does laser eye surgery work?’ we’ll need to cover a few different topics: Overview Understanding the anatomy of the cornea How does the laser reshape the cornea permanently? Changing the corneal shape to correct vision How does LASIK work? How does PRK / LASEK work? […]

    Learn more
  • Should I have laser eye surgery

    Should I have laser eye surgery?

    Ever ask yourself 'Should I have laser eye surgery?' Here's some quick facts about how Focus Clinic's laser eye surgery can change your life!

    Learn more
  • laser eye surgery consultation

    What tests are needed before laser eye surgery?

    What tests are needed before laser eye surgery? You will have a comprehensive set of scans and tests at Focus Clinic before you meet your specialist. These test give a wealth of data on your eyes and vision and help ensure you are a safe candidate to have vision correction. Corneal shape Both the outside and […]

    Learn more
  • teamHeader-david-1920-1200-1

    How to choose a laser eye surgeon

    How to choose a laser eye surgeon – What should people consider when choosing a surgeon, what should they ask him/her about their qualifications etc? What should they be looking for? An important question is actually one many people don’t think of – how many other patients will have treatment with that surgeon on the […]

    Learn more
  • Should I choose blade-free laser eye surgery?

    Does LASIK wear off?

    Does LASIK wear off? What do we know about long-term effects of LASIK? It’s been around 25 years – is that really enough time to discern long-term effects? Yes, it would appear so. There are rare changes that have been observed up to 2 years after treatment (and which are treatable), otherwise we haven’t seen any other effects, […]

    Learn more
  • focusHeader-1920-1200-wimpole

    Age 18-30 and reading glasses

    The most common reason for vision issues for 18-30s, who need glasses for reading (and who may wear glasses full time) is: hyperopia, also known as long-sight / longsighted You may also have astigmatism, either alone or combined with long-sight Treating long-sight for those in their 20s is possible and can make a big difference to […]

    Learn more
  • 1920--1200

    What happens if I blink during laser eye surgery?

    The idea of having laser surgery can be a frightening thought. One of the most common concerns that we hear is whether you will be able to keep your eyes open for long enough, and then what happens if you blink? We would like to take this time to give you some reassurance. We all […]

    Learn more
  • focusHeader-1920-1200-newspaper

    What is presbyopia?

    Reading glasses and surgical options You can’t escape presbyopia, the medical term for the loss of reading vision in middle age. Sadly, it will happen to us all eventually. Even if you’ve never had a vision problem before. It usually occurs around the ages of 45-50 in the UK, and earlier in warmer and more […]

    Learn more
  • glassesHeader-1920-1200

    Reading glasses and blended vision

    As we get a little older we all eventually suffer from something known as ‘Presbyopia’. It’s sounds complicated but it is simply a condition in which the lens of the eye loses its ability to focus, making it difficult to see objects up close. A lens’ ability to focus depends on its ‘elasticity’ – i.e. […]

    Learn more

If you are interested in vision correction at Focus Clinics please call us on 0207 307 8250 and book a free consultation.

Book your FREE consultation
Why not refer a friend and earn
£200
Earn £25 when your friend books their free no obligation consultation and £175 when they go ahead with treatment.

+ Save your friend £200 off the cost of treatment

Refer a friend
Get in touch

Thank you for getting in touch with Focus. Your message is on its way and one of our friendly team will be in touch shortly!
Reviews

Gemma

8th May

gemma

‘Don’t think any longer, just do it!’

close
big close

Book a free consultation

Prescription:

Thank you for getting in touch with Focus. Your message is on its way and one of our friendly team will be in touch shortly!

Would you rather speak to someone?

*Opening Times:
Monday - Friday: 9am – 6pm Saturday: 9am – 3pm

Would you rather speak to someone?

Call: 0207 307 8250

to arrange your free consultation
Surgeon David Allamby FRCS(Ed), FRCOphth
 David Allamby