Nearsightedness, Farsightedness, Astigmatism: How These Refractive Errors Differ

Refractive Surgery Los Angeles

The three most common types of refractive errors are nearsightedness, farsightedness, and astigmatism. Those who wear glasses or contact lenses usually have at least one of these conditions. In this blog, renowned ophthalmologist Dr. Brian Boxer Wachler explains the differences between these refractive errors.

Nearsightedness

Nearsightedness (myopia) is a condition where vision is crisp when viewing objects up close but becomes increasingly blurry when looking at objects in the distance.  Usually, the source of this problem is an eyeball that is slightly longer and more oval than it should be. This causes the light to focus before it reaches the retina — the layer at the back of the eye responsible for communicating with the brain. As many as 40% of Americans have nearsightedness, with distance vision continuing to get worse through their late teens.

Farsightedness

In contrast, people with farsightedness (hyperopia) can see objects far away clearly, but vision becomes more difficult when looking at objects up close. Typically, farsightedness is the consequence of a flatter-than-normal cornea or the internal lens becoming thicker with age. This irregularity causes the incoming light to focus behind rather than on the retina, thus making vision blurrier. Up to 10% of Americans are farsighted. Most patients have this problem from birth, but only some see the condition get worse with age.

Astigmatism

An abnormally shaped lens or cornea adversely affects the way light refracts on its way to the retina. As a result of these irregularities, an eye affected by astigmatism (like a football shaped lens) may have blurry vision when looking at objects up close or far away — and sometimes both. Some people have astigmatism in addition to myopia or hyperopia, making for a more complex vision prescription. Nearly one in three Americans have some sort of astigmatism.

Overcoming These Refractive Errors with Dr. Brian

Patients who would rather not wear prescription lenses like contacts and glasses to correct their vision have multiple options. EVO Visian ICL, Fortified LASIK, and PRK are three of the most popular surgeries Dr. Brian performs at his office in Beverly Hills, and each allows patients to reduce or eliminate their dependency on eyewear. EVO Visian ICL improves distance vision by permanently implanting a collamer lens into the eye.

LASIK and PRK reshape the cornea with advanced laser technology to ensure that incoming light refracts correctly.

To learn more about long-lasting solutions for refractive errors, schedule a consultation with Dr. Brian, America’s TV Eye Doctor™, online or by calling 310-860-1900.

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A BRIEF NOTE ABOUT DR. BRIAN

Throughout his highly respected career, cornea specialist Dr. Brian has never wavered with his integrity and dedication to always do the best for each and every patient - even in the face of adversity and peer pressure. Case in point: when he developed a procedure to treat a cornea condition known as Keratoconus. While other eye surgeons were entrenched in performing invasive and painful cornea transplants, Dr. Brian invented a new non-invasive procedure that prevented needing cornea transplants. He was shocked by the medical establishment being unwelcoming to his innovation because, as he later found out, his new procedure was preventing other eye surgeons from performing their lucrative cornea transplants. Dr. Brian persisted, went against the grain and didn’t give up because he believed in himself and in his procedure as it was in the best interest of patients. Eventually, he crossed paths with U.S. Olympic bobsled driver Steven Holcomb who had Keratoconus and became so depressed over it that he tried to commit suicide. Luckily, he survived. The United States Olympic team and his coaches found Dr. Brian and sent Steven to see him. Dr. Brian restored his vision to 20/20 which enabled Steven later win a historic Olympic gold medal for United States in bobsled - the first in 62 years! As a result, Dr. Brian was later invited to give a prestigious TEDx talk about his integrity and dedication to patients. You can watch his moving and inspiring TEDx talk here.

Vision Correction in Los Angeles