Hypermetropia/Long-sight/Plus Prescription

Signs and Symptoms

If you are hyperopic or long sighted, you will normally have difficulty seeing things up close like reading or computer use. Generally, distance objects are fine, but this does depend on the patient’s age and the severity of the condition. Some people will find long sightedness very much affects their distance vision as well, especially if they are at an age where they are no longer able to accommodate (natural deterioration in the eye’s ability to focus). People who are hyperopic (long sighted) can suffer from eyestrain and headaches when carrying out prolonged periods of concentrated near vision tasks (reading, computer, tablets) if trying to do these things without the use of correction.

This can also lead to excessive tiredness and a fatigued sensation around the frontal area of the head, and can sometimes affect overall performance, especially at work.

Causes of Hyperopia

Long-sightedness occurs when the eyeball is too small. This causes light rays entering through the front of the eye to focus behind the retina, instead of on it. It can also be due to the cornea or lens curving abnormally compared to the length of the eyeball. Most children are born hyperopic but this gradually neutralises as the eyeball grows and lengthens during the ageing process.

This affects both children and adults. It affects between 5 and10 percent of the population. You may be a slightly higher risk if one or either of your parents has hyperopia or if it’s in your family.


Generally, in adults, there are no real complications of hyperopia. It can, of course, get worse with age, but this can almost always be corrected with the use of glasses or contact lenses, allowing patients to be able to see clearly and function adequately during their day to day tasks.

In children, high levels of long-sightedness can cause the child to over-focus, which can lead to double vision. This, in turn, can cause a squint (where the eyes become crossed) and trigger as misalignment of the eyes where each eye faces a different direction. This causes difficulty in judging depths and distances which proves to be very problematic during such a critical developmental period of a child’s life. As a method of compensation, the brain can sometimes ignore one eye, causing it to become lazy and weak (amblyopia) by using only the dominant eye for focus and visual function.

Both amblyopia and squint can be treated by making a child wear an eyepatch over their dominant (stronger) eye to force the weaker eye to work, and hopefully make it stronger. The results of patching are still not completely relied upon, because of compliance. Children often don’t enjoy going to school using only their weaker eye and tend to remove the patch whilst away from adult supervision. Glasses can also be prescribed to help balance the vision between the two eyes.


By far the most common and affordable way to correct long-sightedness is by getting glasses or contact lenses. The lenses are convex and they change the way light rays bend into the eyes. Glasses are often the corrective method of choice as they are very useful for those with difficulties at both distance and near vision because they come in bifocals/varifocals.

This allows the patient to be able to see clearly at distance by using the upper portion of the lens and to be able to read by glancing downwards and using the lower portion for near tasks. Depending on the severity of your prescription, you may need to wear your glasses or contacts full-time or only for certain tasks like reading, working on a computer or any other close-up work.

Refractive surgery is an option after the prescription has stabilised, usually by the early 20s.


The most common types of laser refractive surgery are LASIK and LASEK. Both reshape (steepen) the cornea to enable the light to focus on the retina.


Implantable Contact Lenses (EVO Visian ICLs) known as phakic IOLs are another surgical option for correcting long-sightedness. This treatment option is ideal for those whose prescription is too high for laser surgery, or whose corneas are too thin. EVO Visian ICLs are surgically placed inside the eye (behind the iris) to help focus light onto the retina. There is no chance of rejection by the body.

Clear Lens Replacement

Clear Lens Replacement is a refractive surgery option for people who are presbyopic (need reading glasses, usually after the age of 45 years), where the crystalline lens of the eye is replaced with an artificial (intraocular) lens that refocuses the light to allow it to focus onto the retina. Normally trifocal lenses are implanted which allows the patient to experience clear vision at distance and near.

"They [AVC] could not have been more helpful. As we know, this isn’t always the case with after-sales care but Dr Pillai’s team were very welcoming and he explained how a tiny adjustment was needed via a further operation, which he promptly carried out at no cost. His approach, and the professionalism of all his team at Advanced Vision Care, is absolutely first class, and I would have no hesitation in recommending him. He is certainly a man of his word."


Rowland C

"Very reassuring, lots of opportunities to ask questions, and all staff friendly and professional."


Frances R

"Amazing service ! I had lasik treatment and I have 20/20 vision I wish I had done it a long time ago the staff are Professional and the follow up after surgery was second to none I would recommend this company to everybody I know."


Lisa W

"I am very pleased with receiving my vision to see things clearly. For example, to distinguish different Colours and Driving at nights without Glasses. Thank You."


Hardat P

"The care given was absolutely fabulous from start to finish. Staff were caring, patient and reassuring. I would recommend AVC to anyone considering this procedure."



"I am extremely happy with the results of my treatment and would have no reservations in recommending AVC to anyone."


Patricia G

"My partner had laser eye surgery and the results were amazing. The staff were very attentive and put him at ease. I would recommend them to anyone thinking about the treatment. It only took minutes for the treatment!"


Paulina U

Advanced Vision Care partnered with Vision Aid Overseas 13 years ago.

Over 6000 AVC patients have donated their glasses to help those less fortunate to see the world the way it is meant to be seen.

Read more

See the world as it's meant to be seen.

Book a Consultation

Join our mailing list:

By submitting this form you agree to the Privacy of this website