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