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Absence of lens: Congenital or acquired aphakia cause high degree hypermetropia. [13] Far-sightedness is often present from birth, but children have a very flexible eye lens, which helps to compensate. [14] In rare instances, hyperopia can be due to diabetes, as well as problems with the blood vessels in the retina. [1]
A myodisc or myopic disk is a corrective lens with a steep concave curvature that is fitted on the posterior surface of a carrier lens, or a high power single-vision lens specially ordered with slab-off the edge, creating a central prescription disc. These are used for correction of extremely high myopia often seen in low vision patients. [1]
High myopia usually describes myopia of −6.00 or more. [ 65 ] [ 85 ] People with high myopia are more likely to have retinal detachments [ 86 ] and primary open angle glaucoma . [ 87 ] They are also more likely to experience floaters , shadow-like shapes which appear in the field of vision . [ 88 ]
In order to see a clear image, the eye must focus rays of light on to the light-sensing part of the eye – the retina, which is located in the back of the eye.This focusing – called refraction – is performed mainly by the cornea and the lens, which are located at the front of the eye, the anterior segment.
The small improvement in depth of focus with the conventional IOLs enhances uncorrected near vision and contribute to reading ability. [15] Wavefront customized lenses can be used in eyeglasses. Based on Wavefront map of the eye and with the use of laser a lens is shaped to compensate for the aberrations of the eye and then put in the eyeglasses.
Fuchs spots are caused by regression of choroidal neovascularization. [3] Since it is a medical sign, treatment is given for the actual cause. Photothermal laser ablation, photodynamic therapy, anti-VEGF therapy, or a combination of these are the treatment options of choroidal neovascularization due to pathological myopia.
The add segment of the lens for near vision is the D-shaped area. A bifocal is a lens with two sections, separated by a line (see image to the right). Generally, the upper part of the lens is used for distance vision, while the lower segment is used for near vision. The area of the lens that caters to near vision is called the add segment.
Many individuals with high myopia cannot read the large E without glasses, but can read the 6/6 (20/20) line or 6/4.5 (20/15) line with glasses. By contrast, legally blind individuals have a visual acuity of 6/60 (20/200) or less when using the best corrective lens.
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