Vision Problems
& Correction

Better Vision for Better Quality of Life

Not everyone sees as well as another or has the capacity for perfect vision. But your vision does have a personal best, and at Ives Eyecare Center, we can help you achieve better vision and healthier eyes.

Seeing your best helps you enjoy life more.

Common Vision Problems

What is Astigmatism?

It is easiest to think of the curvature of the eye as being shaped like a basketball. Astigmatism causes the cornea (eye surface) or clear lens to become more oval, or American football shaped, with a steep and flatter meridian.

Normally, the cornea and lens are smooth and curved equally in all directions. This helps to focus light rays sharply onto the retina at the back of your eye. If your cornea or lens isn't smooth and evenly curved, light rays aren't refracted (bent) properly. Doctors call this a refractive error.

When your cornea has a distorted shape, you have corneal astigmatism. When the shape of your lens is distorted, you have lenticular astigmatism. In either case, your vision for both near and far objects is blurry or distorted. It's almost like looking into a fun house mirror in which you can appear too tall, too short, too wide or too thin.

People may have astigmatism along with other refractive errors, such as:

nearsightedness (myopia) or
farsightedness (hyperopia)

Adults with significant astigmatism may realize their vision isn't as good as it should be. Children with astigmatism symptoms may not be aware they have this condition. They are unlikely to complain about blurred or distorted vision.

Uncorrected astigmatism can impact a child's ability to achieve in school and sports. It is crucial that children have regular eye exams. Get these exams to detect astigmatism and other vision problems as early as possible.

What causes astigmatism?

Astigmatism is caused by an irregular curvature of the eye's cornea or lens. If your cornea or lens isn't evenly curved, light rays aren't refracted properly. With astigmatism you have blurred or distorted vision at near and far distances.

Astigmatism is very common. Doctors don't know why corneal or lens shape differs from person to person. They do know that likelihood of developing astigmatism is inherited.

Astigmatism can develop after an eye disease, eye injury or surgery. It is a myth that astigmatism can develop or worsen from reading in low light or sitting very close to the television.

Astigmatism symptoms may include:

blurry vision or areas of distorted vision
eyestrain
headaches
squinting to try to see clearly, or
eye discomfort

Not all astigmatism is the same, and can effect people differently depending on the severity, regularity, and cause. It is important to see an Optometrist regularly if you believe you need vision correction or have noticed changes in your sight recently.
What is Hyperopia?

Hyperopia, or farsightedness, means that your eyes are able to focus more easily at a distance, but your close-range vision much more blurry. This is caused when your eye is shorter, front to back, than what is needed to focus on nearby objects.

Who does it effect?

It is very common for children to be farsighted. This provides the eyes with a natural buffer as they develop from becoming nearsighted in the future. Many kids who are farsighted have no symptoms, but it becomes challenging later in life as we lose our ability to focus.

What are the Symptoms?

Headaches while reading
Eye Strain
Squinting
Words running together
Rubbing your eyes


How is it Treated?

Like most vision problems, hyperopia is easily managed with prescription glasses or contacts.
What is Myopia?

Myopia, or nearsightedness, is when light does not focus correctly in the eye, making distant images appear blurry, while close objects appear more clear. Myopia progression is becoming more prevalent in children due to an increase in electronic use, online classes, and decreased outdoor activity. Children who are nearsighted before the age of 7, have parents who are nearsighted, or who have had large shifts in their prescription are most at risk for progressive myopia and the potential risks associated with it.

What are the Risks?

As myopia increases, the eye grows longer, stretching the thin retinal tissue inside of the eye. This increases the risk of a retinal detachment and macular changes that can decrease vision potential. Advanced myopia or "high" myopia can increase the risk of glaucoma and early cataracts.

What Are the Symptoms?

Blurred vision
Squinting to see far away
Headaches
Eyestrain
Failed School Screening

How is it Managed?

Myopia can be managed through a variety of treatments often referred to as "Myopia Control". At Ives Eyecare, we believe in educating patients and parents on each type of treatment, developing a plan of action, and optimizing effectiveness by monitoring visual changes at specific intervals through the year. The most effective approaches we utilize for Myopia Control include:

Bifocal Glasses
Multifocal Contact lenses
MiSight Lenses
Atropine eye drops
What is Presbyopia?

As we grow older, our eyes often lose flexibility, making it more difficult to focus on close objects. This is why reading may be more difficult past a certain age. Unfortunately, while a healthy and active lifestyle has many benefits, there is no known ways to prevent the natural aging of the eye.

Presbyopia occurs as the eye ages and clear lens that focusses images in our eyes begins to "stiffen." When we are young, the lens is soft and flexible. As it becomes more rigid, we lose the ability to adjust focus while looking between distant and near images. The shift usually begins after the age of 40 and progresses until about age 65. Those who are nearsighted may begin taking their glasses off to read, while those without prescription glasses or who are farsighted will experience more eye strain and may hold reading material further away.

How is it Managed?

Presbyopia can be treated with prescription eye glasses, contact lenses and eye surgery. Progressive lenses, bifocals and multifocal contact lenses are convenient options that provide clear distance as well as near vision. If uncorrected, patients will experience eye strain, headaches, and blurred vision.

Is there a Cure for Presbyopia?

There may be a new eye drop on the market soon to delay the onset or temporarily relieve some of the side effects of presbyopia!

Pilocarpine derived drops that cause pupil constriction or "miosis" are being developed to help reduce the need for reading glasses in adults. The result is a pinhole effect, which increases the depth of focus making it easier to see and read up close. The pupil constriction is longlasting, but completely reversible, with minimal side effects typically associated with miotics due to its low potency. Some drops are in their final phases of clinical study!

Common Vision Corrections

Prescription glasses and contact lenses are among the most common, time-honored methods of correcting vision problems from astigmatism to aging eyes. They are often the most affordable, safe, and trusted methods of vision correction. When you consult with our doctors of optometry, we’ll help you decide if glasses or contact lenses are best for you.
LASIK and PRK are laser refractive surgeries that can correct a person's vision. Both methods are used to precisely change the shape of your cornea and thereby improve your vision. Like all technologies, corneal refractive surgeries continues to improve in safety and results each year.

Will I need glasses after LASIK/PRK?

Possibly! No surgery is 100% guaranteed, but most patients are able to see very clearly at distance after surgery. Those over the age of 40 will likely need reading glasses being that corneal reshaping cannot change the ability to refocus at near after a certain age. Some patients choose to modify their prescription for this reason!

While Ives Eyecare Center DOES NOT perform LASIK surgery, we can make recommendations and provide pre and post-op care. Whether or not refractive surgery is for you depends on your prescription, the shape of your eye, and the thickness of your cornea.
Scleral Contact Lenses (Large Rigid Gas Permeable)

For some patients, adequate vision correction cannot be obtained through standard glasses or soft contact lenses. Scleral lenses are a large Rigid Contact lens that vaults the corneal surface to block out surface irregularities to provide clearer vision. In many cases, theses lenses are medically necessary and may be covered by your vision insurance.

Who qualifies for these lenses?

Patients suffering from Keratoconus
Severe Dry Eye
Corneal Ectasia/Complications post LASIK
Post Corneal Graft


Corneal Reshaping:

(Orthokeratology) Remember how many times you’ve been told not to wear your contacts at night? With corneal reshaping we fit you with special contacts you DO place in your eyes overnight. This is a good technique for patients with mild nearsightedness. It helps your cornea reach its perfect shape overnight, giving you clear vision during the day without wearing anything at all!

Corneal reshaping is a temporary effect, and you must continue to wear the contacts and night to maintain the vision improvement.

Where Can I Learn More??

Schedule a consult with Dr. Lexie Ives if you believe you may benefit from specialty contact lenses. We can provide financing options as well as information for Medically Necessary coverage.
For some patients with more severe eye problems, such as diabetic retinopathy, macular degeneration, glaucoma, and more, we evaluate you for the use of low vision devices and provide the training necessary to use them. Our mission is to help you use your remaining vision to the greatest possible extent in reading, working, and living a normal lifestyle.

You are in a good hands....