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What Causes Refractive Errors?

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A young child at an eye exam being tested for refractive errors.

You might notice that road signs seem a bit fuzzy, or perhaps you find yourself holding a menu farther away just to read it. These common vision changes often point to a refractive error, a condition that affects how your eye focuses on light.

A refractive error happens when the shape of your eye prevents light from focusing directly on your retina, the light-sensitive tissue at the back of your eye. These errors are very common and can be corrected with support from your optometrist.

How a Refractive Error Happens

Clear vision is a team effort between different parts of your eye that bend and focus light. When the shape or structure of your eye causes light to focus incorrectly, this is referred to as a refractive error.

The Shape of Your Eye

The shape of your eye is an important factor in how clear your vision is. If your eyeball is slightly too long or too short front-to-back, nearsightedness or farsightedness can result. Similarly, if your eyeball is irregularly shaped (for instance, more like a football than soccerball), astigmatism occurs.

The Curve of Your Cornea & Lens

Your cornea is the clear, protective outer layer of your eye, and the lens sits just behind it. Both parts need to have a smooth, even curve to bend light rays correctly. If either surface is uneven, they can distort the light and cause blurriness.

Common Types of Refractive Errors

Refractive errors come in four main types, and it’s possible to have more than one. Each one affects how you see the world in a unique way. Understanding which type you have is the first step toward clear sight.

Nearsightedness (Myopia)

Myopia, or nearsightedness, makes it difficult to see things that are far away, though you can still see close-up objects clearly. You might notice:

  • Difficulty reading signs on the highway
  • A need to squint to see things in the distance
  • Headaches that come from straining your eyes

For children, proactive myopia control methods can help manage progression.

Farsightedness (Hyperopia)

With hyperopia, or farsightedness, distant objects are clear while nearby objects look blurry. Common signs include:

  • Trouble with close-up tasks like reading or sewing
  • Eye strain or fatigue
  • Blurry vision, which can seem worse at night

Astigmatism

Astigmatism results from an irregularly shaped cornea or lens, which causes blurry or distorted vision at any distance. Symptoms can include:

  • Vision that appears fuzzy or stretched out
  • Headaches
  • The need to squint to try and see more clearly

Presbyopia

This is a natural, age-related change that makes it harder to focus on close-up objects. It usually begins around age 40, as the lens inside the eye becomes less flexible. You may experience:

  • Holding books or your phone at arm’s length
  • Blurry text at a normal reading distance
  • Tired eyes after doing close-up work

Many people with presbyopia find that progressive lenses offer an effective solution.

A woman lifting up her glasses, struggling to see what is on her phone close up.

The Main Factors That Cause Refractive Errors

Different elements, including your genetics and lifestyle, combine to shape how your eyes develop and change over time. Here are some of the common causes of refractive errors.

Genetics & Family History

If your parents have a refractive error, you have a higher chance of developing one, too. That’s because the shape and size of your eyes are affected by your genetics.

Changes to the Eye Over Time

Your eyes are not static; they change throughout your life. For children and teens, the eyeball can grow longer, which may lead to myopia. As adults age, the lens of their loses flexibility, which is what causes presbyopia.

Sudden Vision Changes

Most refractive errors develop slowly over months or years. If you notice a sudden, significant change in your vision, it could be related to other health factors and may require urgent eye care.

How We Find & Diagnose Refractive Errors

During your exam, you’ll look through a series of lenses and reach an eye chart. This helps us determine whether you have a refractive error and what kind of prescription you’ll need for corrective glasses or contact lenses.

The Importance of Routine Eye Exams

Regular eye exams are a proactive way to care for your vision and your overall health. They help detect refractive errors early, allow us to track any changes, and keep your prescription current.

Common Treatments for Clear Vision

After we diagnose a refractive error, there are several effective ways to correct your vision. 

Eyeglasses

Eyeglasses are a classic and reliable method for correcting refractive errors. The lenses are shaped to redirect light rays, compensating for your eye’s natural focus. With a wide selection of frames and lenses, glasses are a simple and effective tool for clear, comfortable vision.

Contact Lenses

Contact lenses offer another great way to correct your vision. They function just like glasses, but sit directly on the surface of your eye. With many types of contact lenses available, you can often find a pair that suits your daily activities and comfort.

Other Corrective Procedures

In some cases, other professional procedures might be an option for vision correction. Your eye doctor can talk with you about the different approaches available, such as getting a laser eye surgery consultation.

Taking care of your eyes is an important part of your overall wellness. If you’ve noticed any changes in your vision—big or small—it’s time to get your eyes checked out. A conversation with a professional can give you the clarity and peace of mind you deserve.

At Total Vision Pleasanton, we’re ready to support your family’s eye health, so if you have questions about blurry vision or want to schedule an exam, please reach out.

Written by Total Vision

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