Okay a hole in the iris is iridotomy. Almost all those requiring that procedure are farsighted. Young farsighted people can see well without glasses but near work creates eyestrain.
You will need the first testing method I described. Print out what I wrote and tell the eye MD you want to see if you have "latent hyperopia" that might be causing your near problems.
JCH MD
Hi Doctor, I am still not sure what it is called but the laser procedure was to put holes in my iris.Sorry I used the wrong term before .My eyes have been tested and only thing recommended was a simple reading glasses of +.50 .I will check with doctor again and will certainly take this printout with me.
Yes I have some thoughts. Your description of your laser in inaccurate. You may have had a laser treatment for open angle glaucoma (low tension is a type of this) called a laser trabeculoplasty OR you may have had a hole put in your iris with the laser called a laser irodotomy. The latter is often associated with farsightedness.
You should be under the care of an Eye MD ophthalmologist. If you had the hole in the iris then this is what you should request of your Eye MD. 1. explain your symptoms. 2. The glasses testing technician should do a pre-dilation glasses test using what is called "fogging" technique and "push plus" on the testing. 3. You then need to be dilated with at least two sets of dilating drops one of which should be a "cycloplegic" usually tropicamide. After waiting about 20-35 minutes a "cycloplegic" refraction should be done. This will tell the eye MD how much "latent farsightedness" you have.
With this information the Eye MD can tell you whether single vision glasses all the time, bifocal glasses or reading/computer/near work glasses would be helpful.
If you had the first procedure this should also still be done to check for "latent" hyperopia and "convergence insufficientcy"
You can print this out along with your question and take it in to see the eye MD
John C. Hagan III, MD, FACS, FAAO
American Academy of Ophthalmology Eye Forums @ MedHelp.org