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Hyperopia (Farsightedness) – Smorawski Okulistyka

Hyperopia (Farsightedness)

It all starts with eye anatomy

In hyperopia (farsightedness), the eyeball is shorter. Due to this reduced axial length, the eye’s natural refractive mechanism is unable to focus images on the retina, forming them behind it instead. Depending on the patient’s age and the severity of the defect, both distant and near objects may appear blurry. Hyperopia is the most common vision defect in infancy and early childhood, known as physiological hyperopia. During this stage of life, its presence results from the eye’s disproportionate growth relative to the rest of the body. Thanks to the remarkable accommodative capacity at this age, we are able to fully compensate for the effects of this defect, even if the values are as high as 10 diopters. During youth and early adulthood, two processes occur simultaneously: the hyperopic (plus) error significantly decreases, disappears, or even shifts into a myopic (minus) error, while our accommodative capacity substantially declines. Hyperopia that persists after the age of 30 becomes much more burdensome over time than any other distance vision defect.

The most challenging and burdensome situation occurs in hyperopic patients as symptoms of presbyopia begin to appear. In these cases, the accommodation mechanism becomes increasingly inefficient, leading to a need for higher spectacle power at all distances. Our natural lens no longer provides significant assistance in vision (as the accommodation mechanism fails), resulting in the necessity for progressively stronger glasses as the viewing distance decreases.

If your eyes fatigue quickly, are sensitive to light, or if you experience temporal or frontal headaches—this may be latent hyperopia. This is a very common cause of asthenopia (eye strain).

Laser vision correction for hyperopia involves increasing the cornea’s optical power so that the focal point of a clear image is formed closer, directly on the retina. This is achieved by increasing the corneal curvature, as a more curved surface refracts light more strongly.

How is hyperopia (farsightedness) treated?

Vision Correction Methods for Hyperopia

FemtoLasik

Who is FemtoLasik for?

  • Patients with farsightedness (hyperopia) up to +6.0 diopters.
  • Patients with astigmatism up to 6.0 diopters, with an accompanying spherical error up to -10.0 diopters.
  • Patients with near vision impairment (presbyopia).
  • The procedure can also be used for shortsightedness (minus errors), although this is less common due to the availability of the SMILE technology alternative.

Why choose FemtoLasik?

  • High EMO (Effective Modifying Power) coefficient:
    This method is highly effective for treating vision impairments that are more resistant to correction, such as farsightedness (hyperopia), hyperopic astigmatism, and complex astigmatism.
  • Easy access for future adjustments: Due to the ease of accessing the treatment zone (laser area), this method is an excellent choice for patients who may require re-correction in the future (those with farsightedness developing after age 40 or presbyopia)
  • Combined correction protocols: FemtoLasik allows for the simultaneous application of protocols designed to correct both distance and near vision, such as Presbyond and Presbymax.

Shortsightness (Myopia), Astigmatism, Myopic Astigmatism, Hyperopic Astigmatism, Presbyopia

Who is Presbyond for?

  • Patients with shortsightedness (myopia) up to -8.0 diopters.
  • Patients with farsightedness (hyperopia) up to +4.0 diopters.
  • Patients with myopic astigmatism up to -2.0 diopters, with an accompanying spherical error up to -10.0 diopters.

Why choose Presbyond?

  • Technically, Presbyond is identical to the Femto-LASIK method. These techniques differ only in their ablation profile (the ablation profile refers to the laser’s effect on the corneal surface or the specific change in the corneal shape induced by the laser).
  • The specialized ablation profile used in the Presbyond method provides the patient with additional near-vision power compared to standard monovision.
  • Presbyond allows for quick and easy access to the ablation zone (the area where the laser treatment is performed) should a re-correction be necessary due to the age-related progression of near-vision impairment.

Shortsightness (Myopia), Farsightedness (Hyperopia), Astigmatism, Myopic Astigmatism, Presbyopia

Who is Trans-PRK for?

  • Patients with shortsightedness (myopia) up to -3.5 diopters, possibly with accompanying astigmatism.
  • Patients with farsightedness (hyperopia) up to +2.5 diopters.
  • Patients with astigmatism up to ±2.5 diopters.

Why choose Trans-PRK?

  • Trans-PRK is a surface procedure in which the corneal epithelium is removed non-contact using an excimer laser. The acronym Trans-PRK stands for transepithelial PRK.
  • Using a laser for epithelial removal ensures that the stroma is free from minor irregularities before the corrective procedure. The stromal bed is perfectly even before the vision correction process begins, maintaining uniform humidity and temperature conditions across its entire surface.
  • Since there is no need to create a corneal flap or use the epithelium as a “masking substance,” this method can be carefully applied to corneas with minor irregularities, as well as in selected cases of keratoconus.

Mild Nearsightedness (Mild Myopia) and Myopic Astigmatism, Mild Farsightedness (Mild Hyperopia) and Hyoperopic Astigmatism, Mild Astigmatism

Who is EBK for?

  • Patients with shortsightedness (myopia) up to -3.5 diopters, including those with accompanying astigmatism.
  • Patients with farsightedness (hyperopia) up to +2.5 diopters.
  • Patients with astigmatism up to ±2.5 diopters

Why choose EBK?

  • EBK is a surface procedure where the corneal epithelium is removed mechanically—without the use of alcohol.
  • The absence of alcohol in this method ensures a faster regrowth of the corneal epithelium, making the post-operative recovery period significantly milder and more comfortable.
  • Since there is no need to create a corneal flap, EBK is an excellent option for patients with thin corneas

Mild Shortsightedness (Mild Myopia) and Myopic Astigmatism, Mild Farsightedness (Mild Hyperopia) and Hyperopic Astigmatism, Mild Astigmatism

Read our patient testimonials

aa profile picture
aa
13:26 02 Apr 26
I recommend it 100%. Thanks to specialists like you, I regain my faith in the medical profession. 10/10. KK
Bartosz Bober profile picture
Bartosz Bober
11:48 24 Sep 25
I had the SMILE procedure and I'm delighted. The doctor is a true professional – everything was thoroughly explained to me before the surgery, and I felt safe and at ease during the procedure. The procedure itself was quick and painless, and the results exceeded my expectations – my vision is excellent, better than ever before. Post-operative care was also top-notch; I could always count on answers to my questions and support.

I wholeheartedly recommend him to anyone considering vision correction – it was one of the best decisions of my life!
Renata profile picture
Renata
19:12 10 Jul 25
Very good doctor. Friendly staff. Thanks to the correction, I have a new life. I highly recommend it.
Olena Shmanko profile picture
Olena Shmanko
12:52 06 Mar 25
I highly recommend Dr. Marcin as a top eye surgery specialist in Warsaw.
The procedure was totally painless and the service l have gotten was great.
Now, l can see this World properly thanks to the Doctor. My sincere recommendation to everyone.
Monika K profile picture
Monika K
08:53 23 Dec 24
I had a lot of concerns about vision correction. I was afraid something would go wrong and I'd have to deal with the consequences. Ultimately, I went for a consultation with Dr. Smorawski on a recommendation, as he had performed the procedure on a family member a few years ago. And that was the moment I believed him. Dr. Smorawski is full of empathy and patience, personally greets and gets to know each patient, answers all questions honestly, is extremely knowledgeable and professional, and his personalized approach makes you feel completely cared for. This isn't a chain store where you have to wait for a hotline to be connected, so in case of an emergency, you can count on him.

Ms. Agata, who supports the doctor, also inspires great trust, offers advice, and patiently answers questions. 😉
I've been having my vision correction done for a few weeks now, from -3 to 0, and my quality of life has improved significantly. I can only say that I regret waiting so long. I would choose the same place again, and only Dr. Smorawski.
I recommend it 100%.
Catherine Jofi profile picture
Catherine Jofi
09:43 20 Aug 24
If you are looking for an ophthalmologist I highly recommend the Smorawski Okulistyka clinic.

Dr. Marcin Smorawski performed my SMILE procedure lately, and I had the pleasure of receiving his excellent care. From the very first consultation, Dr. Smorawski impressed me with his professionalism. He patiently answered all of my questions and took the time to thoroughly explain every step of the process. His ability to make complicated medical concepts understandable gave me the confidence to feel well-informed and secure in my choice.
The results of the LASIK surgery have been life-changing, and I owe it all to Dr. Smorawski’s expertise.

Hyperopia
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Are you struggling with hyperopia and want to effectively get rid of this vision defect? Contact us to determine the treatment method that is best for your case.

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Hyperopia, hyperopic astigmatism, and astigmatism are the most resistant refractive errors to correct. To eliminate farsightedness, a change is required that results in increased corneal steepening. Steepening the corneal dome is significantly more challenging to achieve with laser correction than flattening it. This creates the need for a procedure with a higher EMO (Effective Modifying Power), which is more effective at reshaping the tissue. Femto-LASIK is such a procedure. It is a two-stage treatment. The first stage, which involves creating a corneal flap, simultaneously reduces the rigidity (softens) of the cornea. Once prepared this way, the cornea becomes much more pliable and susceptible to reshaping during the second stage. In the second stage, an excimer laser is applied to the corneal stroma exposed under the flap. In the treatment of presbyopia, we take advantage of the practicality and easy access provided by the presence of the corneal flap. As we age, the demand for visual power for near-distance work increases. To meet this growing need, we can compensate for the increasing near-vision impairment through a minimally invasive and simple method: a flap lift.

Presbyond gives the cornea a specific shape. After treatment with this method, the cornea has varying curvatures in different areas. This allows for increased corneal power in the specific zones used for reading, providing the patient with the additional boost needed for near-distance work.

However, not every patient is a candidate for the Presbyond procedure. Its effectiveness and feasibility depend on the initial corneal parameters, primarily the pre-operative corneal curvature, which is measured and evaluated at critical points.

Why is Trans-PRK correction more predictable?

The epithelium covers the corneal stroma and is its outermost layer. In surface methods (EBK, Trans-PRK, Topo-guided-PRK), the first step is the removal of the corneal epithelium. Due to the specific way the laser operates, removing the epithelium with a laser leaves the cornea highly uniform in terms of surface texture and hydration levels. The correction stage follows immediately after the epithelial removal phase, making the overall result significantly more predictable compared to manual removal.

What does it mean that the epithelium can be used as a masking substance?

The human eye is not perfect; minor irregularities often occur on the corneal surface. These are frequently compensated for by the overlying epithelium. Thus, the epithelium acts as a tissue that masks imperfections in the corneal stroma. When removing the epithelium manually, these surface imperfections are exposed rather than eliminated. However, by using an excimer laser for epithelial removal, we eliminate corneal irregularities along with the epithelium, achieving an optically ideal surface.

EBK and PRK are surface vision correction methods in which the first, preparatory stage is the removal of the corneal epithelium. In PRK, the epithelium is removed manually using a special solution that loosens the connection between the epithelium and the corneal stroma. In EBK, also a manual method, a specialized device called an epikeratome is used to remove the epithelium.
The corneal epithelium regenerates—or regrows—within several dozen hours, forming a perfectly smooth and even surface. The epithelium has a massive impact on visual quality, and even microscopic irregularities on its surface can drastically impair vision.

The epithelium is a fascinating structure with the ability to mask any imperfections of the underlying stroma. This characteristic is very often utilized in the treatment of corneal irregularities and keratoconus.