Nepedia
Back to Discover
Advanced Reader
🧬

Farsightedness

life science Maturity 7-9 Next article →

Farsightedness is a type of refractive error that affects how the eye focuses light. It is also known by the scientific terms hypermetropia or hyperopia.

Hyperopia comparison
Hyperopia comparison

In a person with this condition, distant objects usually appear clear. However, objects that are close to the viewer appear blurry. This happens because incoming light does not land correctly on the retina. The retina is the light-sensitive layer at the back of the eye. Instead of focusing on the retina, the light focuses behind it. This error can cause eye strain, tiredness, and frontal or frontotemporal headaches.

The mechanism of hyperopia involves the way the eye bends light. To see clearly, the eye uses a process called accommodation. This involves the lens changing shape to focus on near objects. In hypermetropia, there is insufficient accommodation by the lens to bring the focus forward. If the condition is mild, young patients often use their natural accommodation to see clearly. However, this constant effort can lead to eye strain during tasks like reading. If the hypermetropia is high, vision may be defective for both distance and near objects. Severe cases can even cause double vision due to over-focusing.

There are several distinct causes for this condition, classified by how they affect the eye. Axial hypermetropia occurs when the axial length of the eyeball is too short. For example, a 1 mm decrease in length can cause 3 diopters of hypermetropia. Curvatural hypermetropia happens when the lens or the cornea is flatter than normal. A 1 mm increase in the radius of curvature results in 6 diopters. This can happen in conditions like microcornea or cornea plana. Other causes include index hypermetropia, which involves changes in the refractive index of the lens. This can be caused by diabetes or age-related cortical sclerosis. Finally, positional hypermetropia can occur due to the posterior dislocation of the lens, sometimes from trauma.

Medical professionals classify hyperopia in several different ways. Clinically, it is divided into simple, pathological, and functional types. Simple hyperopia is the most common and occurs from normal biological variations. Pathological hyperopia is caused by disease, trauma, or abnormal development. Functional hyperopia results from paralysis that interferes with accommodation. Doctors also measure severity using diopters (D). Low hypermetropia is a refractive error of +2.00 D or less. Moderate hypermetropia ranges from +2.00 D up to +5.00 D. High hypermetopia is any error greater than +5.00 D.

1999 Choroid folds
1999 Choroid folds

History and development show that hypermetropia changes as we age. Most newborns are almost invariably hypermetropic. However, this condition gradually decreases as the newborn gets older. Statistics show that about 8% of six-year-olds have farsightedness. By the age of 15, the rate drops significantly to only 1%. Later in life, the condition becomes common again. After age 40, a condition called presbyopia affects about half of the population. This is a different type of refractive error that also affects near vision.

Management of hypermetropia includes several different options. The simplest method is using corrective lenses like eyeglasses or contact lenses. Eyeglasses for this condition use convex lenses to bend light correctly. Contact lenses are also an option and can provide a wider field of vision. For more permanent solutions, surgery can change the shape of the cornea. Laser procedures like LASIK can correct hypermetropia up to +6 diopters. Another option is IOL implantation, which is the best treatment for aphakia. Aphakia is the absence of the eye's natural lens. Phakic IOLs can be implanted inside the eye without removing the natural lens. These can correct hypermetropia up to +20 diopters.

Understanding hypermetropia is important for preventing long-term complications. If a child has severe hyperopia from birth, the brain may struggle to merge images. This is because the images from each eye are always blurred. If the brain never learns to see detail, it might block the impulses from the non-dominant eye. This can lead to amblyopia or strabismus, which is a misalignment of the eyes. Additionally, adults with short axial length are at a higher risk for primary angle closure glaucoma. Therefore, routine evaluations are recommended for hypermetropic adults.

1999 Choroid folds
1999 Choroid folds
688 words

Where will your curiosity go next?

Keep exploring at your chosen reading level.

🖼️ Images & Media (3)
File:Hyperopia comparison.jpg
Hyperopia comparison.jpg
File:Human eye cross-sectional view grayscale.png
Human eye cross-sectional view grayscale.png
File:1999 Choroid folds.jpg
1999 Choroid folds.jpg
More to explore

🔬 Go deeper

More advanced topics to explore

🪜 Step back

Simpler topics to build understanding

What is Nepedia?

A free, ad-free encyclopedia for children. Every article is written at five reading levels, so the same page works for a five-year-old and a fifteen-year-old — use the level switcher above to see this one change. No account needed to read.