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- What Types of Refractive Errors Cause Poor Vision?
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Myopia (Short-sightedness or Near-sightedness)
The myopic eye is longer than normal and distant images are focused in front of the retina instead of on it, causing a blurred image. Someone with myopia will see near objects clearly, but distant objects will be blur.
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Hyperopia (Long-sightedness or Far-sightedness)
The hyperopic eye is shorter than normal and images are focused behind the retina, leading to a blurred image. Someone with hyperopia will see distant objects clearly but objects that are nearby will be blur. |
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Astigmatism
The astigmatic cornea is unevenly curved, resulting in blurred and multiple distorted images. This affects distant and near objects equally. Astigmatism may co-exist with myopia or hyperopia. |
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Presbyopia (Old-sightedness)
In presbyopia, the eye loses its ability to focus on near objects. It is caused by ageing and usually begins around 40 years of age. With time, presbyopia will progress and worsen, necessitating reading glasses. LASIK cannot prevent or correct presbyopia.
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- Dangers of Myopia
People with high myopia may potentially develop blinding eye diseases as follows:
Contact Lens Related Problems
- If you wear contact lenses, you may develop problems like corneal ulcers. It is important to adhere to a correct contact lens wear regime and proper hygiene measures, and to have your eyes checked at least once a year by an eye care practitioner.
Retinal Tears & Detachment
- When you have myopia, the retina (the nerve layer inside the eye that detects light) can become weakened resulting in retinal tears. You may experience floaters (seeing black dots) or flashes when this happens. When discovered early this can be effectively treated with laser. But if delayed, the retina may become separated resulting in retinal detachment. Surgery can reattach it but there may still be permanent loss of vision.
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Myopic Degeneration
- When the macula (the most sensitive part of your retina) degenerates, it can cause distortion or loss of central vision. Laser treatment may help if this is caused by growth of abnormal blood vessels.
Cataract
- Cataract (or opacification of the lens of the eye) can occur at a younger age if you have myopia. This can be effectively treated with cataract removal and implantation of an artificial lens.
Glaucoma
- The risk of glaucoma is slightly higher in myopic people, and occurs when high eyeball pressure damages the nerve of the eye. Early diagnosis and treatment is key in preventing blindness.
While LASIK surgery can correct the refractive error in myopia, it does not reduce the inherent risks of myopia-related diseases mentioned above. After LASIK surgery, it is still necessary to watch out for signs and symptoms related to these problems.
- How Do You Correct Poor Vision Due to Refractive Errors?
There are many ways to correct refractive errors:
Spectacles
- Spectacles are the most common and safest method, easy to maintain and versatile. However, they can be inconvenient and cosmetically unacceptable to some people. They restrict peripheral vision and can interfere with sports and outdoor activities.
Contact Lenses
- If fitted well and properly worn, contact lenses are safe and effective. They allow for more freedom during sports and other activities, and maximise peripheral vision. However, they can be troublesome to maintain, expensive, and carry a risk of infection.
Refractive Surgery
- Refractive surgery changes the focusing power of the eye by altering the shape of the cornea, usually permanently. Laser vision correction is one form of refractive surgery, of which Laser Assisted In-Situ Keratomileusis (LASIK) is the most common form.
Implant Refractive Surgery
- Most refractive errors can be corrected by LASIK. However, LASIK is not able to correct very high degrees of myopia. In this situation, Phakic Intraocular Lens (IOL) can be considered.
Unlike LASIK, which modifies the shape of the cornea, Phakic IOL (pronounced "fay-kic") is an artificial lens that is surgically implanted into the eye while retaining the natural lens. The custom built Phakic IOL sits in front of the patient's natural lens and works like a contact lens within the eye.
Because the Phakic IOL is implanted within the eye, possible complications can arise which include inflammation, glaucoma, damage to the cornea and/or cataract formation.
