Short answer
No — SMILE Pro cannot treat hyperopia (long-sightedness). SMILE Pro is FDA/CE approved for myopia and myopic astigmatism only — minus (−) prescriptions. Hyperopia requires positive (+) corneal steepening or an internal lens — treated by LASIK or ICL, not SMILE.
Why can't SMILE Pro treat hyperopia?
SMILE removes a lenticule of corneal tissue to flatten the cornea — correcting myopia. Hyperopia requires steepening the cornea (LASIK) or adding focusing power with an implant (ICL) — a different optical mechanism.
Platform approval matters for safety. Using a myopia-only laser platform for plus prescriptions is off-label and should be avoided. If any clinic offers SMILE for your +Sph prescription, seek a second opinion.
What treats hyperopia instead?
| Procedure | Hyperopia? | Typical range | Notes |
|---|---|---|---|
| SMILE Pro | No — myopia only | −10 D myopia | Not approved for + prescriptions |
| LASIK | Yes | Up to ~+5 D | Steepens cornea — standard for hyperopia |
| ICL | Yes | Up to ~+10 D | No corneal tissue removed |
| PRK | Yes | Hyperopia range | Surface laser — longer recovery |
| Lens replacement | Yes (45+) | With presbyopia | Trifocal IOL for near + distance |
Read: Can LASIK fix hyperopia? · Hyperopia treatment options · Hyperopia guide.
When is SMILE Pro the right choice?
SMILE Pro is excellent for myopia — flapless surgery, often less dry eye, good for contact sports. If you have minus (−) Sph on your prescription, SMILE may suit. If you have plus (+) Sph, it does not.
Mixed-up prescriptions happen — always confirm your Sph sign before choosing a procedure. Plus = hyperopia = LASIK or ICL. Minus = myopia = LASIK, SMILE, or ICL.
Red flags when choosing a clinic
- ⚠SMILE offered for +2.00 or higher — incorrect for hyperopia.
- ⚠"Same laser for all prescriptions" — platform limits exist for safety.
- ✓Honest pathway: LASIK or ICL recommended for plus Sph with clear explanation why SMILE does not apply.
Plus prescription?
Get an honest LASIK vs ICL answer — not SMILE.
Share your +Sph value — we confirm the correct procedure within 2 hours.
Related: Can LASIK fix hyperopia? · Myopia vs hyperopia