OphthoTrainer
AAO · IJCAHPO
Basic Refraction & Lensometry
Optics & Refraction

Basic Refraction & Lensometry

9 lessons·Intermediate·IJCAHPO COA/COT Criteria
1

Refractive Errors

Illustration: Refractive Errors
Emmetropia is the state where parallel light rays focus precisely on the retina without accommodation. Myopia (nearsightedness) occurs when the eye is too long or the cornea too steep — light focuses anterior to the retina; corrected with minus (concave) lenses. Hyperopia (farsightedness) occurs when the eye is too short or cornea too flat — light focuses behind the retina; corrected with plus (convex) lenses. Astigmatism occurs when the cornea or lens has unequal curvature in different meridians, creating two focal points; corrected with cylindrical lenses. Presbyopia is the age-related loss of accommodation, typically becoming symptomatic around age 40.

Key Points

  • Myopia: too long/steep → minus lens correction
  • Hyperopia: too short/flat → plus lens correction
  • Astigmatism: unequal curvature → cylindrical correction
  • Presbyopia: age-related loss of accommodation (~age 40)
  • Accommodation = lens shape change via ciliary muscle