Understanding Refractive Vision Problems

Have you ever wondered how your eyes actuallyit does get to the retina it has diverged again and gives
work? There are many delicate parts to the eye thatyou blurry vision. However, it is only relatively distant
work together almost like a camera, including the:objects which look blurry while the book print is clear.
• Pupil, the "black dot" in the center of the eyeThat is because light from close objects needs to be
• Cornea, the clear covering of the eyerefracted more than light from distant objects. So your
• Crystalline lens, behind the iriseyes are doing well for close objects and need to be
• Ciliary muscles, controlling the lens curvature,corrected for far objects.
known as accommodation (ability to focus at all2. Farsightedness (hyperopia) A hyperopic eye
distances)refracts light too little. The light is focusing behind the
• Retina, a light-sensitive membrane covering theretina (except that light cannot travel through this
back of the eyedense tissue, so in effect it is not being focused at all
• Optic nerve, running from the retina to the brainwithin the eyeball. This is fine for light coming from far
How the Eye Works Light passes through the corneaobjects, since it needs less refracting. This light does
and the pupil, then through the lens. The image isfocus on the retina. Light from near objects needs to
focused on the retina, where sensory cells known asbe more sharply refracted. But the hyperopic eye
rods and cones translate the image to electricalcannot do that so these images look blurry.
energy and pass it to the tiny optic nerve fibers in the3. Astigmatism An astigmatic eye has an oval-shaped
retina. They converge in a large nerve which exits thecornea. It has a steeper curvature on its shorter side
back of the eye and carries the image data to theand a flatter curvature on its longer side. It refracts light
brain to be interpreted.in two ways, causing some light to focus on the retina
The cornea is clear and curved and acts like a lens. Itand some to focus in front of or behind the retina. This
bends (refracts) light as it enters the eye. The lens isgives blurry vision at all distances. You can be both
also clear and curved and refracts the light further. In aastigmatic and myopic or astigmatic and hyperopic.
20/20 eye, their combined light refraction focuses the4. Presbyopia Presbyopia is age-related. Everyone
light rays on the retina.starts to become presbyopic after the age of about
When light travels from a distant object it needs less40 or 50. You may have 20/20 eyes and still be
refraction than light coming from a close-by object.presbyopic, which means that book print is blurry while
The ability of the lens to change its curvatureintermediate and distant objects are clear.
"accommodates" that by bending incoming light at aCauses of presbyopia are not fully understood, but it is
greater or lesser angle. The corneal curvature is fixed.related to the lens being less able to change its
Four Types of Refractive Error Your eyes have acurvature. It becomes fixed within a narrower range of
refractive error if:curvatures which maintain clear distance vision but
• Book print looks blurry (you are farsighted orprogressively give blurry vision at closer distances.
presbyopic)Subjectively it is like being farsighted but the cause is
• You cannot recognize a person standing a blockdifferent.
away (you are myopic)Diagnosing Refractive Errors
• Things look a bit blurry at all distances (you areAny eye doctor can test your vision to determine your
astigmatic)eyes’ refractive errors. For glasses or contact
In those scenarios your eyes are not refractinglenses, an instrument called a phoropter is used. It is a
(bending) light well enough to give you clear vision at alldevice that positions a variety of different corrective
distances.lenses in front of your eyes. You read an eye chart
1. Nearsightedness (myopia) A myopic eye refractswhile looking through the lenses, and the eye doctor will
light too much. The cornea and the lens between themswitch between different lenses until you can see the
are focusing light before it gets to the retina. So wheneye chart clearly.