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Br J Ophthalmol 86:815-822 doi:10.1136/bjo.86.7.815
  • Controversies in ophthalmology

The surgical correction of moderate hypermetropia: the management controversy

Table 2

Preferred management options

25 year old hypermetrope 45 year old hypermetrope
A B C D A B C D
Surgical options (ML) (TK) (AB) (CM) (ML) (TK) (AB) (CM)
A-D are the 4 members of our expert panel.
N = no, P = possibly, Y = yes.
Corneal-extraocular R L R L R L R L R L R L R L R L
    Laser thermal keratoplasty (LTK) N N N N N N N N P N N N N N N N
    Photorefractive keratectomy (PRK) N N N N N N N N N N N N N N N N
    Laser in situ keratomileusis (LASIK) P N Y Y P P Y P P N Y P P P P P
Intraocular refractive surgery
    Phakic intraocular lens
        Anterior chamber IOL (angle or claw) P P N N N N N N P P P P P P N N
        Posterior chamber IOL (ICL) P P P P N N N N P P P P P P P P
    Crystalline lens surgery
        Clear lens extraction/monofocal IOL N N N N N N N N Y Y P P Y Y Y Y
        Clear lens extraction/multifocal IOL N N N N N N N N P P N N P P N N
        Clear lens extraction/piggyback IOL N N N N N N N N P P N N N N N N
No surgery, await further developments Y Y Y Y Y Y Y Y

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