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For us to see, light rays must be focused onto the retina, the nerve
layer that lines the back of the eye. The retina receives the image
formed by these light rays and sends the "image" to the
brain through the optic nerve. The cornea and the lens form the
focusing mechanism of the eye and are responsible for focusing a
clear image onto the retina. Refractive errors occur when the focusing
mechanism is not able to project a sharp image onto the retina.
Refractive errors can be classified into
- myopia,
- hyperopia,
- astigmatism
- presbyopia.
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For people with myopia, or shortsightedness, their eyeball is longer
and light rays are focussed in front of the retina. Close objects
look clear but distant objects are blurred. High degrees of myopia
predispose an eye to increased risk of cataract, glaucoma and retinal
abnormalities. It is therefore important for highly myopic eyes
to have regular eye examination by an eye doctor to detect abnormal
changes in the eye.
For people with hyperopia, or farsightedness, their eyeball is shorter
and images are focussed behind the retina. Distant objects are clear
while near objects are blurred.
The cornea is the transparent "window" of the eye. A normal
cornea with no astigmatism has equal curvature in all directions.
An astigmatic eye has unequal curvatures of the cornea. Astigmatism
can distort or blur vision for both near and far objects. You can
have astigmatism in combination with myopia or hyperopia.
After the age of about 40, the focusing mechanism of the eye becomes
increasingly inefficient. For people with presbyopia, or old age
vision, objects close up appear blurred unless assisted by "reading
glasses".
There are several means of correcting refractive errors. They all
work by altering or assisting the focusing mechanism of the eye
to focus a sharp image onto the retina.
Spectacles are the cheapest, safest and easiest method to correct
refractive errors. They can be prescribed to correct most refractive
errors satisfactorily. .
There are now a variety of contact lenses available that can correct
all refractive errors. The type that is best suited for you depends
on your eye, the refractive error and your lifestyle. You may discuss
these options with your eye doctor
Refractive surgery is a term referring to surgical procedures to
reduce or correct refractive errors of an eye. The most common procedures
in Singapore are laser procedures that include Photorefractive Keratectomy
(PRK) and Laser-In-Situ Keratomileusis (LASIK).
The choice of correction of refractive error varies from individual
to individual. Factors affecting this choice include the severity
and type of refractive error, patients' requirements, lifestyle
and occupation. Your eye doctor will be able to advise you accordingly.
* This is a general guide.
If in doubt, please consult your doctor. |