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REFRACTIVE ERROR

What is a Refractive Error?

Refractive Error is a common vision problem in which your eyes are not able to focus clearly on an object. It occurs when light rays from an object do not focus correctly on the retina (light-sensitive inner back layer of the eye).

Symptoms of Refractive Error

Blurred vision is the most common symptom of refractive error, while impairment of vision may occur in severe cases. 

You may also experience other symptoms such as 
  • headaches, 
  • squinting, 
  • double vision, or 
  • eye strain.

Causes of Refractive Error

Refractive Error can be primary, where it occurs on it's own, or secondary, where it is caused by an underlying condition. These may include:
  • Infections of the cornea due to bacteria, virus, fungus, or parasites
  • Trauma to the cornea such as abrasion or exposure to harmful chemicals
  • Genetic factors
  • Nutritional deficiencies such as vitamin A deficiency
  • Degenerative Eye Diseases
  • Growths on the cornea
  • Ectasia (Thinning of the cornea)
  • Corneal damage due to eye conditions such as dry eye or Glaucoma

What are Types of Refractive Error?

Refractive Error can be classified as follows:
  • Myopia or Near-Sightedness - Light rays are focused in front of the retina, thereby causing distant objects to appear blurred.
  • Hyperopia or Farsightedness - Light rays are focused behind the retina and causes nearby objects to appear blurred.
  • Astigmatism - Irregularly curved cornea (dome-shaped clear front part of the eye) causes light rays to get distorted, affecting distant and near vision.
  • Presbyopia - Age-related difficulty in focusing on objects at near.

How is Refractive Error Diagnosed?

Your ophthalmologist will discuss your symptoms and medical history, perform a full Eye Examination, and may also order special tests such as:
  • Topography/keratometry, to study the corneal shape
  • Pachymetry, to measure corneal thickness
  • Microscopic imaging, to study corneal cells or identify infectious organisms
  • Biopsies
  • Cell cultures
  • Blood tests

How are Refractive Errors Treated?

You may be prescribed corrective glasses or contact lenses.

Some patients prefer surgery to treat Refractive Error, freeing them from glasses and contact lenses. 

What Happens if Your Refractive Error is Left Untreated?

Left untreated, Refractive Error can result in vision loss or lifestyle impairment. 

Prompt treatment during the early stages of the underlying diseases may help limit the severity and improve treatment outcome.
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