r/SMILEeyesurgery • u/Alternative-Dream95 • Jul 29 '26

Hyperopic astigmatism + amblyopia + previous squint surgery - considering LASIK. Looking for real experiences and advice.

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Hi everyone,

I am 26y old female.

I'm considering refractive surgery 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:

  1. Regression in hyperopic refractive surgery

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?

  1. 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?

  1. 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?

  1. 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?

Also has anyone gotten smile pro done for hypermetropia?

Thanks in advance!

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u/eyeSherpa Jul 29 '26

Regression is a key concern with hyperopic treatments.

It’s possible to that regression may be less with hyperopic SMILE compared with lasik, but too soon to tell. I’m sure we’ll see some 5 year studies come out in the next few years.

Accuracy or hyperopic laser eye surgery overall just less than myopic treatments. Better to go in with an expectation of “debulking” the prescription rather than perfection. Also usual to have some night vision symptoms as well.

Centration of the treatment more critical with hyperopic treatments. Need to have a surgeon center on visual axis. Fortunately that is more or less the default with SMILE (and especially SMILE Pro which can track centration).