I will 39yo in 2 months and am considering LASIK surgery and need advice. Some history: around age of 5 developed OD strabismus [in-turning] for which I was patched. Had the OD strabismus corrected in 1987 but am still left with the amblyopia. I have significant night halos that are decreased by 90-95% by use of glasses.

My RX is OD: +5.75/-2.75/176 and OS: +3.50/-0.50/169. Corneas are 560+mm thick and the "k value" was good enough that no one was concerned about "button holing" the cornea with use of the microkeratome. Pupils dilate up to greater than 9mm [9.3mm if I recall correctly]

My questions: 1) is it better to have the flap made by intraLASE technology since I need a large flap b/c my surgery occurs on my corneas periphery?

2) What laser? I am concerned over a) optical/treatment zone size - bigger is better in my case correct?, b) transition zone - helps prevent night vision/peripheral light refraction problems and c) beam size - smaller is better correct?. I've done research on the Alcon Ladarvision, VISX S4 [IR] and the Allegretto wavefront - I'm sure there are others. What, if any, laser technology will best address my vision correction needs. Thanks.

with your high hyperopia and astigmastim and huge pupils and amblyopia, your risking alot. I cant talk you out of lasik, but your chances arent good. Will you be happy with a subpar outcome?