---
title: "Hyperopia With Astigmatism: Why Regression Is More Likely"
description: "[When hyperopia is combined with astigmatism, treatment complexity increase](https://bluefinvision.com/blog/why-not-everyone-is-a-suitable-candidate-for-laser-eye-surgery/)s. Larger peripheral optical zones and greater tissue redistribution amplify epithelial and stromal healing responses that contribute to regression. Patients should expect slower visual stabilisation and a higher likelihood of enhancement procedures…"
url: "https://bluefinvision.com/knowledge-base/topics/eye-health/hyperopia-with-astigmatism-why-regression-is-more-likely/"
updated: "2026-02-02"
category: Eye Health
---

# Hyperopia With Astigmatism: Why Regression Is More Likely

[When hyperopia is combined with astigmatism, treatment complexity increase](https://bluefinvision.com/blog/why-not-everyone-is-a-suitable-candidate-for-laser-eye-surgery/)s. Larger peripheral optical zones and greater tissue redistribution amplify epithelial and stromal healing responses that contribute to regression.

Patients should expect slower visual stabilisation and a higher likelihood of enhancement procedures compared with simpler refractive errors. Outcomes can still be good, but they are more sensitive to individual healing responses and age-related changes.

Surgeons should discuss realistic timelines and the possibility that a staged approach or alternative treatment may offer greater long-term satisfaction.

References

1. Moawad E, Bassiouny OE. Hyperopic laser correction: challenges and regression. Advances in Ophthalmology & Visual System. 2018;8(1):263.
2. Taneri S, Hansson C. Reevaluating Hyperopic LASIK. Cataract & Refractive Surgery Today. September 2021.