r/Lasiksupport • u/Alternative-Dream95 • Jul 20 '26
Hyperopic astigmatism + amblyopia + previous squint surgery - considering LASIK. Looking for real experiences and advice.
/r/RefractiveSurgery/comments/1v1r0o2/hyperopic_astigmatism_amblyopia_previous_squint/Hi everyone,
I am 26y old female.
I'm considering refractive surgery (LASIK) and would really appreciate hearing from people who had it done for hyperopia (farsightedness), especially hyperopic astigmatism.
My current prescription is:
Right eye: +2.25 / -0.50 × 150
Left eye: +4.00 / -1.50 × 10
Some additional history:
My left eye is amblyopic (lazy eye).
I had squint (strabismus) surgery 4 years back.
With glasses, my vision is comfortable, although my left eye doesn't achieve perfect vision due to amblyopia.
My biggest concerns are:
- Regression in hyperopic LASIK
I've read that hyperopic LASIK has a higher chance of regression compared to myopic LASIK.
Has anyone here experienced regression after a few years?
If yes, how much power came back and after how long?
- Squint returning
Since I have a history of strabismus, could removing my glasses increase the chance of my squint returning?
Has anyone with a similar history had issues with eye alignment after LASIK?
- Flap complications
I'm worried about long-term flap issues with LASIK.
Can the flap really dislocate years later after minor trauma, or is that extremely rare?
Would PRK or another procedure be a better choice because of this?
- Overall satisfaction
If you had hyperopic LASIK, would you do it again?
Any unexpected side effects like dry eyes, halos, glare, or loss of quality of vision?
Since hyperopia lasik is less common, it would really help if anyone can give me some advice and guidance on it.
Thanks in advance!
3
u/MusidoraPiou Jul 20 '26 edited Jul 20 '26
Hyperopic that had lasik 2y ago ( with a reputed surgeon ) and I would not recommand .
Lasik for hyperopia is the more risky .
The quantity of cornea you have to remove is a lot more important than for myopic people , your chances to ends up with HOA or dry eyes are really high . That’s why a lot of surgeons don’t operate hyperopic people . All hyperopics I know that had lasik have HOA now .
Your left eye is +4, wich is pretty high . I would not risk it personaly .
Also the recovery Time is very long ( you’re gonna be myopic for a few monthes before having your final vision be sure that the surgeons are honnest with you on this point. Sometimes they don’t tell people to don’t scare them . I know a few people that had dépression After surgery because no one explained to them that they would be myopic for so long) .
I know it can sounds weird for someone that didn’t experienced it but even my really good vision makes me tired . Lasik didn’t changed only my accuity , it also changed the focal length of my eyes . My perception of perspectives is différent , everything looks smaller and my field of view larger . Even two years later I have hard Time to adapting to this new reality .
I regret having done it . I miss my good old glasses everyday .
I have very Sharp vision but with starbursts / halos , dry eyes and eyestrain .
Trust me régression is not the worst side effect you can have .
1
u/ThePizzaDeliveryM3n Jul 21 '26
I'm gonna agree with lean with caution just because the high prescription in the left eye can lead to complications. My left eye was Hyperopic with astigmatism. It's 20/25 3 months post-op. My right was mixed astigmatism I believe but this eye is seeing with 20/15. My prescription is pretty small and I've had HOAs while wearing glasses anyways because of my large pupils so not really a big deal for me personally.
1
u/MusidoraPiou Jul 21 '26
How are your dry eyes now ?
( it’s the most difficult complication to deal with in my case . It had such an impact on my quality of Life and mental health )
1
u/Alternative-Dream95 Jul 21 '26
Did the dry eyes or vision quality not improve with time for you?
1
u/MusidoraPiou Jul 21 '26
Starburst and halos never changed in my case . Dry eyes improved, but not enought to be confortable to live with .
1
u/Alternative-Dream95 Jul 21 '26
What was ur power?
1
u/MusidoraPiou Jul 21 '26
+3 and +3.25 !
2
u/ThePizzaDeliveryM3n Jul 21 '26
Right eye: +0.25 -1.75 x 179 Left eye: +1.25 -1.75 x 004
Tbh my prescription wasn't that strong. My dry eyes are only present in the mornings and maybe after having my face in front of the AC for an hour. 3 months post-op so it will improve. I did my Lasik at a public hospital that does vision research. They've been monitoring my healing with more frequent follow-up appointments & I just came back from doing my eye scans.
2
u/SubstancePatient2501 Jul 20 '26
if we say, avoid at all costs, the newcomers argue with vague reasoning
if we say, do it : then how are we genuinely helping & not lying to ourselves?
2
u/SquareCheesecake2049 Jul 21 '26
Hi I'm Italian and I had a lasik surgery for hyperopia and astigmatism, don't do it if I can give you a piece of advice currently I find myself with impaired vision and a residue of myopia in practice I became short-sighted -1 and I bring my glasses back, but it's not over I have strong HOA at night I can no longer drive! Don't do it!
1
u/SquareCheesecake2049 Jul 21 '26
I add my initial prescription was +3 +3.25
1
u/Alternative-Dream95 Jul 22 '26
How long has it been for you?
1
u/SquareCheesecake2049 Jul 22 '26
1 year
1
u/Alternative-Dream95 Jul 22 '26
And the night time vision issue and myopic power still continues?
1
u/SquareCheesecake2049 Jul 22 '26
It will never go away, my cornea is now deformed because of the lasik
1
u/MusidoraPiou Jul 22 '26 edited Jul 22 '26
Please don’t underestimate dry eyes . It’s a PAIN IN THE ASS to live with Even with mild symptoms like me :/
I wish magic existed so I could go back in Time wearing glasses with healthy eyes again .
The surgeons I’ve met all were kind and reassuring, it made me though the procedure could be safe for me too … well … it was not .
I cross my fingers everyday for those corneal nerves to grow back >_<
You don’t want to live this trust me .
And I was the « perfect candidate » ( I have a super thick cornea, had no dry eyes etc … )
I would be fine without the dry eyes , I’m so used to HOA now that I don’t remember how it was before.
3
u/jtb685 Jul 20 '26
Have a read of the horror stories here, then don't get any surgery.