Eyeglasses (Cleveland Clinic)

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Eyeglasses correct vision problems, such as nearsightedness, farsightedness, astigmatism, and presbyopia by focusing light more appropriately on the retina.

The type of vision problem that you have determines the shape of the eyeglass lens. For example, a lens that is concave, or curves inward, is used to correct nearsightedness, while a lens that is convex, or curves outward, is used to correct farsightedness. To correct astigmatism, which is caused by distortions in the shape of the cornea, a cylinder-shaped lens is used. Presbyopia requires bifocal or multifocal lenses.

What are multifocal lenses?
People who have more than one vision problem often need glasses with multifocal lenses. Multifocal lenses, bifocals, trifocals, or progressive lenses are lenses that contain two or more vision-correcting prescriptions.

  • Bifocals: Bifocals are the most common type of multifocal lens. The lens is split into two sections; the upper part is for distance vision and the lower part for near vision. They are usually prescribed for people over the age of 40 whose focusing ability has declined because of presbyopia.
  • Trifocals: Trifocals are simply bifocals with a third section for people who need help seeing objects that are within an arm's reach.
  • Progressive: Progressive lenses have a continuous gradient (inclined) lens which focuses progressively closer as one looks down through the lens.

What types of lenses are available?
In the past, eyeglass lenses were made exclusively of glass; today, however, most lenses are made of plastic. Plastic lenses are lighter, do not break as easily as glass lenses, and can be treated with a filter to keep out ultraviolet light, which can be damaging to the eyes. However, glass lenses are more resistant to scratches than plastic ones.

As technology advances so, too, do eyeglass lenses. The following modern lenses are lighter, thinner, and more scratch-resistant than the common plastic and glass lenses:

Polycarbonate lenses: These lenses are impact-resistant and are a good choice for people who regularly participate in sporting activities, work in a job environment in which their glasses may be easily scratched or broken, and for children who may easily drop and scratch their glasses.

Photochromic and tinted lenses: Made from either glass or plastic, these lenses change from clear to tinted when exposed to sunlight. This eliminates the need for prescription sunglasses.

High-index plastic lenses: Designed for people who require strong prescriptions, these lenses are lighter and thinner than the standard, thick lenses that may otherwise be needed.

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Last Updated: 2/8/2010

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