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Other symptoms may include double vision, headaches, and eye strain. [3] Near-sightedness is due to the length of the eyeball being too long; far-sightedness the eyeball too short; astigmatism the cornea being the wrong shape, while presbyopia results from aging of the lens of the eye such that it cannot change shape sufficiently. [3]
Optical correction using glasses or contact lenses is the most common treatment; other approaches include orthokeratology, and refractive surgery. [71]: 21–26 Medications (mostly atropine) and vision therapy can be effective in addressing the various forms of pseudomyopia. Compensating for myopia using a corrective lens
[2] [7] [4] The most common treatment is glass correction using appropriate convex lens. Glasses prescribed to correct presbyopia may be simple reading glasses, bifocals, trifocals, or progressive lenses. [4] People over 40 are at risk for developing presbyopia and all people become affected to some degree. [1]
At a young age, severe far-sightedness can cause the child to have double vision as a result of "over-focusing". [ 11 ] Hypermetropic patients with short axial length are at higher risk of developing primary angle closure glaucoma , so routine gonioscopy and glaucoma evaluation is recommended for all hypermetropic adults.
In 1909, Nathan Shigon of New York City invented [3] a monocular optometer with a range of +0.25 to +6.00 diopters, consisting of a mechanism where a disc of low-powered lenses advanced a second disc of higher power lenses automatically with each rotation, as in a modern phoropter.
Patients who have accommodative spasm may benefit from being given glasses or contacts that account for the problem or by using vision therapy techniques to regain control of the accommodative system. Possible clinical findings include: Normal Amplitude of accommodation; Normal Near point of convergence; Reduced Negative relative accommodation