The most common vision disorders are astigmatism,
hyperopia (farsightedness), myopia (nearsightedness)
and presbyopia. Astigmatism, hyperopia and nearsightedness
are also known as refractive errors. All are correctable
with lens (contacts or eyeglasses) or LASIK surgery.
Astigmatism: Astigmatism comes from the
root words "A" meaning without and STIMGA
meaning point. In the astigmatic eye, a point of
light is unable to focus sharply due to the oval
"football" shape of the cornea (the front
surface of the eye). Light rays entering the vertical
(north-south) curve of the cornea may focus on the
back of the eye, but ray entering the horizontal
axis (east-west) may not. This causes a blur at
both distance and near.
Hyperopia: In the farsighted eye, light
that should focus on the retina (the back of the
eye) instead focus behind the retina. People with
hyperopia compensate by using muscles in the eye
which can lead to eyestrain, fatigue and even headaches.
Close-up work such as reading or computer use may
be especially uncomfortable. Children with hyperopia
often pass school vision screenings by unnaturally
focusing their eyes. This may lead to poor reading
abilities and can only be detected by a complete
vision exam.
Myopia: In the nearsighted eye, light that
should focus on the retina instead focuses before
it gets to the back of the eye. Either the cornea
or the lens of the eye is too curved or long. Either
way, distance vision is blurred, but close-up vision
is generally good. Again, early and regular eye
exams are important for children to detect this
problem.
Presbyopia: At about age 40, the lens of
the eye loses some of its ability to focus "near
objects" due to less flexibility of the lens
fibers and the muscles that control the lens. This
condition is known as presbyopia. Because presbyopia
involves the lens, it is different from refractive
errors which involve the shape of the cornea.
In the beginning only the fine print becomes blurred.
But over time, even larger print and objects at
increasingly farther distances become difficult
to see. Your Today's Vision doctor may recommend
bifocal eyeglasses, progressive (invisible line)
eyeglasses, rigid gas permeable contact lenses or
soft contact lenses. With contacts, your doctor
may advise using the "monovision" technique
in which one eye is corrected for near, the other
to see far - or bifocal or progressive contacts
in either the rigid or soft lens design.
If the patient can tolerate monovision contacts,
this can sometimes be simulated in LASIK surgery,
also.
Check out Anatomy,
Refractive Errors,
FAQ (Frequently Asked
Questions) and Optical
Definitions to learn more About the Eyes.
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