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To see clearly, light rays must be bent or refracted to focus on the retina,
the light- sensitive nerve layer that lines the back of the eye. The cornea and lens
of the eye work together to bend or refract light rays and bring them together on the
retina. If a refractive error is present, the light is not focused directly on the retina, so images appear blurry.
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Myopia (nearsightedness): Distance vision is impaired when the eye is too long in
relation to the curvature of the cornea. This causes light to focus before it reaches the
retina. Close objects look clear but distant objects appear blurry.
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Hyperopia (farsightedness): Close vision is impaired, with some impairment of distance
vision, as well. The eye is too short in relation to the curvature of the cornea. Light
rays are not yet in focus when they reach the retina, so images appear blurry.
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Astigmatism (the cornea is oval shaped instead of round): The irregular curvature of
the cornea causes light to focus on more than one point on the retina. Uncorrected
astigmatism impairs both distance and near vision.
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Presbyopia (aging eyes): When young, the lens of the eye is soft and flexible,
allowing people to see objects both close and far away. After the age of 40,
the lens of the eye becomes more rigid, making it more difficult for the lens to
change its shape, or accommodate, to do close work such as reading. This condition
is known as presbyopia and is the reason reading glasses or bifocals are necessary
at some point after age forty.
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