Answer: Although your case has some more complex elements, there might be a relatively straight forward path to follow to help you consider vision correction surgery. First, the fact that you have the beginnings of Cataracts makes you unsuitable for any type of Laser Vision Correction procedure such as LASIK.
Further, LASIK would not be a great choice anyway based on your hyperopia and presbyopia, along with your previous RK. So, Laser Eye Surgery for vision correction should not be considered at all.
Now,the fact that you have Cataracts beginning suggests that in the foreseeable future you will need Cataract Surgery and Lens Implants. At 53 years old with hyperopia and presbyopia, Lens Implants can be an excellent method of vision correction. The only compounding factors are the degree of astigmatism, whether it is regular and to what degree it is correctable and if there is any great degree of progression of the hyperopia and the astigmatism. With Cataracts forming, this is actually a very good option to consider and avoids corneal surgery, which can be more complicated after RK. So, your best next step is to find the best LASIK Surgeon who is also a top Cataract Surgeon and is facile in dealing the extra complex measurements required for patients who have had previous RK. You might very well wish to find a Corneal Specialist who is also a Cataract and Refractive Surgeon and schedule a consultation. From the examination and consultation, they will be able to give you guidance in whether Lens Implants would give you the results you are seeking.
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