ABSTRACT
The treatment of hyperopia has lagged behind that of myopia primarily because of issues related to efficacy and safety.1 Although the amount of research effort and published material is now much larger, it is still less than myopia. It is easier to flatten the cornea permanently than to steepen it centrally for hyperopia. The variety of approaches attempted for the surgical correction of hyperopia reflect the lack of availability of a single approach to deliver safe, effective and predictable results consistently. Attempts to steepen the cornea for correction of hyperopic refractive error using techniques such as hexagonal keratotomy, automated lamellar keratoplasty and laser thermokeratoplasty have met with varying degree of success.2 Irregular astigmatism and wearing off of the hyperopic affect with initial procedures were responsible for the initial lack of enthusiasm of refractive surgery in the treatment of hyperopia.3
