Kugler Vision Modern Vision Solutions Ilumin
Skip links

What is Refractive Error?

Clear vision is essential for daily life, but refractive errors can make it difficult to see objects at various distances. At ilumin, Omaha’s leader in medical and surgical eye care, we specialize in advanced solutions for vision correction. This guide explains what refractive errors are, their causes, symptoms, and the best treatment options available. If you’re struggling with blurry vision, schedule a consultation with ilumin to explore your options.

What is Refractive Error?

Refractive error occurs when the eye cannot properly bend (or refract) light to focus it on the retina, causing blurred vision. Normally, light should focus directly on the retina at the back of the eye. When this doesn’t happen, objects may appear blurry at certain distances.

What Are the Four Main Types of Refractive Errors?

There are four primary types of refractive errors: myopia, hyperopia, astigmatism, and presbyopia. Each affects vision differently and requires unique correction methods.

Myopia (Nearsightedness) occurs when the eye is too long or the cornea is too curved, causing light to focus in front of the retina instead of directly on it. As a result, distant objects appear blurry while near objects remain clear. People with myopia often need glasses or contact lenses with a minus (-) prescription to refocus light onto the retina. Myopia can range from mild to severe and tends to develop in childhood or adolescence, sometimes worsening over time.

Hyperopia (Farsightedness) is the opposite of myopia. In this condition, the eye is too short, or the cornea does not bend light strongly enough, causing light to focus behind the retina instead of on it. Young people with hyperopia can sometimes compensate by adjusting their focus, but this ability diminishes with age. Those with hyperopia may struggle with reading or other close-up tasks and often require glasses with a plus (+) prescription to improve near and distance vision.

Astigmatism is caused by an irregularly shaped cornea or lens. Instead of being perfectly round, the cornea is shaped more like a football, leading to distorted or blurry vision at all distances. Astigmatism can occur alongside myopia or hyperopia and is corrected using specially designed cylindrical lenses in glasses or contact lenses. It can also be treated with laser vision correction procedures.

Presbyopia is an age-related refractive error that typically begins in the early to mid-40s. It occurs when the eye’s natural lens loses flexibility, making it harder to focus on close-up objects. Many people with presbyopia find themselves holding reading material farther away to see it clearly. Reading glasses, bifocals, progressive lenses, or surgical solutions like refractive lens exchange (RLE) can correct presbyopia.

What Causes Refractive Errors?

Refractive errors are typically caused by the shape of the eye. They can result from:

  • The length of the eye being too long or too short
  • An irregularly shaped cornea
  • Aging-related changes in the lens
  • Genetic factors that affect eye development

What Are the Common Symptoms of Refractive Error?

The most noticeable symptom is blurry vision, but other symptoms include:

  • Squinting to see clearly
  • Eye strain or discomfort
  • Headaches
  • Difficulty seeing at night
  • Needing to hold reading material farther away (in the case of presbyopia)

What Are the Common Treatments for Refractive Error?

At ilumin, we offer a range of advanced surgical solutions to correct refractive errors and reduce dependence on glasses or contact lenses. LASIK, PRK, and SMILE are laser vision correction procedures that reshape the cornea to properly focus light on the retina. LASIK is the most common and provides a quick recovery with minimal discomfort, while PRK is an excellent option for patients with thinner corneas. SMILE is a minimally invasive procedure that corrects myopia with a small incision, preserving more of the cornea’s structure.

For those who may not be candidates for laser vision correction, Implantable Collamer Lenses (ICL) offer a great alternative. This procedure involves placing a biocompatible lens inside the eye, enhancing vision without removing corneal tissue. Another effective option is Refractive Lens Exchange (RLE), which is ideal for patients over 40. RLE replaces the eye’s natural lens with an intraocular lens (IOL), correcting vision at multiple distances. Intraocular lenses are also commonly used in cataract surgery to restore clear vision.

Each treatment option at ilumin is tailored to the patient’s specific vision needs and eye structure, ensuring the best possible outcome.

Take the Next Step Toward Clear Vision

Struggling with blurry vision? ilumin offers glasses, contacts, and next-generation vision correction procedures to help you achieve clear sight. Schedule a consultation today and take the first step toward clearer vision.

FAQ’s About Refractive Error

How does refractive error affect visual perception?

Refractive error directly impacts visual perception by altering how the human eye processes light. When light is not focused correctly on the retina, objects may appear blurry, distorted, or doubled. This can make everyday tasks, such as reading and driving, more difficult. At ilumin, we specialize in advanced vision correction options that restore proper focus, enhancing both clarity and depth perception for our patients.

What are the signs and symptoms of refractive error?

The most common signs and symptoms of refractive error include blurry vision, eye strain, headaches, and difficulty seeing clearly at night. Some people may also experience frequent squinting or the need to hold reading materials at different distances. If you’re noticing these symptoms, it’s important to schedule an eye examination with ilumin to determine the best vision correction option for you.

How is refractive error diagnosed through refraction?

Refraction is the process used to determine the exact prescription needed to correct vision. During an eye exam, an eye doctor will use a phoropter and ask you to compare different lens strengths (the “Which is better, 1 or 2?” test). This helps measure how light bends in your eye and determines the proper eyeglass prescription. At ilumin, we perform thorough refractive testing to ensure our patients receive precise vision correction solutions.

How does optometry differ from ophthalmology in treating refractive errors?

Optometry focuses on diagnosing refractive errors and prescribing corrective lenses, while ophthalmology specializes in medical and surgical treatments for eye conditions, including refractive surgery. At ilumin, our ophthalmologists provide advanced vision correction procedures, such as LASIK, PRK, and implantable lenses, offering long-term solutions beyond traditional glasses and contacts.

Why is an eye examination important for detecting refractive error?

An eye examination is essential for identifying refractive errors and ensuring optimal eye health. Many people may not realize they have a vision problem until they undergo a comprehensive exam. At ilumin, we use cutting-edge diagnostic technology, including corneal topography, to map the eye’s surface and determine the best correction method tailored to each patient’s unique needs.

Can refractive error lead to visual impairment?

While refractive errors are not considered diseases, uncorrected vision problems can contribute to significant visual impairment. Severe cases of myopia, hyperopia, or astigmatism can interfere with daily activities, reducing a person’s ability to see clearly. ilumin offers advanced refractive surgery options to correct vision and prevent long-term complications associated with uncorrected refractive errors.

Is there a connection between refractive error and strabismus?

Yes, certain types of refractive error, particularly high hyperopia, can contribute to strabismus, or eye misalignment. When the eyes struggle to focus properly, the brain may favor one eye over the other, leading to issues with binocular vision. Early detection through an eye exam at ilumin can help identify refractive errors contributing to strabismus, and appropriate treatment options can be discussed.

How does the curvature of the cornea affect refractive error?

The curvature of the cornea plays a significant role in how light is focused onto the retina. If the cornea is too steep or too flat, light will not focus correctly, resulting in blurry vision. This is the primary cause of conditions like myopia, hyperopia, and astigmatism. ilumin provides specialized treatments, including laser vision correction, to reshape the cornea and restore clear vision.

What is the risk of leaving refractive errors untreated?

Leaving refractive errors uncorrected can lead to eye strain, headaches, and difficulty performing everyday tasks. In some cases, prolonged uncorrected vision problems can even contribute to worsening eyesight over time. At ilumin, we offer personalized vision correction solutions to prevent these risks and help patients achieve long-term visual acuity.

How does refractive surgery improve vision for those with refractive errors?

Refractive surgery, such as LASIK, PRK, or lens-based procedures, corrects refractive errors by reshaping the cornea or implanting an artificial lens. These procedures provide long-term vision improvement, reducing or eliminating the need for glasses or contact lenses. At ilumin, our refractive surgery specialists use the latest technology to deliver safe, effective results tailored to each patient’s needs.