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Your Vision

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How the Eye Works


Clear vision in the normal eye is the result of light rays passing through the cornea and focusing on the retina.
Nearsighted Eye ... the eye is longer or the cornea is too steep
Nearsightedness occurs when the cornea is too steep or the eye is too long. This causes the light to focus in front of the retina, causing blurry vision.
Farsighted Eye.. the eye is shorter or the cornea is too flat
Farsightedness occurs when the cornea is too flat. This causes the light to focus behind the retina, resulting in blurry near and distance vision.
Astigmatism.. In one plane the light focuses on the retina but not in the other
Astigmatism occurs when the cornea is shaped like a football; curved more in one direction than the other. This causes light to focus on more than one point, resulting in blurry and distored vision.

The goal of Laser Vision Correction is to reduce or eliminate corrective lenses.


There's more to good vision than "20/20".


If you're reading this, you're probably familiar with the vision chart that hangs in every optometrist's examining room. The one with a big "E" at the top. It's officially known as a Snellen chart and it's been the basis for measuring what's known as visual acuity since the late 1800s. Think of visual acuity as a quantitative measure of your vision, establishing where your vision is placed on a numeric scale. There are also qualitative measures of your vision, such as your ability to perceive subtle contrast changes, especially in low-light situations. Taken together, these quantitative and qualitative measures determine the overall performance of your vision.

Visual acuity: your vision, by the numbers.

If your visual acuity is determined to be 20/20, you see at 20 feet what a person with normal vision sees at 20 feet. If you have 20/40 vision, you see at 20 feet what a person with 20/20 vision would see at 40 feet. And, if you're one of the lucky ones (e.g., 20/15), you can see at 20 feet what others would have to move closer (15 feet) to see. Your visual acuity is an important measure of your vision. Many common problems can be identified by this measurement method, including the ones you've most likely heard of before — like nearsightedness and farsightedness.

20/20
20/30
20/40
20/50
20/70
20/100
20/200


Beyond the numbers: your vision's quality

There are also qualitative factors affecting your vision. A number of considerations — like contrast sensitivity — also contribute to your vision's performance. Contrast sensitivity is a measure of the ability to discern subtle changes in a visual image. Many routine visual tasks — recognizing a face, for example — rely more upon contrast sensitivity than visual acuity. Problems believed to be associated with poor visual quality are normally most apparent in low-light situations.

Understanding your vision requires taking both the quantitative and qualitative measures into consideration. This is because it's possible to possess very good visual acuity yet have poor visual quality, and vice versa. It's important to consider both as you make your decision about laser vision correction.

Diagnosing problems with your vision's quality

Through a process called wavefront mapping, it's possible to identify problems with your vision that experts believe contribute to these and other visual quality problems. Wavefront maps are plotted by passing a narrow ray of eye-safe light through the optical system and measuring the optical distortions as the light exits the eye. These patterns are then compared with the flat wavefront maps associated with normal vision.

A full listing of terms is available in the glossary of the Ladarvision Website.
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* Laser eye graphic, Dr. Lockhart