Femto LASIK
Femto LASIK combines femtosecond laser flap creation with excimer laser corneal reshaping.
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Almaty, Astana, Shymkent
Hyperopia correction (farsightedness correction)
Price after consultation
Service options
About the service
Hyperopia correction improves image focusing. The approach depends on age, refraction and eye health, and is distinguished from correction of age-related presbyopia.
Who the service is for
Hyperopia
Adults with symptomatic hyperopia who need accurate optical correction and an assessment of surgical alternatives. Patients with high hyperopia who require evaluation of the anterior chamber, endothelium and suitability for a phakic IOL or another lens-based option. People over 40 with both hyperopia and presbyopia who need separate planning for distance, near vision and accommodation.
Astigmatism
Patients with hyperopia and astigmatism when diagnostics support spherical-cylindrical or surgical correction.
Refractive stability
Younger adults with stable refraction who wish to reduce spectacle dependence and may be candidates for Femto-LASIK.
Allergies and tolerance
Patients who do not tolerate contact lenses or have significant eyestrain and want to compare alternative correction methods.
Amblyopia treatment
Children with hyperopia for accurate spectacle correction and assessment of amblyopia/strabismus; refractive surgery is not the standard option.
Amblyopia treatment
Hyperopia must not automatically be equated with presbyopia. Presbyopia is the age-related loss of accommodation and may coexist with hyperopia, emmetropia or myopia. Corneal laser correction does not restore youthful accommodation of the crystalline lens. Childhood hyperopia requires separate assessment of amblyopia and accommodative strabismus risk; surgical refractive correction is not the standard pathway.
Hyperopia
Before choosing a correction method, the full refractive error should be established, including latent hyperopia. In younger patients , accommodation can mask part of the plus prescription, so refraction without cycloplegia may underestimate the true error. When surgery is considered, the cornea, ocular surface, crystalline lens, anterior chamber, intraocular pressure and other parameters are assessed as indicated.
When urgent care is needed
Seek urgent ophthalmic care for sudden visual loss, eye pain, marked redness, rainbow halos with nausea, flashes, a curtain or another acute change in vision.
Limitations and safety
Hyperopia should not be automatically equated with presbyopia.
Book a consultation
Stages
Stage 1
Clarifying the purpose
Clarifying concerns: near or distance blur, asthenopia, uncomfortable glasses or interest in discussing surgery.
Stage 2
Refractive diagnostics
Determining visual acuity, manifest and, if needed, cycloplegic refraction, and identifying latent hyperopia and astigmatism.
Stage 3
Assessment of eye anatomy
Assessment of cornea, ocular surface, crystalline lens, anterior chamber, pressure and fundus when indicated.
Stage 4
Clarifying the refractive problem
Assessing age and accommodation to avoid promising that laser surgery restores natural near focusing.
Stage 5
Comparing options
Glasses, contact lenses, Femto-LASIK, phakic IOLs or lens surgery according to the clinical situation.
Stage 6
Preparation
If surgery is selected, the patient receives individual instructions on lenses, tests, medicines and treatment day.
Stage 7
Correction
Performed using the selected method.
Stage 8
Outcome review
The doctor assesses visual acuity, residual refraction, cornea or IOL and adjusts postoperative care.
Service benefits
Less focusing strain
Appropriate hyperopia correction helps reduce excessive focusing effort.
Accounting for hidden hyperopia
Refraction and accommodation testing help select correction suited to the eye’s focusing characteristics.
A solution for your lifestyle
The doctor compares visual needs, eye measurements and limitations of different correction options.
Understanding the expected result
Before intervention, the doctor discusses visual goals, limitations and possible need for glasses afterwards.
Methods comparison · 1
Criterion
Glasses;
Contact lenses;
Femto-LASIK
Phakic IOL
Principle
Adds positive optical power in front of the eye.
Positive lens sits on the cornea.
Excimer laser reshapes the peripheral cornea to increase central optical power.
An additional intraocular lens corrects focus while preserving the natural lens.
Invasiveness
None.
No surgery, but daily contact with the ocular surface.
Corneal surgery with flap creation.
Intraocular surgery.
Accommodation
Preserved.
Preserved.
Preserved, but age-related presbyopia continues to develop.
Natural lens is retained, so accommodation may be preserved.
Typical role
Broad, depending on optical quality and tolerance.
Broad when the ocular surface allows contact-lens wear.
KazRIED materials cite hyperopia up to +6 D, but individual eligibility depends on full diagnostics.
May be considered for high hyperopia or corneal limitations; lens model and anatomical criteria must be confirmed.
Recovery
Adaptation to the prescription varies.
Adaptation varies.
Usually faster than surface ablation, but the surgeon defines the timetable.
Postoperative course depends on lens type and intraocular procedure.
Main limitation
Dependence on spectacles, peripheral-vision and cosmetic limitations.
Hygiene, dryness, tolerance and inflammation risk if used incorrectly.
Flap-related issues, corneal anatomy and potential regression of hyperopic effect.
Intraocular risks, anterior chamber and endothelial requirements, and lens cost.
Glasses;
Principle
Invasiveness
Accommodation
Typical role
Recovery
Main limitation
Adds positive optical power in front of the eye.
None.
Preserved.
Broad, depending on optical quality and tolerance.
Adaptation to the prescription varies.
Dependence on spectacles, peripheral-vision and cosmetic limitations.
Positive lens sits on the cornea.
No surgery, but daily contact with the ocular surface.
Preserved.
Broad when the ocular surface allows contact-lens wear.
Adaptation varies.
Hygiene, dryness, tolerance and inflammation risk if used incorrectly.
Excimer laser reshapes the peripheral cornea to increase central optical power.
Corneal surgery with flap creation.
Preserved, but age-related presbyopia continues to develop.
KazRIED materials cite hyperopia up to +6 D, but individual eligibility depends on full diagnostics.
Usually faster than surface ablation, but the surgeon defines the timetable.
Flap-related issues, corneal anatomy and potential regression of hyperopic effect.
An additional intraocular lens corrects focus while preserving the natural lens.
Intraocular surgery.
Natural lens is retained, so accommodation may be preserved.
May be considered for high hyperopia or corneal limitations; lens model and anatomical criteria must be confirmed.
Postoperative course depends on lens type and intraocular procedure.
Intraocular risks, anterior chamber and endothelial requirements, and lens cost.
Methods comparison · 2
Criterion
Classic PRK / surface correction
ReLEx SMILE / CLEAR
Refractive lens exchange
Role in hyperopia
Possible in general refractive surgery, but KazRIED should confirm its current hyperopic program.
Use for hyperopia at KazRIED requires confirmation of the technology and indications.
Lens-based option for high hyperopia, presbyopia or lens changes when indicated.
Corneal flap
None.
No flap.
Not a corneal refractive procedure.
Accommodation
Preserved, while presbyopia still develops with age.
Preserved if the natural lens remains.
Natural accommodation is lost when the crystalline lens is removed; near vision depends on the selected IOL strategy.
Recovery
Slower than Femto-LASIK due to epithelial healing.
Often rapid for myopic indications, but KazRIED hyperopic use is not confirmed.
Depends on surgery, IOL design and neuroadaptation.
Key question
Confirm indication, ablation profile and KazRIED equipment.
Applicability to hyperopia at KazRIED requires separate confirmation; experience with myopic indications does not establish suitability for hyperopia.
Discuss natural-lens status, presbyopia, retinal factors and intraocular risks.
Classic PRK / surface correction
Role in hyperopia
Corneal flap
Accommodation
Recovery
Key question
Possible in general refractive surgery, but KazRIED should confirm its current hyperopic program.
None.
Preserved, while presbyopia still develops with age.
Slower than Femto-LASIK due to epithelial healing.
Confirm indication, ablation profile and KazRIED equipment.
Use for hyperopia at KazRIED requires confirmation of the technology and indications.
No flap.
Preserved if the natural lens remains.
Often rapid for myopic indications, but KazRIED hyperopic use is not confirmed.
Applicability to hyperopia at KazRIED requires separate confirmation; experience with myopic indications does not establish suitability for hyperopia.
Lens-based option for high hyperopia, presbyopia or lens changes when indicated.
Not a corneal refractive procedure.
Natural accommodation is lost when the crystalline lens is removed; near vision depends on the selected IOL strategy.
Depends on surgery, IOL design and neuroadaptation.
Discuss natural-lens status, presbyopia, retinal factors and intraocular risks.
Book an appointment
Book a diagnostic assessment and consultation at KazRIED to establish the full degree of hyperopia and compare correction options. The ophthalmologist will assess refraction, the cornea, natural lens and other relevant parameters and explain whether glasses or contact lenses are sufficient or whether surgery can be considered.
Procedure prices
Service name
Price
Femto-LASIK, code 214 (per eye)
from 199 000 ₸
Refractive lens exchange
Cost determined after consultation
Our doctors
A team of experienced doctors across specialties.
Experience: 28 years
Ophthalmologist
Kim Olga Robertovna
Candidate of Medical Sciences; Highest-category ophthalmologist
Experience: 32 years
Sabyrbaev Nurlan Berdauletovich
Candidate of Medical Sciences; Highest-category ophthalmologist
Experience: 26 years
Ophthalmologist
Tuletova Aygerim Serikbaevna
Candidate of Medical Sciences; Highest-category ophthalmologist
Experience: 13 years
Ophthalmologist
Kalshabekov Alibi Sembaevich
Highest-category ophthalmologist
Experience: 12 years
Ophthalmologist
Kasymbekova Meruert Turlybekovna
Highest-category ophthalmologist
Experience: 45 years
Ophthalmologist
Muraveva Lyubov Anatolevna
Highest-category ophthalmologist
Experience: 19 years
Pediatric and Adult Ophthalmologist
Razdykova Dina Atabekovna
Highest-category ophthalmologist
Experience: 12 years
Ophthalmologist
Tadzhimetov Murat Mikhaylovich
Highest-category ophthalmologist
Experience: 17 years
Ophthalmologist
Tokymbaeva Zhenisgul Nurmankyzy
Highest-category ophthalmologist
Experience: 9 years
Ophthalmologist
Malyarova Oksana Pavlovna
First-category ophthalmologist
Service details
Hyperopia is a refractive error in which the eye has insufficient optical power or a relatively short axial length, so without accommodative effort the focal point would lie behind the retina. Younger people can compensate for some hyperopia for years, but near work may trigger eyestrain, headache and blur. With higher hyperopia, both near and distance vision may be reduced.
Correction does not make the eye longer; it changes optical power using spectacles or contact lenses, corneal reshaping or an additional/replacement intraocular lens. The purpose of diagnosis is therefore not only to measure diopters, but to determine which optical strategy best fits the patient.
Age-related characteristics of vision
Additional situations that may change the assessment and treatment plan:
- hyperopia combined with astigmatism;
- significant latent hyperopia;
- presbyopia after the age of 40;
- cataract or early changes in the crystalline lens;
- a shallow anterior chamber;
- high hyperopia, for which corneal laser correction may be less predictable;
- childhood hyperopia with amblyopia or accommodative strabismus.
In these situations, the patient may need a separate consultation with a refractive surgeon, cataract surgeon, or pediatric ophthalmologist.
Astigmatism correction
Myopia
The use of ReLEx SMILE and CLEAR for hyperopia correction at KazRIED requires separate confirmation of the technology and indications. Information about their use for myopia cannot automatically be applied to hyperopia.
Latent hyperopia and choosing a correction method
If your distance vision is relatively good but your eyes tire quickly when reading, latent hyperopia may be a cause, rather than age-related presbyopia alone.
A young eye can compensate for part of a hyperopic prescription through accommodation for extended periods. A routine vision test may therefore reveal less hyperopia than is actually present.
What is considered when choosing correction?
The diopter value is only one consideration. The clinician assesses:
- best-corrected visual acuity;
- astigmatism;
- the condition of the cornea and ocular surface;
- age and crystalline lens function;
- the patient’s visual needs.
The same positive prescription in two people may therefore lead to different recommendations.
When is surgical correction considered?
If the main goal is to reduce dependence on glasses, the first step is to determine whether corneal laser correction is suitable.
For higher hyperopia or age-related changes in the crystalline lens, the clinician may discuss intraocular procedures.
This does not mean that a more complex operation is “better”: the choice depends on the balance of expected benefits and risks.
What should be considered after surgery?
Age-related changes in vision continue after any surgical correction. Laser treatment does not stop presbyopia, and intraocular surgery has its own limitations.
The decision should therefore follow a comprehensive diagnostic assessment and a discussion of the vision needed at distance, near, and intermediate ranges.
Facts and offers
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Related services
Frequently asked questions
What is hyperopia?
Hyperopia, or farsightedness, is a refractive error in which the optical focus would lie behind the retina without accommodation. Younger eyes may partially compensate through accommodation.
Why can distance vision still be good with hyperopia?
In younger people, accommodation can compensate for part of the hyperopic error. Distance vision may therefore remain clear while prolonged near work causes eyestrain, headache or fatigue.
Are hyperopia and presbyopia the same?
No. Hyperopia is a refractive state of the eye, whereas presbyopia is the age-related loss of the natural lens’s ability to focus at near distances. They can coexist.
Are glasses always needed for mild hyperopia?
Not always. The decision depends on age, symptoms, visual acuity, manifest and latent hyperopia, astigmatism, strabismus and visual demands.
How is latent hyperopia detected?
Particularly in children and younger patients, cycloplegic drops may be used to temporarily relax accommodation, after which refraction is measured again.
Can hyperopia be corrected with laser surgery?
Yes. In selected adults with stable refraction and suitable ocular parameters, hyperopia can be treated with laser refractive surgery. Procedure selection depends on the degree of hyperopia, corneal characteristics, age, astigmatism and other diagnostic findings.
What degree of hyperopia can be corrected with laser surgery?
There is no single treatment range for every patient. Eligibility depends on the laser platform, degree of hyperopia and astigmatism, corneal shape and thickness, age and other ocular parameters.
Is SMILE suitable for hyperopia?
It depends on the specific technology. Classic ReLEx SMILE is primarily a myopic procedure, whereas newer SMILE pro technology on compatible platforms can support hyperopic correction. Availability depends on the equipment and approved indications.
Is CLEAR suitable for hyperopia?
CLEAR is currently used mainly for myopia with or without astigmatism. It should not be considered a standard hyperopia treatment unless the specific platform has an appropriate indication.
Can TransPRK be used for hyperopia?
Surface excimer-laser correction can be used for hyperopia. Whether TransPRK specifically is suitable depends on the laser platform, treatment program and corneal parameters.