Vision Problems: Hyperopia

If you can see objects at a distance clearly but have trouble focusing well on objects close up, you may be farsighted.

Farsightedness or long-sightedness is often referred to by its medical names, hypermetropia or hyperopia. Hyperopia causes the eyes to exert extra effort to see close up. After viewing near objects for an extended period, you may experience blurred vision, headaches and eyestrain. Children who are farsighted may find reading difficult.

Hyperopia is not a disease, nor does it mean that you have “bad eyes.” It simply means that you have a variation in the shape of your eyeball. The degree of variation will determine whether or not you will need corrective lenses.

What causes farsightedness?

Hyperopia most commonly occurs because the eyeball is too short; that is, shorter from front to back than is normal. In some cases, hyperopia may be caused by the cornea having too little curvature. Exactly why eyeball shape varies is not known, but the tendency for farsightedness is inherited. Other factors may be involved too, but to a lesser degree than heredity.

How does farsightedness affect sight?

Our ability to “see” starts when light enters the eye through the cornea. The shape of the cornea, lens and eyeball help bend (refract) light rays in such a manner that light is focused into a point precisely on the retina.

If, as in farsightedness, the eyeball is too short, the “point of light” focuses on a locationbehind the retina, instead of on the correct area of the retina, known as the fovea. As a result, at the point on the retina where a fine point of light should be focused, there is a disk-shaped area of light.

Since light is not focused when it hits the retina, vision is blurred. Convex lenses are prescribed to bend light rays more sharply and bring them to focus on the retina.

How is it diagnosed and treated?

Hyperopia is seldom diagnosed in school eye-screening tests, which typically test only the ability to see objects at a distance.

A comprehensive eye examination that checks both near and far vision is necessary to diagnose farsightedness. In some cases it may be necessary for the practitioner to use drops during the examination to relax the eye muscles and ensure that the full degree of hyperopia is detected.

This is necessary because the muscles which focus the eye are so accustomed to being used to compensate for the hyperopia that the muscles go into “spasm” and cannot relax without being forced to do so.

Corrective convex lenses (positive powers) are usually prescribed. They bend light rays more sharply and bring them to focus on the retina. If you do not have other vision problems such as astigmatism, you may only need glasses for reading or other tasks performed at a close range.

To determine the best avenue of treatment, questions about your lifestyle, occupation, daily activities and general health status may be asked. For instance, you may be asked whether or not you frequently need near vision. Providing candid, considered answers to the questions will help assure that your corrective lenses contribute to clear sight and general comfort.

A comprehensive eye examination at the recommended intervals will ensure that minor changes in vision are diagnosed and treated so that your vision will remain as clear and comfortable as possible.