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Disorders of the Eye

Presbyopia

As people age, the lens lose the ability to accommodate as well as they could when they were younger. This condition, presbyopia, begins affecting people in their forties or fifties, causing people to lose their clear near vision. This condition is another refractive disorder.

Causes:

Age is usually the cause of this disorder. The lens becomes less flexible with age, and therefore encounters more and more difficulty trying to focus on objects up close. The hardening lenses of the eyes causes vision up close to be blurrier and blurrier. The average 10 year old can still focus on objects just 3 inches away from the eyes. This closes point at which an object can be viewed in focus is called the near point of accommodation. At age 12, this point has decreased to about 4 inches. By age 40, the distance has increased up to 6 to 10 inches. This increases to around 39 inches by the time a person reaches 60 years old. This is why most old people can't read without glasses.

Correction:

Glasses or contacts are commonly used to correct presbyopia. People who needed glasses when younger now may need 2 pairs, one used for seeing things far away, and the other to see things up close. Oftentimes people use bifocals instead of two pairs of glasses, with the top portion used for distance viewing and the lower for reading. Bifocal contacts have a central circle for distance viewing, while the surrounding area contains the prescription for reading.

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