Nearsightedness And Farsightedness
People with nearsightedness, or myopia, usually have difficulty seeing far objects. In severe cases, they can have trouble seeing objects both far and near.
Nearsightedness is a type of refractive error, which means the shape of the eye does not bend light correctly, so images are blurred. This usually occurs with an eyeball that is longer or a cornea that is steeper than normal.
Nearsightedness is more likely to occur in people who have family members with the same condition.
Although the evidence is conflicting, some specialists believe that chronic near work, such as prolonged periods of reading or the daily use of a computer may also increase your chance of developing nearsightedness.
Symptoms may include:
- Blurred vision of distant objects
A vision specialist will ask about your symptoms and medical history. You will be given an eye exam and checked to see if prescription lenses will help improve your vision.
Talk with your doctor about the best treatment plan for you. Options may include:
Nearsightedness can be treated using corrective lenses, such as eyeglasses or contact lenses. You will have appointments at regular intervals to assess your vision and determine if your corrective lenses prescription needs to change.
If you elect to undergo the procedure, certain forms of nearsightedness may be treated with refractive surgery. The surgeries used to treat nearsightedness focus on changing the corneas shape to increase the eye's ability to focus. Many of these procedures are done using lasers.
Corneal Refractive Therapy
Corneal refractive therapy, also called orthokeratology, uses a series of hard contact lenses to flatten the cornea over time. When the contact lenses are worn, they eliminate the nearsightedness. However, it is not a permanent solution. If you stop using the contact lenses, the nearsightedness returns as the cornea returns to its original shape.
There are no current guidelines to prevent nearsightedness.
American Academy of Ophthalmology
National Eye Institute
Canadian Association of Optometrists
Canadian Ophthalmological Society
Durrie DS, Vande Garde TL. LASIK enhancements. Int Ophthalmol Clin. 2000; 40:103.
Gimbel HV, Penno EE, et al. Incidence and management of intraoperative and early postoperative complications in 1000 consecutive laser in situ keratomileusis cases. Ophthalmology. 1998;105:1839.
Myopia (nearsightedness). American Optometric Association website. Available at: http://www.aoa.org/patients-and-public/eye-and-vision-problems/glossary-of-eye-and-vision-conditions/myopia. Accessed January 13, 2015.
Nearsightedness: Myopia treatment. American Academy of Ophthalmology website. Available at: http://www.geteyesmart.org/eyesmart/diseases/myopia-treatment.cfm. Accessed September 1, 2013.
Shortt AJ, Bunce C, Allan BD. Evidence for superior efficacy and safety of LASIK over photorefractive keratectomy for correction of myopia (Review). Ophthalmology. 2006 Nov;113(11):1897-908.
Yoo SH, Azar DT. Laser in situ keratomileusis for the treatment of myopia. Int Ophthalmol Clin.1999;39:37.
Last reviewed January 2015 by Eric Berman, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.