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Understanding the Difference Between Long-Sightedness and Short-Sightedness

Ms Laura de Benito-Llopis

Author

Ms Laura de Benito-Llopis

Specialist areas: Laser Vision Correction, Lens Replacement Surgery, Implantable Collamer Lens, Cataracts, Corneal Transplant, Keratoconus Surgery, Pterygium Surgery

23 Apr 2024

About OCL Vision

Vision problems affect millions of people worldwide, with short-sightedness (myopia) and long-sightedness (hypermetropia) being two of the most common refractive errors. This guide explains the key differences between these conditions and explores available treatment options.

What is Short-Sightedness (Myopia)?

Short-sightedness, medically known as myopia, is a condition where:

  • The eye's focusing power is too strong
  • Near objects appear clear without effort
  • Distant objects appear blurry
  • Negative power lenses are required for correction

Myopia is becoming increasingly prevalent, with projections suggesting that by 2050, nearly half of the world's population (about 5 billion people) may be affected.

 

What is Long-Sightedness (Hypermetropia)?

 

Long-sightedness, or hypermetropia, is the opposite of myopia:

  • The eye's focusing power is set up for distance vision
  • More power is required to focus on near objects
  • Reading and close-up work may be difficult
  • Positive power lenses are needed for correction

While less common than myopia, hypermetropia still affects a significant portion of the population.

 

Key Differences

Aspect Short-Sightedness (Myopia) Long-Sightedness (Hypermetropia)
Focus point In front of the retina Behind the retina
Clear vision Near objects Distant objects
Blurry vision Distant objects Near objects
Lens correction Negative power Positive power
Prevalence Very common Less common than myopia

Treatment Options

Both conditions can be corrected with:

  1. Glasses: The most common and non-invasive option.
  2. Contact Lenses: Offer a glasses-free appearance but require proper care.

For those seeking alternatives to glasses or contacts, surgical options include:

  1. Laser Eye Surgery: The most common elective procedure for vision correction worldwide. It's highly effective, accurate, and safe
  2. Refractive Lens Exchange: Typically for individuals over 50. It involves replacing the natural lens with a multifocal lens.
  3. Implantable Collamer Lens: Used for very high prescriptions in patients under 50 where laser surgery isn't suitable

Conclusion

Understanding the difference between long-sightedness and short-sightedness is crucial for proper diagnosis and treatment. While both conditions affect vision, they do so in opposite ways. Thankfully, modern technology offers various safe and effective treatment options to correct these refractive errors and improve quality of life.

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