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  • Almost 2000 years ago,

  • the Roman philosopher Seneca peered at his book through a glass of water.

  • Suddenly, the text below was transformed.

  • The words magically became clear.

  • But it wasn't until a millennium later that that same principle

  • would be used to create the earliest glasses.

  • Today, glasses can help millions of people with poor vision

  • due to uncorrected refractive errors.

  • The key to understanding what that means lies with the term refraction,

  • the ability of a transparent medium, like glass,

  • water,

  • or the eye to change the direction of light passing through it.

  • The eye has two main refractive surfaces:

  • the cornea and the lens.

  • Ideally, these surfaces work together

  • to refract light in a way that accurately focuses light onto the retina,

  • the layer of light-sensitive tissue at the back of the eye

  • that works with the brain to give rise to vision.

  • But many people develop refractive errors,

  • either during childhood as their eyes are growing,

  • or in later life as their eyes age.

  • Imperfections in the cornea and lens

  • cause refracted light to be focused in front of or behind the retina,

  • making images appear blurry.

  • People with refractive errors can still see color,

  • movement,

  • and light,

  • but the details of what they're looking at are out of focus.

  • People experience refractive errors in different ways,

  • owing to differences in their eyes.

  • In some, light refracts too much,

  • and in others, too little.

  • Eyes with a focal point in front of the retina are called myopic,

  • or short-sighted.

  • They can see close objects clearly,

  • but those far away are out of focus.

  • But when the focus point is behind the retina,

  • people are hyperopic, or long-sighted.

  • For them, objects close up are unfocused,

  • but distant objects are crystal clear.

  • Finally, some people have a cornea with a non-spherical shape

  • that causes astigmatism,

  • a form of out-of-focus vision that makes all objects seem blurred,

  • whether close or far.

  • As we age, our eyes face new challenges.

  • When we're young, the lens of the eye is flexible

  • and can change shape to bring images into focus,

  • something called accommodation.

  • This keeps objects in focus when we shift our gaze from far to near.

  • But as we get older, the lens becomes less flexible,

  • and can't change shape when we want to look at near objects.

  • This is called presbyopia,

  • and it affects adults starting around the age of 40 years.

  • Myopia,

  • hyperopia,

  • astigmatism,

  • and presbyopia.

  • Each of these is a refractive error.

  • Nowadays we can fix them all with glasses or contact lenses,

  • which work by refocusing light so it strikes the retina precisely.

  • It's even possible to correct vision with surgery

  • using lasers that change the shape of the cornea

  • and alter its refractive properties.

  • But glasses remain the most popular.

  • By using carefully crafted lenses

  • to steer light to exactly the right spot on the retina,

  • a person's clear vision can be restored.

  • We've come a long way since Seneca's discovery

  • and the crude glasses of yesteryear.

  • In 1727, a British optician named Edward Scarlett

  • developed the modern style of glasses

  • which are kept in place with arms which hook over each ear.

  • Today's glasses take their inspiration from that design,

  • but they're also much more precise and personal.

  • Each pair is tailored for an individual to bring out their unique powers of sight.

  • So if you're one of the 500 million people with a problem with close or far vision,

  • or both,

  • there's a pair of glasses out there waiting to reveal a whole new world

  • that's hiding in plain view.

Almost 2000 years ago,

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