A patient has the following RX +14.50 Sph. This RX is typical of which condition?

The prescription of +14.50 spherical indicates a significant level of hyperopia, or farsightedness. This level of hyperopia can frequently be associated with aphakia, which is a condition that occurs when the natural lens of the eye is absent. Aphakia can result from surgical removal of the lens, typically due to cataracts or other ocular conditions, leading to a lack of focusing power for nearby objects.

Patients with aphakia often require higher degrees of plus lenses to aid in focusing, which explains the extreme value reflected in the prescription. The significant positive sphere in the prescription suggests that the patient is likely dependent on corrective lenses due to the absence of their lens, making this option representative of the underlying condition.

While other conditions mentioned might have visual implications, they do not typically present with such a high prescription level specifically indicative of aphakia. This reinforces the connection between a high plus sphere and the characteristic lens absence seen in aphakia.