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Vision Related Information

 

20/20 Vision ?            
  Astigmatism          
    Amblyopia        
      Cataracts      
        Convergence    
          Longsightedness  
            Shortsightedness
 

  
20/20 Vision - What it means

The vision test is one of the simplest yet most important components of the eye exam.  In order for eye professionals to compare results, the vision test is always carried out at a standard distance of twenty feet. 

Old-fashioned offices had rooms that were twenty feet long. 

Today, mirrors are used to reflect the image so the room can be shorter; but the image still looks like it is twenty feet away.  The charts are standardised too and eyecare professionals all around the world use the same basic format. 

But what do those numbers really mean?

Each line of the eye chart is assigned a notation in the form of a fraction that represents your visual acuity. 

The numerator is the distance in feet the patient is from the eye chart. 

The denominator represents the distance an eye with “normal” vision can read the same line. 

Interpreting the numbers is simple, f you can read the 20/40 line, you’re able to see at 20 feet what a normal eye could see at 40.  And if your vision is 20/16?  You’re above average because you can see an object from 20 feet that a normal eye sees at 16 feet.

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Astigmatism

Means that the cornea is oval like a rugby ball instead of spherical like a tennis ball. 

Most astigmatic corneas have two curves, a steeper curve and a flatter curve. 

This causes light to focus on more than one point in the eye, resulting in blurred vision at distance or near. 

Astigmatism often occurs along with nearsightedness or farsightedness.

The symptoms are

Blurred vision at both near and far distances.

Astigmatism can be corrected

With glasses, contact lenses, or surgically. 

The most common surgeries used to correct astigmatism are astigmatic keratotomy (procedures that involve placing a microscopic incision on the eye) and LASIK. 

The objective of these procedures is to reshape the cornea so it becomes more spherical or uniformly curved.

 

Amblyopia

Is a term used to describe an uncorrectable loss of vision in an eye that appears to be normal. 

It’s commonly referred to as “lazy eye” and can occur for a variety of reasons. 

A child’s visual system is fully developed between approximately the ages of 9 -11.

Until then, children readily adapt to visual problems by suppressing or blocking out the image. 

If caught early, the problem can often be corrected and the vision preserved,  however, after about age 11, it is difficult if not impossible to train the brain to use the eye normally. 

 

Cataracts

A cataract is a clouding of the natural lens, the part of the eye responsible for focusing light and producing clear, sharp images.

The lens is contained in a sealed bag or capsule.

As old cells die they become trapped within the capsule.

Over time, the cells accumulate causing the lens to cloud, making images look blurred or fuzzy.

For most people, cataracts are a natural result of aging.

 

Convergence Insufficiency

This is a condition in which the muscles of the eye responsible for convergence (turning the eyes in) appear to be weak, at least relative to the muscles responsible for divergence (turning the eyes out). However, the patient's eyes remain straight in all fields of gaze. This results in "strained" eyes and the affected individual complains of headache, eyestrain, blurred vision, or fatigue with continued efforts at near work. This condition most commonly occurs in teenagers and young adults, though it can occur up through middle age. 



Reading glasses or bifocals with base-in prism may be prescribed. 

 

Longsightedness

Occurs when light entering the eye focuses behind the retina, instead of directly on it. 

This is caused by a cornea that is flatter, or an eye that is shorter, than a normal eye. 

Farsighted people usually have trouble seeing up close, but may also have difficulty seeing far away as well.   

Young longsighted people are often able to see clearly because their natural lens can adjust, or accommodate to increase the eye’s focusing ability,  however, as the eye gradually loses the ability to accommodate (beginning at about 40 years of age), blurred vision from longsightedness often becomes more apparent.

 

Shortsightedness or Myopia

Shortsightedness or myopia, occurs when light entering the eye focuses in front of the retina instead of directly on it. 

This is caused by a cornea that is steeper, or an eye that is longer, than a normal eye. 

Nearsighted people typically see well up close, but have difficulty seeing far away.  

This problem is often discovered in school age children who report having trouble seeing the chalkboard. 

Near-sightedness usually becomes progressively worse through adolescence and stabilizes in early adulthood and is an inherited problem.

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