Evidence map›Paper›PMID 41569212›Full record

ReviewOphthalmology2026

LASIK for Hyperopia: A Report by the American Academy of Ophthalmology.

Marcony R Santhiago, W Allan Steigleman, Zaina N Al-Mohtaseb, Omar E Awad, Kathryn Hatch, Joann J Kang, Irene C Kuo, Charles C Lin, Seth M Pantanelli, Leejee H Suh and 5 more

Abstract readReview
In one paragraph

Review in Ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Marcony R SanthiagoUniversity of São Paulo, São Paulo, Brazil.
W Allan SteiglemanUniversity of Florida College of Medicine, Gainesville, Florida.
Zaina N Al-MohtasebWhitsett Vision Group, Baylor College of Medicine, Houston, Texas.
Omar E AwadMinnesota Eye Consultants, Woodbury, Minnesota.
Kathryn HatchCornea and Refractive Surgery Service, Massachusetts, Eye and Ear, Boston, Massachusetts.
Joann J KangDepartment of Ophthalmology and Visual Sciences, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
Irene C KuoWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Charles C LinStanford University, Palo Alto, California.
Seth M PantanelliPenn State College of Medicine, Hershey, Pennsylvania.
Leejee H SuhCornea & Refractive Surgery, Edward S. Harkness Eye Institute, Columbia University Irving Medical Center, New York, New York.
Jennifer R Rose-NussbaumerStanford University, Palo Alto, California.
Tiarnán D L KeenanDivision of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
Julie M SchallhornFrancis I. Proctor Foundation and Department of Ophthalmology, University of California, San Francisco, California.
Stephen J KimDepartment of Ophthalmology, Vanderbilt University School of Medicine, Nashville, Tennessee.
Deborah S JacobsCornea and Refractive Surgery Service, Massachusetts, Eye and Ear, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.

Funding

Intramural NIH HHS Z99 EY999999
6 · The paper itself

Abstract

purposeTo evaluate the effectiveness, predictability, safety, and stability of LASIK for hyperopia.

methodsA literature search of the PubMed database was last conducted in August 2025. The search yielded 198 articles that were reviewed in abstract form, 88 of which were selected for full-text review. Twenty studies (containing a total of 25 different cohorts) met the criteria for inclusion in this assessment. The panel methodologists assigned a level of evidence rating to each study.

resultsTwo studies were rated level I, 6 studies were rated level II, and 12 studies were rated level III. Of the 18 cohorts for which effectiveness data were presented, at least 80% of eyes achieved an uncorrected distance visual acuity (UCDVA) of 20/40 or better, and in 16 of 18 cohorts, at least 50% of eyes achieved a UCDVA of 20/20 or better. Among the cohorts reporting predictability outcomes, 16 of 19 achieved more than 60% of eyes within ±0.50 diopter (D) of the intended correction. Likewise, 16 of 21 cohorts reported more than 90% of eyes within ±1.00 D of target, and all cohorts reached at least 80% within this range. Of the 23 cohorts for which safety data were presented, 19 cohorts contained no more than 3% and 15 cohorts contained no more than 1% of eyes losing 2 lines or more of Snellen corrected distance visual acuity (CDVA). The safety index (ratio of postoperative CDVA to preoperative CDVA) ranged from 0.97 to 1.05. In the cohorts in which refractive stability between 3 and 6 months was analyzed, the average spherical equivalent variation was 0.05 D (maximum, 0.3 D). Worse stability outcomes were associated with higher hyperopia treatments, slower pulse rates (< 500 Hz), older laser models, and smaller optical zones (≤ 6 mm).

conclusionsLASIK for hyperopia performed using the current excimer laser models (characterized by faster pulse rates, larger optical zones, and updated ablation profiles) seems to have relatively high rates of effectiveness, predictability, safety, and stability. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found after the references in the Footnotes and Disclosures at the end of this article.

Indexed as

Academies and InstitutesHyperopiaKeratomileusis, Laser In SituLasers, ExcimerOphthalmologyRefraction, OcularVisual AcuityHumansUnited StatesHyperopic LASIKPredictabilityRefractive surgery outcomesSafetyVisual acuity

Identifiers

PMID41569212
PMCPMC13502514

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.