Our affordable finance can make it easier to spread the cost of surgery over a number of months if required. You are always at the centre of everything we do. Our surgeons are known the world over and are some of the best in the country, with over 30, completed surgeries between them. We treat many surgeons, doctors and anaesthetists who also refer their friends and family to us as they know they will be in safe hands with our expert surgeons.
We have spared no expense. We are not tied into any particular company or manufacturer which means we have complete freedom to chose the best from the many options available. Patients need to be able to trust us with their eyes. We are honest with our approach and offer the very best evidence-based treatment with your best interests always at heart. We pride ourselves on recruiting and retaining the best staff in the business to ensure that you are supported throughout every step of your journey.
If you suffer from hypermetrophia and would like to discuss potential treatment options, make an enquiry or call on Call me back. Book a consultation. Request a Call Back If you would like to talk to one of our friendly team, please fill in your details and we'll get back to you.
This field is for validation purposes and should be left unchanged. Diagnosis and prescriptions. Treatment options. What makes our treatment unique? Jump to section. What happens? What are the symptoms? People with hypermetropia may suffer from: Headaches Eye strain Blurred vision in some instances, squints eye turning.
Long sight can occur at any age but it tends to become more noticeable above the age of 40 years. In rare cases, long sight is caused by other conditions such as diabetes, small eye syndrome microphthalmia , cancers around the eye and problems with the blood vessels in the retina. Many babies and very young children tend to be slightly long-sighted but usually grow out of this by about 3 years of age.
A particular type of age-related long sight presbyopia occurs because the lens of the eye becomes more stiff with age. See the separate leaflet called Age-related Long Sight Presbyopia for more details. The main symptom is a difficulty with near vision. There may be difficulties with seeing with both eyes binocular vision , as the brain will tend to ignore signals coming from the most long-sighted eye.
Lazy eye amblyopia or squint strabismus can therefore also occur in long sight. Long-sighted people may have difficulty with depth perception 3-dimensional vision , as this needs two eyes to work together, more or less equally. If severe long sight hypermetropia is present from a very young age, lazy eye amblyopia can result. The eye with less good vision does not learn to see properly because the brain ignores its signals and concentrates only on the better eye.
Visual development in the brain occurs in the first few years of life and if this problem is not spotted until after vision has finished developing, the poorer eye will not fully develop its 'information route' into the brain, so will never see as well. See the separate leaflets called Amblyopia and Squint Strabismus in Children for more details. The simplest, cheapest and safest way to correct long sight is with glasses.
Convex prescription lenses called plus lenses are used to bend light rays slightly inwards to give a little bit of additional focusing power to the eye. The light rays then have a lesser angle to bend travelling through the cornea and lens and the lens has less work to do. As a result, the light rays are able to focus on the retina. There is an enormous choice of spectacle frames available, to suit all budgets; younger people may even regard them as a fashion accessory. These do the same job as glasses but they sit right on the surface of the eye.
Many different types of contact lenses are available. Lenses may be soft or rigid gas-permeable. They can be daily disposable, extended wear, monthly disposable, or non-disposable. Your optician can advise which type is most suitable for your eyes and your prescription. Contact lenses tend to be more expensive than glasses. They require more care and meticulous hygiene. They are more suitable for older teenagers and adults, rather than very young children.
Laser eye surgery is an option for some people with long sight. Generally, this type of surgery is not available on the NHS. Laser eye surgery is expensive but offers the chance to restore normal sight permanently. The procedure is generally painless. Complete and permanent resolution of the refractive error is possible in a number of people.
Others have a significant improvement even though perfect vision is not achieved and glasses or contact lenses may still be needed. A small number of people develop complications. Some develop hazy vision, a problem with night vision, or problems with bright light haloes in their peripheral edge vision.
Many private companies advertise laser eye surgery. Before embarking upon this type of treatment you should do some research. You only have one pair of eyes and you need to find the best treatment for you. This may not be the cheapest.
Try to go with personal recommendations, preferably a recommendation by an NHS eye surgeon ophthalmologist. It is important that you know your facts - the failure rate, the risk of complications, level of aftercare and what the procedure involves, before submitting yourself to an irreversible, costly treatment. Several types of laser surgery have been developed. There may be associated condition of cornea plana flat cornea. Anterior chamber: Anterior chamber is relatively shallow in high hypermetropia.
Glaucoma: The eye is small in high hypermetropia along with small size of cornea and shallow anterior chamber. Due to increase in size of the lens with ageing, the eye becomes prone to an attack of narrow angle closure glaucoma. Lens: Lens may be dislocated backwards. Fundus: Fundus examination shows small optic disc which may look hyperaemic vascular with ill- defined margins.
This appearance may simulate papillitis. Since there is no swelling of the disc, it is called pseudo-papillitis.
The retina is shiny due to reflection of light, called as shot silk appearance. Reflex of retinal vessels may be accentuated simulating arteriosclerotic changes. Vessels may be tortuous and may show abnormal branching. Ultrasonography or biometry: A- scan ultrasonography or biometry may show decreased antero- posterior length of the eyeball. Individual cases of much higher degrees e. Clinical types of hypermetropia: I. It may be Senile or acquired hypermetropia: It occurs in old age due to — Curvature hypermetropia: There is decreased curvature of the outer lens fibres with ageing.
Positional hypermetropia: It may occur due to posterior subluxation partial dislocation of the lens. Aphakic hypermetropia: Aphakia is the displacement of the lens from its normal pupillary position in the eye. It may be congenital or acquired condition. The eye is hypermetropic with marked defective vision for near and distance. Consecutive hypermetropia: It is due to surgically overcorrected myopia or pseudo-phakia eye with intraocular lens following removal of crystalline lens as in cataract surgery with under-correction.
Management Medical optical therapy: Assessment of Vision: The most common component of assessment of visual function is to test central vision through visual acuity. Rules for prescribing glasses in hypermetropia: Cycloplegia: Total hypermetropia is determined by performing refraction checking power of glasses under complete cycloplegia.
Small total manifest hypermetropia: For small total manifest hypermetropia e. Spherical power: Spherical power is prescribed to the extent that it is suitably acceptable to the patient. Astigmatism: Astigmatism should be fully corrected.
Children younger than 4 years: Children younger than 4 years requiring hypermetropic correction may usually accept full cycloplegic correction. It may be reduced in older children. Older children: Older children may not accept full cycloplegic correction because of the blur for distance. It may be increased gradually till the child accepts for the manifest hypermetropia.
Exophoria: Hypermetropia should be under-corrected by about 1- 2 D if there is associated exophoria. Accommodative convergent squint: Full cycloplegic correction should be given if there is accommodative convergent squint. Amblyopia lazy eye : In the presence of associated amblyopia Functionally reduced vision not correctable with glasses and is not due to any eye disease in one eye, full correction with occlusion therapy should be given.
Growth of child: Hypermetropia decreases with growth of the child. Periodic refraction should be conducted and the correction should be reduced accordingly. Prescription of convex power: Spectacles: Convex lenses may be prescribed as spectacles.
Contact lenses: Contact lenses may be prescribed for cosmetic reasons once the refractive power of the eye stabilises. Contact lenses may be prescribed for unilateral hypermetropia as well.
With this, multiple radially distributed spots are produced in the para-central cornea, which leads to shrinkage of the collagen in the mid- peripheral stroma and consequent steepening of the central cornea. Hypermetropic photorefractive keratectomy H- PRK : The principle of this procedure is to steepen the anterior corneal curvature. The cornea is sculpted in to a steeper convex lens by creating a furrow- like ring zone in the corneal periphery.
Conductive keratoplasty: Conductive keratoplasty is a non-invasive procedure in which radiofrequency is used to correct low hypermetropia with or without astigmatism. It may also be used to correct residual refractive error after cataract surgery or laser assisted in- situ keratomileusis.
Phakic IOLs are especially designed, foldable, convex, thin lenses implanted in the posterior chamber behind the iris and in front of the normal crystalline lens. Moreover, there is high level of spherical aberration with thick lenses. Prognosis: Asymptomatic children up to about 10 years with low to moderate hypermetropia usually do not require any glasses.
Complications Uncorrected hypermetropia may produce complications such as: Accommodative convergent squint: Excessive use of accommodation may produce accommodative convergent squint, usually by the age of about 2- 3 years. Amblyopia: Amblyopia may develop as — Anisometropic amblyopia as in cases with unequal or unilateral hypermetropia.
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