Hyperopia (farsightedness) - Symptoms, Causes and Treatment

Written By: Dr. Marcia Martins

Updated On:January 30, 2025

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What is Hyperopia (farsightedness)

A common vision issue known as farsightedness (hyperopia) causes you to view far objects clearly but may cause nearer items to seem hazy. Your capacity to focus is influenced by how farsighted you are. Mildly farsighted people may be able to clearly see items that are closer to them, while severely farsighted people may only be able to see objects that are very far away. Usually present from birth, farsightedness tends to run in families. With contacts or glasses, you can simply treat this issue. Surgery is an additional course of therapy.

Causes of Hyperopia (farsightedness)

The transparent outermost layer of your eye is called the cornea. As light enters your eye, this "window" bends it to assist it settle on your retina, a small layer of tissue at the back of your eye. There is a small curvature to your cornea. Light entering your eye is bent at just the appropriate angle by this curvature, allowing it to reach your retina. However, this fine equilibrium is upset if your cornea is very flat or if there is not enough space between the front and rear of your eye.

Light reaches your eye as a consequence, but it misses its intended target—your retina. Instead, since they are not properly focused, light beams fall behind your retina. This makes close-up things appear hazy. Other elements of your eye may occasionally adjust to improve your vision. However, if your farsightedness is more than normal, your eyes may require glasses or other tools to help them concentrate.

One type of refractive error is hyperopia, often known as farsightedness. Refractive errors are abnormalities in vision brought on by abnormalities in the way your eye bends light. These are relatively common and easily treated disorders. The most important thing is to visit a physician who can assess your eyes and tell you what you need to do to have better eyesight.

Hence, typical reasons for hyperopia include:

  • A comparatively short eyeball (front to rear)
  • A flatter-than-expected cornea.

Symptoms of Hyperopia (farsightedness)

Being farsighted might entail the following symptoms:

  • Things that are close by might look hazy.
  • You might need to squint to see clearly.
  • You are experiencing eyestrain, which manifests as burning eyes and pain in or near the eyes.
  • You get a headache or general eye strain after spending some time performing close activities like writing, reading, sketching, or using a computer.

When to see a doctor for Hyperopia (farsightedness)

See an ophthalmologist if your farsightedness is severe enough to prevent you from completing tasks to your desired level or if it makes it difficult for you to enjoy hobbies due to poor vision. He or she can assess the extent of your farsightedness and provide you with information on vision correction choices.

Regular eye exams should be scheduled at the following intervals as vision problems may not always be immediately apparent:

Starting around age 40, if you have a high risk of developing glaucoma or other eye disorders, schedule a dilated eye check every one to two years. Get an eye check-up at the following intervals if you don't wear contacts or glasses, don't exhibit any signs of eye problems, and are not at high risk of acquiring eye illnesses like glaucoma:

  • A first assessment at the age of 40
  • An assessment every two to four years for those in their 40s to 54s
  • An assessment every three years for the 55 to 64-year-old age range
  • An assessment every two years starting at the age of 65

You probably need to undergo frequent eye exams if you wear contacts or glasses or if you have an eye-related illness like diabetes. Find out from your eye doctor how often you should make appointments. However, as soon as you discover any issues with your eyesight, make an appointment with your eye doctor.

The following ages and intervals require that children be examined for eye illness and have their vision evaluated by a pediatrician, ophthalmologist, optometrist, or other qualified screener.

  • Six months of age
  • Three years old
  • Before entering first grade and biannually during the academic years

Hyperopia (farsightedness) Risk Factors

Hyperopia, or farsightedness, may develop due to genetic predisposition, aging, certain health conditions, medications, and eye anatomy. Environmental factors, lifestyle choices, and previous eye surgery or trauma can also contribute to the risk of developing hyperopia.

Hyperopia (farsightedness) Complications 

There are several issues that farsightedness can be linked to, including:

  • Crossed eyes can occur in certain youngsters who are farsighted. Farsightedness may be treated with specially made glasses that partially or completely compensate for it.
  • You could find it difficult to complete a task as well as you would want if your farsightedness is untreated. Furthermore, you might not enjoy daily activities as much due to your reduced eyesight.
  • Squinting or straining your eyes to focus can be the result of untreated farsightedness. Anxiety and headaches may result from this.
  • If you don’t have your eyesight corrected, it might endanger both your personal safety and others. Use of heavy machinery or while operating an automobile might make this particularly dangerous.

Hyperopia (farsightedness) Diagnosis

A basic eye exam that includes an eye health check and a refraction evaluation is used to determine farsightedness.

You may find out if you have astigmatism, presbyopia, near-sightedness, or farsightedness by having a refraction evaluation. To test your distant and close-up vision, your doctor may ask you to gaze through many lenses and utilize a variety of equipment.

To enlarge your pupils for the eye health examination, your eye doctor may insert drops into your eyes. Your eyes may become more sensitive to light for a few hours following the exam as a result. Your doctor can get a greater view of the interior of your eyes thanks to dilation.

Hyperopia (farsightedness) Treatment

In order to treat hyperopia, your doctor could advise:

  • Glasses. One easy technique to treat hyperopia is with eyeglass lenses. They achieve this by altering the retina's ability to concentrate light. The kind of lenses you require and how often you should wear them depending on your level of hyperopia.
  • Contacts. Similar to spectacles, contact lenses function. They make adjustments to the way light enters your eye and bends. However, contacts are positioned directly on the surface of your eyeball and are smaller than the lenses in your spectacles. Despite being generally safe, you could, however, encounter problems that make wearing contacts impossible. These consist of infections and dry eyes.
  • To treat your hyperopia, you could decide to get surgery. Depending on how much of a hyperope you are, there are several possibilities. People with milder forms of hyperopia, for instance, benefit from LASIK eye surgery. It reshapes your cornea with a laser. Refractive lens exchange may be beneficial for individuals with more severe hyperopia. To improve your eyesight, this procedure replaces your natural lens with an intraocular lens (IOL).

Hyperopia (farsightedness) Prevention

There are no preventative measures for hyperopia. The health of your eyes may be preserved by a few lifestyle choices, though. As advice, consider:

  • Consuming a well-rounded diet. Your eyesight is protected by nutrients including lutein, vitamin A, vitamin C, and vitamin E. Consume a lot of fruits and vegetables, such as leafy greens and grapefruit, on your plate to get these health advantages.
  • Scheduling routine eye check-ups. If you don't have any symptoms, your doctor can examine for eye issues.
  • Wearing sunglasses. Select sunglasses with an ultraviolet (UV) protection factor of at least 99%.
  • Giving your eyes regular rests. One can get computer vision syndrome and eye fatigue from prolonged screen viewing. You can avoid or lessen pain by implementing a few little regular adjustments.

References

Frings, A., Steinberg, J., Druchkiv, V., Linke, S. J., & Katz, T. (2016). Role of preoperative cycloplegic refraction in LASIK treatment of hyperopia. Graefe's Archive for Clinical and Experimental Ophthalmology254, 1399-1404.

Holmes, J. M., Kulp, M. T., Dean, T. W., Suh, D. W., Kraker, R. T., Wallace, D. K., ... & Pediatric Eye Disease Investigator Group. (2019). A randomized clinical trial of immediate versus delayed glasses for moderate hyperopia in children 3 to 5 years of age. American journal of ophthalmology208, 145-159.

Schellini, S., Ferraz, F., Opromolla, P., Oliveira, L., & Padovani, C. (2016). Main visual symptoms associated to refractive errors and spectacle need in a Brazilian population. International Journal of Ophthalmology9(11), 1657.

Tideman, J. W. L., Pärssinen, O., Haarman, A. E., Khawaja, A. P., Wedenoja, J., Williams, K. M., ... & Sivaprasad, S. (2021). Evaluation of shared genetic susceptibility to high and low myopia and hyperopia. JAMA ophthalmology139(6), 601-609.

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