Refractive Errors are the most common vision related problems in children and adolescents.
Normally, the light rays are brought to a sharp focus on the retina. If they are not focussed then the image becomes blurred. This is called the refractive error.
CAUSES
- Size of the eye.
- Shape of the cornea
- Lenticular
MYOPIA OR NEAR SIGHTEDNESS
A Myopic eye is longer than usual or has a steep cornea where the image falls in front of the eye. The near objects appear clear and the distant objects are blurred.
HYPEROPIA OR FARSIGHTEDNESS
A small eye, or a flat cornea focuses the image behind the retina. The far objects appear clear while the near objects are blurred.
ASTIGMATISM
When the incoming rays are not able to form a clear image inside the eye because of the different curvature of cornea in different axis of the eye. The image formed is blurred or distorted.
PRESBYOPIA
It is not an error of refraction, while it is a condition where the accommodation power of the eye, thereby the ability to change focus from far to near is lost after the age of 40.
WHY IS IT ESSENTIAL TO SCREEN THE CHILDREN
Every child has a refractive error. Children have the capacity to accommodate and see images clearly. Thats why minor Hyperopia and Myopia can just be observed. Children with more errors need to be examined and prescribed glasses accordingly. Children as young as 6 months are prescribed Glasses to prevent squint and lazy eye.
Uncorrected refractive error leads to
- Lazy eye or Amblyopia
- Reduced or Delayed Visual Maturation
- Deviated eyes or Squint
TREATMENT
NON SURGICAL (GLASSES)
Glasses are the first line of treatment for the refractive errors and are time tested.
The advantages are
- Affordablility
- Versatiity
- Ease of use and maintenance.
The disadvantages are
- Restriction of peripheral vision
- Limitations due to weather conditions
- Magnification of images
- Visual aberrations
- Limited Life
- Impact on the appearance
- Certain occupational and recreation limitations.
CONTACT LENSES
Advantages:
- More natural vision
- Near normal appearance cosmetically
- No peripheral distortions
- Improved visibility
- More freedom of recreation
Disadvantages are:
- High maintenance
- May get lost easily
- Difficult for dry eye patients
- Visual distortions are present
- Limitation in high altitude
- Prone for corneal infection and thus scarring.
SURGICAL
- LASIK
- EPI LASIK
- LASEK
- PRK
- SMILE
- CLEAR LENS EXTRACTION OR RELEX
- PRESBYOPIC LENS EXCHANGE OR PRELEX
- ASTIGMATIC KERATOTOMY OR LRI
- INTACS