Gregg Wolfe; Erika Gasper; John Stoke; Julie Kretchman; David Anderson; Nathan Czuba; Sudhi Oberoi; Liza Pujji; Irina Lyublinskaya; Douglas Ingram

Learning Objectives

By the end of this section, you will be able to:

Identify and discuss common vision defects.
Explain nearsightedness and farsightedness corrections.
Explain laser vision correction.

The information presented in this section supports the following AP® learning objectives and science practices:

6.F.1.1 The student is able to make qualitative comparisons of the wavelengths of types of electromagnetic radiation. (S.P. 6.4, 7.2)

The need for some type of vision correction is very common. Common vision defects are easy to understand, and some are simple to correct. Figure 26.5 illustrates two common vision defects. Nearsightedness, or myopia, is the inability to see distant objects clearly while close objects are clear. The eye overconverges the nearly parallel rays from a distant object, and the rays cross in front of the retina. More divergent rays from a close object are converged on the retina for a clear image. The distance to the farthest object that can be seen clearly is called the far point of the eye (normally infinity). Farsightedness, or hyperopia, is the inability to see close objects clearly while distant objects may be clear. A farsighted eye does not converge sufficient rays from a close object to make the rays meet on the retina. Less diverging rays from a distant object can be converged for a clear image. The distance to the closest object that can be seen clearly is called the near point of the eye (normally 25 cm).

Part a shows two figures of cross-sectional area of eye depicting myopia. In both the figures, parallel rays coming from an object placed at infinity are converging in front of the retina. Figure on the left shows the lens of the eye too strong and figure on the right illustrates the shape of the eye too long. Part b shows two figures of cross-sectional area of eye depicting hyperopia. In both the figures, rays coming from a close object are shown which are converging at the back of the retina. Figure on the left shows the lens of the eye too weak and figure on the right illustrates the shape of the eye too short.

Figure 26.5 (a) The nearsighted (myopic) eye converges rays from a distant object in front of the retina; thus, they are diverging when they strike the retina, producing a blurry image. This can be caused by the lens of the eye being too powerful or the length of the eye being too great. (b) The farsighted (hyperopic) eye is unable to converge the rays from a close object by the time they strike the retina, producing blurry close vision. This can be caused by insufficient power in the lens or by the eye being too short.

Since the nearsighted eye over converges light rays, the correction for nearsightedness is to place a diverging spectacle lens in front of the eye. This reduces the power of an eye that is too powerful. Another way of thinking about this is that a diverging spectacle lens produces a case 3 image, which is closer to the eye than the object (see Figure 26.6). To determine the spectacle power needed for correction, you must know the person’s far point—that is, you must know the greatest distance at which the person can see clearly. Then the image produced by a spectacle lens must be at this distance or closer for the nearsighted person to be able to see it clearly. It is worth noting that wearing glasses does not change the eye in any way. The eyeglass lens is simply used to create an image of the object at a distance where the nearsighted person can see it clearly. Whereas someone not wearing glasses can see clearly objects that fall between their near point and their far point, someone wearing glasses can see images that fall between their near point and their far point.

Two illustrations of cross-sectional view of an eye are shown. In the first figure, a diverging spectacle lens is placed in front of the eye structure. A ray diagram for the diverging lens is also shown. Parallel rays from a distant object, taken as tree, are striking the lens and then diverging. A smaller image of the tree is shown in front of the lens. In the second figure, a ray diagram with respect to the diverging lens within the eye structure is shown. Parallel rays from a distant object are striking the diverging lens, entering the lens of the eye, and converging at retina. This explains the correction of nearsightedness using a diverging lens.

Figure 26.6 Correction of nearsightedness requires a diverging lens that compensates for the overconvergence by the eye. The diverging lens produces an image closer to the eye than the object, so that the nearsighted person can see it clearly.

Example 26.3

Correcting Nearsightedness

What power of spectacle lens is needed to correct the vision of a nearsighted person whose far point is 30.0 cm? Assume the spectacle (corrective) lens is held 1.50 cm away from the eye by eyeglass frames.

Strategy

You want this nearsighted person to be able to see very distant objects clearly. That means the spectacle lens must produce an image 30.0 cm from the eye for an object very far away. An image 30.0 cm from the eye will be 28.5 cm to the left of the spectacle lens (see Figure 26.6). Therefore, we must get $d_{i} = - 28.5 cm$ when $d_{o} \approx \infty$ . The image distance is negative, because it is on the same side of the spectacle as the object.

Solution

Since $d_{i}$ and $d_{o}$ are known, the power of the spectacle lens can be found using $P = \frac{1}{d_{o}} + \frac{1}{d_{i}}$ as written earlier:

P = \frac{1}{d_{o}} + \frac{1}{d_{i}} = \frac{1}{\infty} + \frac{1}{- 0 . 285 m} .

26.9

Since $1/ \infty = 0$ , we obtain:

P = 0 - 3 . 51 / m = - 3 . 51 D .

26.10

Discussion

The negative power indicates a diverging (or concave) lens, as expected. The spectacle produces a case 3 image closer to the eye, where the person can see it. If you examine eyeglasses for nearsighted people, you will find the lenses are thinnest in the center. Additionally, if you examine a prescription for eyeglasses for nearsighted people, you will find that the prescribed power is negative and given in units of diopters.

Since the farsighted eye under converges light rays, the correction for farsightedness is to place a converging spectacle lens in front of the eye. This increases the power of an eye that is too weak. Another way of thinking about this is that a converging spectacle lens produces a case 2 image, which is farther from the eye than the object (see Figure 26.7). To determine the spectacle power needed for correction, you must know the person’s near point—that is, you must know the smallest distance at which the person can see clearly. Then the image produced by a spectacle lens must be at this distance or farther for the farsighted person to be able to see it clearly.

Two illustrations of a cross-sectional view of an eye are shown. In the upper part of the figure, a converging lens is placed in front of the eye structure and a close object before it. A ray diagram showing the rays from the object are striking the lens; converging a bit and entering the eyes; converging again through the eye lens and forming an image at the retina, and another set of rays converge behind the retina. The lower part of the figure shows a virtual image, an object, a converging lens, and the internal structure of an eye. Parallel rays from the object are entering the eyes and converging at a point on the retina. An image larger than the object image is formed behind the object on the same side of the lens.

Figure 26.7 Correction of farsightedness uses a converging lens that compensates for the under convergence by the eye. The converging lens produces an image farther from the eye than the object, so that the farsighted person can see it clearly.

Example 26.4

Correcting Farsightedness

What power of spectacle lens is needed to allow a farsighted person, whose near point is 1.00 m, to see an object clearly that is 25.0 cm away? Assume the spectacle (corrective) lens is held 1.50 cm away from the eye by eyeglass frames.

Strategy

When an object is held 25.0 cm from the person’s eyes, the spectacle lens must produce an image 1.00 m away (the near point). An image 1.00 m from the eye will be 98.5 cm to the left of the spectacle lens because the spectacle lens is 1.50 cm from the eye (see Figure 26.7). Therefore, $d_{i} = - 98.5 cm$ . The image distance is negative, because it is on the same side of the spectacle as the object. The object is 23.5 cm to the left of the spectacle, so that $d_{o} = 23.5 cm$ .

Solution

Since $d_{i}$ and $d_{o}$ are known, the power of the spectacle lens can be found using $P = \frac{1}{d_{o}} + \frac{1}{d_{i}}$ :

\begin{array}{l} P & = & \frac{1}{d_{o}} + \frac{1}{d_{i}} = \frac{1}{0.235 m} + \frac{1}{- 0.985 m} \\ = & 4.26 D - 1.02 D = 3.24 D . \end{array}

26.11

Discussion

The positive power indicates a converging (convex) lens, as expected. The convex spectacle produces a case 2 image farther from the eye, where the person can see it. If you examine eyeglasses of farsighted people, you will find the lenses to be thickest in the center. In addition, a prescription of eyeglasses for farsighted people has a prescribed power that is positive.

Another common vision defect is astigmatism, an unevenness or asymmetry in the focus of the eye. For example, rays passing through a vertical region of the eye may focus closer than rays passing through a horizontal region, resulting in the image appearing elongated. This is mostly due to irregularities in the shape of the cornea but can also be due to lens irregularities or unevenness in the retina. Because of these irregularities, different parts of the lens system produce images at different locations. The eye-brain system can compensate for some of these irregularities, but they generally manifest themselves as less distinct vision or sharper images along certain axes. Figure 26.8 shows a chart used to detect astigmatism. Astigmatism can be at least partially corrected with a spectacle having the opposite irregularity of the eye. If an eyeglass prescription has a cylindrical correction, it is there to correct astigmatism. The normal corrections for short- or farsightedness are spherical corrections, uniform along all axes.

A circle without border and a cross sign in between. A wheel type structure is shown with parallel lines coming from the border of the circle.

Figure 26.8 This chart can detect astigmatism, unevenness in the focus of the eye. Check each of your eyes separately by looking at the center cross (without spectacles if you wear them). If lines along some axes appear darker or clearer than others, you have an astigmatism.

Contact lenses have advantages over glasses beyond their cosmetic aspects. One problem with glasses is that as the eye moves, it is not at a fixed distance from the spectacle lens. Contacts rest on and move with the eye, eliminating this problem. Because contacts cover a significant portion of the cornea, they provide superior peripheral vision compared with eyeglasses. Contacts also correct some corneal astigmatism caused by surface irregularities. The tear layer between the smooth contact and the cornea fills in the irregularities. Since the index of refraction of the tear layer and the cornea are very similar, you now have a regular optical surface in place of an irregular one. If the curvature of a contact lens is not the same as the cornea (as may be necessary with some individuals to obtain a comfortable fit), the tear layer between the contact and cornea acts as a lens. If the tear layer is thinner in the center than at the edges, it has a negative power, for example. Skilled optometrists will adjust the power of the contact to compensate.

Laser vision correction has progressed rapidly in the last few years. It is the latest and by far the most successful in a series of procedures that correct vision by reshaping the cornea. As noted at the beginning of this section, the cornea accounts for about two-thirds of the power of the eye. Thus, small adjustments of its curvature have the same effect as putting a lens in front of the eye. To a reasonable approximation, the power of multiple lenses placed close together equals the sum of their powers. For example, a concave spectacle lens (for nearsightedness) having $P = - 3.00 D$ has the same effect on vision as reducing the power of the eye itself by 3.00 D. So to correct the eye for nearsightedness, the cornea is flattened to reduce its power. Similarly, to correct for farsightedness, the curvature of the cornea is enhanced to increase the power of the eye—the same effect as the positive power spectacle lens used for farsightedness. Laser vision correction uses high intensity electromagnetic radiation to ablate (to remove material from the surface) and reshape the corneal surfaces.

Today, the most commonly used laser vision correction procedure is Laser in situ Keratomileusis (LASIK). The top layer of the cornea is surgically peeled back and the underlying tissue ablated by multiple bursts of finely controlled ultraviolet radiation produced by an excimer laser. Lasers are used because they not only produce well-focused intense light, but they also emit very pure wavelength electromagnetic radiation that can be controlled more accurately than mixed wavelength light. The 193 nm wavelength UV commonly used is extremely and strongly absorbed by corneal tissue, allowing precise evaporation of very thin layers. A computer controlled program applies more bursts, usually at a rate of 10 per second, to the areas that require deeper removal. Typically a spot less than 1 mm in diameter and about $0.3 μm$ in thickness is removed by each burst. Nearsightedness, farsightedness, and astigmatism can be corrected with an accuracy that produces normal distant vision in more than 90% of the patients, in many cases right away. The corneal flap is replaced; healing takes place rapidly and is nearly painless. More than 1 million Americans per year undergo LASIK (see Figure 26.9).

The image depicts a surgeon using state-of-the-art equipment for LASIK surgery on a patient who is lying down.

Figure 26.9 Laser vision correction is being performed using the LASIK procedure. Reshaping of the cornea by laser ablation is based on a careful assessment of the patient’s vision and is computer controlled. The upper corneal layer is temporarily peeled back and minimally disturbed in LASIK, providing for more rapid and less painful healing of the less sensitive tissues below. (credit: U.S. Navy photo by Mass Communication Specialist 1st Class Brien Aho)

26.2 Vision Correction

Learning Objectives

Correcting Nearsightedness

Strategy

Solution

Discussion

Correcting Farsightedness

Strategy

Solution

Discussion