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20/20 Myth
Myopia
Hyperopia
Astigmatism
Presbyopia
Amblyopia

 


Refractive Problems    

The human eye gives us the sense of sight, allowing us to learn more about the surrounding world than any of the other five senses. The eye allows us to see and interpret the shapes, colors and dimensions of objects by processing the light they reflect or give off.

The cornea (the clear window on the front of the eye) and the lens of the eye (the transparent structure inside the eye) are both critical to normal vision.  The goal of these two lenses is to focus light onto a layer on the back of the eye known as the retina.  As light enters into the eye it is focused by the cornea and the lens so that images appear clearly on the retina. The retina then transmits these images to the brain where they are processed.

Dr. Frank Puzio & Associates - Optometry - Excellence in Eye CareIf the images focus perfectly on the retina, this results in 20/20 acuity; focusing in front or behind the retina results in nearsightedness (myopia) or farsightedness (hyperopia).  If the cornea is shaped like a football instead of a sphere, this is called astigmatism. When any of these conditions occurs, images are perceived by the brain as being blurry.  The refractive status means the eyeball is not the right size or the cornea/lens does not have the right curve. Presbyopia is a vision condition in which the lens loses its flexibility, making it difficult to focus on close objects.  Amblyopia or lazy eye is often a result of a refractive problem or strabismus.

Retinoscopy is a procedure in which a light is projected into your eye and the reflection is observed as the light is scanned across the retina.  This reflection can be in the same or opposite direction of the scan.  Depending on the setting of the retinoscope, the observed reflection motion can indicate myopia, hyperopia or astigmatism.  Lenses can then be introduced.  If there is no motion noted with the scanned reflection, the eye is said to be neutralized.  (Retinoscopy Demo)



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