Can surgery be performed for astigmatism combined with hyperopia?

Nov 18, 2025 Source: Cainiu Health
Dr. Wang Lei
Introduction
Most cases of hyperopia with astigmatism can be corrected surgically, but surgery is not suitable for individuals with certain special conditions such as eye diseases or unsuitable corneal conditions. A professional doctor must make the final determination based on detailed eye examination results. It is important to develop good eye-use habits in daily life, avoid prolonged close-up work, and take breaks by looking into the distance after using the eyes for a period of time to allow them to relax.

Most cases of astigmatism combined with hyperopia can be corrected through surgery, but surgical intervention is not suitable for individuals with certain special conditions such as eye diseases or unsuitable corneal conditions. A professional ophthalmologist must evaluate the specific situation based on comprehensive eye examination results.

If the degrees of astigmatism and hyperopia are stable, and ocular parameters such as corneal thickness and axial length meet the required criteria, and there are no organic eye diseases like glaucoma or cataracts, surgery is generally feasible. Common procedures include laser corneal refractive surgery, which corrects both refractive errors by reshaping the cornea to adjust light refraction. This often leads to significantly improved visual quality post-surgery and is typically suitable for adult patients aged 18 to 50.

Laser surgery carries higher risks and is not recommended for individuals with conditions such as excessively thin corneas or abnormal corneal topography. Adolescents whose refractive status has not yet stabilized are also not suitable candidates, as postoperative outcomes may be affected by subsequent changes in refractive error. Additionally, individuals with severe dry eye syndrome, retinal diseases, or other ocular disorders should also be excluded from surgical consideration.

In daily life, it's important to develop healthy eye-use habits—avoid prolonged near-work tasks, take breaks by looking into the distance after extended periods of focusing up close. Maintain good eye hygiene by avoiding rubbing the eyes with hands to reduce the risk of eye infections.