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REFRACTIVE ERRORS
AND HOW TO
CORRECT THEM
Dr Solanki Optometry Department
Refractive Errors
 Emmetropia
 Ametropia
A. Hyperopia
B. Myopia
C. Astigmatism
 Presbyopia
 Aphakia
Emmetropia
 The emmetropic eye is normal eye
 Emmetropic eye parallel rays of light come to
focus on the retina
Ametropia
Ametropia (Refractive error)
Mismatch between axial length and refractive
power Parallel light rays don’t fall on the retina
(no accommodation)
 Hyperopia { hypermetropia }
 Myopia
 Astigmatism
Hyperopia {Hypermetropia}
 The parallel rays coming from infinity focus at
point behind the retina( unaccommodative
eye)
 Axial hyperopia
 Curvature hyperopia
 Latent hyperopia
 Manifest hyperopia
 Absolute hyperopia
To Understand
 A 32 year old man have vn of 6/18
 With+ 1.00 D improves vn 6/6(Absolute
hyperopia)
 If an additional+1.50D patient can still see 6/6
(manifest hyperopia)
 With cycloplegic +3.50D vn 6/6
 So 1.00D is latent
Symptoms and treatment
 Young may not cause symptoms
 Eye strain
 Headaches
 Earlier presbyopia
 On demand to correct with convex lenses
 Spectacle
 Contact lens
 Surgery
Myopia
 Is near-sightedness is that condition on in
which parallel rays of light come to focus at
point just in front of the retina
 Axial myopia
 Curvature myopia
 Index myopia
Symptoms And Treatment
 Inability to see objects clearly at distance
 Squeeze eyes
 Burning sensation
To correct with concave lens
 Spectacle
 Contact lens
 Surgery
Astigmatism
 Astigmatism is the condition in which rays of
light are not refracted equally in all directions
so that point focus on the retina is not attained
 Regular astigmatism
 Irregular astigmatism
Regular Astigmatism
 Regular astigmatism is that refractive condition
in which the axes of the principal meridians of
the astigmatism are right angles to each other.
Types:
• Simple Astigmatism
• Simple Hyperopic / Myopia Astigmatism
• Compound Hyperopic / Myopic Astigmatism
• Mixed Astigmatism
Regular Astigmatism Types
Irregular Astigmatism
 It is a refractive condition in which excess of
the principal meridian are not right angle to
each other.
 If the cornea has damaged by Trauma or
inflammation or scar tissue.
 Irregularity of the corneal surface.
Symptoms and treatment
 Blurred vision
 Eye strain
 To correct with concave/convex cyl
 Spectacle
 Contact lens
 Surgery
Presbyopia
 Everyone becomes presbyopic with age
 Decreases accommodative ability of the ciliary
muscle
Symptoms and treatment
 Inability to do near work
 Some patient complain that they have to hold
the print farther away
 Fatigue
 Trouble with Threading a needle
 To correct with convex lens
 Spectacle
 Contact lens
Visual Age consideration for
Presbyopic
 At the ages 42 to 45----+1.00D to +1.25D
 At the ages 45 to 50----+1.50D to +1.75D
 At the ages 50to 65----+2.00D to +3.00D
Aphakia
 Is a condition in which the crystalline lensis
absent from the eye
 May be caused by removal of cataract lens or
displacement of the lens
 To correct with convex lens
 Spectacle
 Contact lens
 Surgery
Kept in mind
 The optical centers
must be exact
 Vertex distance
 Lanticular aphakic
lens
 The frame must fit
comfortably on the
nose and to b set
straight
THANK YOU

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Refractive errors and how to correct them

  • 1. REFRACTIVE ERRORS AND HOW TO CORRECT THEM Dr Solanki Optometry Department
  • 2. Refractive Errors  Emmetropia  Ametropia A. Hyperopia B. Myopia C. Astigmatism  Presbyopia  Aphakia
  • 3. Emmetropia  The emmetropic eye is normal eye  Emmetropic eye parallel rays of light come to focus on the retina
  • 4. Ametropia Ametropia (Refractive error) Mismatch between axial length and refractive power Parallel light rays don’t fall on the retina (no accommodation)  Hyperopia { hypermetropia }  Myopia  Astigmatism
  • 5. Hyperopia {Hypermetropia}  The parallel rays coming from infinity focus at point behind the retina( unaccommodative eye)  Axial hyperopia  Curvature hyperopia  Latent hyperopia  Manifest hyperopia  Absolute hyperopia
  • 6. To Understand  A 32 year old man have vn of 6/18  With+ 1.00 D improves vn 6/6(Absolute hyperopia)  If an additional+1.50D patient can still see 6/6 (manifest hyperopia)  With cycloplegic +3.50D vn 6/6  So 1.00D is latent
  • 7. Symptoms and treatment  Young may not cause symptoms  Eye strain  Headaches  Earlier presbyopia  On demand to correct with convex lenses  Spectacle  Contact lens  Surgery
  • 8. Myopia  Is near-sightedness is that condition on in which parallel rays of light come to focus at point just in front of the retina  Axial myopia  Curvature myopia  Index myopia
  • 9. Symptoms And Treatment  Inability to see objects clearly at distance  Squeeze eyes  Burning sensation To correct with concave lens  Spectacle  Contact lens  Surgery
  • 10. Astigmatism  Astigmatism is the condition in which rays of light are not refracted equally in all directions so that point focus on the retina is not attained  Regular astigmatism  Irregular astigmatism
  • 11. Regular Astigmatism  Regular astigmatism is that refractive condition in which the axes of the principal meridians of the astigmatism are right angles to each other. Types: • Simple Astigmatism • Simple Hyperopic / Myopia Astigmatism • Compound Hyperopic / Myopic Astigmatism • Mixed Astigmatism
  • 13. Irregular Astigmatism  It is a refractive condition in which excess of the principal meridian are not right angle to each other.  If the cornea has damaged by Trauma or inflammation or scar tissue.  Irregularity of the corneal surface.
  • 14. Symptoms and treatment  Blurred vision  Eye strain  To correct with concave/convex cyl  Spectacle  Contact lens  Surgery
  • 15. Presbyopia  Everyone becomes presbyopic with age  Decreases accommodative ability of the ciliary muscle
  • 16. Symptoms and treatment  Inability to do near work  Some patient complain that they have to hold the print farther away  Fatigue  Trouble with Threading a needle  To correct with convex lens  Spectacle  Contact lens
  • 17. Visual Age consideration for Presbyopic  At the ages 42 to 45----+1.00D to +1.25D  At the ages 45 to 50----+1.50D to +1.75D  At the ages 50to 65----+2.00D to +3.00D
  • 18. Aphakia  Is a condition in which the crystalline lensis absent from the eye  May be caused by removal of cataract lens or displacement of the lens  To correct with convex lens  Spectacle  Contact lens  Surgery
  • 19. Kept in mind  The optical centers must be exact  Vertex distance  Lanticular aphakic lens  The frame must fit comfortably on the nose and to b set straight