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Refractive Error
Refractive errors are the most frequent eye problems in the United States. They are
optical defects that result in light not being properly focused on the eye's retina.
Nearsightedness (myopia) and farsightedness (hyperopia) are the most common
refractive errors. People with myopia see near objects clearly, while distant ones
are blurred. People with hyperopia experience just the opposite - distant
objects are clear while near ones are blurred.
Why refractive errors develop is uncertain. Most infants have some degree of
hyperopia, but vision becomes more normal with age, usually leveling off by
age 6. However, some children remain farsighted or become so later in life.
While some children may be nearsighted early in life, most myopia occurs later
during adolescence. Refractive error can continue to change over our lifetime.
Other common refractive errors include astigmatism (uneven focus) and
presbyopia (age-related problem with near focus). Fortunately, almost all refractive
errors can be corrected by eyeglasses or contact lenses. It is estimated that
more than 150 million Americans use corrective eyewear to compensate for
their refractive error. Americans are estimated to spend over $15 billion each
year on eyewear, supporting an optical industry in the U.S. worth more than
$30 billion.
Refractive surgery is now another alternative for correcting problems such as
myopia, hyperopia and astigmatism. The number of people seeking refractive
surgery is increasing. However, the surgical procedures are not without some
risk and the long-term effects of many of these procedures are still unknown.
Uncorrected or under-corrected refractive error can result in significant vision
impairment. The magnitude of refractive error is measured in units called
diopters. For each diopter of refractive error, a person may be unable to read
the next smaller line of an eye chart. For instance, a person with more than two
diopters of hyperopia might find it difficult to read this text.
Cases of refractive error described in the following charts include myopia of
1.0 diopters or more. The threshold for clinically significant hyperopia is
somewhat higher at 3.0 diopters or more.
Myopia is a very common disorder affecting more than 30.5 million Americans
age 40 and older. Prevalence is greater in women through age 60 when rates
become more comparable between genders (see chart below). Myopia affects
more Whites than other races, and is generally less frequent with age.
Because of the higher threshold for significance, hyperopia is less common, affecting 12
million older Americans. Prevalence of hyperopia generally increases with age
(see chart below). It is most frequent in Whites, but also affects Hispanics more
often than Blacks.
Available tables for Hyperopia:
- Estimated Number of Cases of Hyperopia (3.00 diopters or worse) in the U.S. Population Aged 40 and over by State, Race and Sex
- Prevalence Rates for Hyperopia (3.00 diopters or worse) by State, Race and Sex
- National age-specific prevalence rates for hyperopia (3.00 diopters or worse)
- U.S. Census 2000 Population aged 40 and over by Race and Sex
The tables are located on the following page:
Available tables for Myopia:
- Estimated Number of Cases of Myopia (-1.00 diopters or worse) in the U.S. Population Aged 40 and over by State, Race and Sex
- Prevalence Rates for Myopia (-1.00 diopters or worse) by State, Race and Sex
- National age-specific prevalence rates for myopia (-1.00 diopters or worse)
- U.S. Census 2000 Population aged 40 and over by Race and Sex
The tables are located on the following page:
Notes:
- Each page opens in a new window.
- There are 4 tabs located in the bottom left corner that select the different tables.
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