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Medically reviewed by Dr. Bijan Cohenmehr, OD Last reviewed

Hyperopia (Farsightedness): Symptoms, Causes & Treatment

Seeing fine while working too hard.

A farsighted eye focuses images behind the retina, so the focusing muscle works overtime to pull things clear — hardest up close. Young eyes can muscle through it, which hides the problem: what shows instead is strain, headaches, homework avoidance, and sometimes an inward eye turn.

A child rubbing tired eyes over a book
Optics
Focus lands behind the retina
Feels like
Near strain, headaches, fatigue
In children
Can drive inward eye turns
Fixed with
Glasses or contact lenses

Care

Found by the right exam, fixed simply.

Because young focusing muscles compensate, meaningful hyperopia can hide from quick screenings. A comprehensive exam with our optometrists in Los Angeles measures the true prescription, and in children that may involve relaxing the focusing system with drops to reveal it.

Correction with glasses or contacts is straightforward, and in children with accommodative eye turns, the right plus prescription can straighten the eyes and protect against amblyopia.

Children first

In kids, hyperopia is a development issue.

Common questions

Hyperopia, answered.

Anything else, call the office at 310-828-2010.

  • Not quite — it means focusing effort is being spent constantly, most of all up close. Comfort, not just clarity, is the issue.

  • Young focusing muscles can brute-force a chart. The cost shows up as strain and avoidance, which screenings don’t measure.

  • No — presbyopia is age-related stiffening of the lens after 40. Hyperopia is the eye’s shape, at any age.

  • A farsighted (hyperopic) eye is slightly too short, or its cornea too flat, so light focuses behind the retina. Distance may stay clear by focusing harder; near work takes the most effort and blurs first. Most people are born with it, and it runs in families.

  • Nearsighted (myopic) eyes focus light in front of the retina: near is clear, distance is blurry. Farsighted (hyperopic) eyes focus behind it: near is hardest, and young eyes may muscle through distance. They are corrected with opposite lens powers, minus for myopia and plus for hyperopia, and either can coexist with astigmatism.

  • Not in the same eye at the same moment, but three common situations look like it: one eye nearsighted and the other farsighted; mixed astigmatism, where one direction focuses in front of the retina and the other behind it; and nearsightedness plus presbyopia after 40, when distance needs one correction and reading needs another. Progressive or bifocal lenses handle the last case, and a full exam sorts out which one you have.

Also consider

Next step

Strain isn’t a personality trait.

Book an exam that measures the full prescription, not just the chart.

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