Appelbaum Vision is conveniently located in Bethesda and Annapolis, minutes away from Metro Washington DC!

Hours of Operation

  • M - W - F : 10:00 am - 7:00 pm
  • T - Th : 10:30 am - 7:30 pm
  • Sa : 9:00 am - 5:00 pm

Vision Problems - Refractive Problems

Myopia = Nearsightedness

Myopia, or nearsightedness, is a visual condition when you can see more clearly at near than at far distances. Far away objects tend to be blurry without the aid of compensatory spectacle or contact lenses. Myopia occurs when the eyeball itself is slightly longer than normal and thus light rays that enter the eye focus at a point in front of the back of the eye (retina), rather than on the retina.

Why is my prescription always changing?

While myopia runs in families and often makes its first appearance in childhood, there are influences other than heredity and genetics that play a role in the development of nearsightedness. Environmental factors can contribute to the likelihood of needing assistance for far distances. Long periods of intense near work coupled with a more sedentary lifestyle, less outdoor activity, and a greater dependence on high tech devices have all been associated with increasing nearsightedness. Studies have shown that the more near work humans perform, the more likely they will become nearsighted. It’s no wonder that myopia has been associated with higher levels of education and become an epidemic in those countries that value education and reading.

Talk with your doctor at Appelbaum Vision about devising an individualized plan to slow down and hopefully stop the progression of nearsightedness. See if you are a candidate for vision correction without surgery!

Hyperopia = Farsightedness

Hyperopia, or farsightedness, is a visual condition when you have difficulty bringing close up objects into focus, in comparison to far distances which are usually seen more clearly. Hyperopia occurs when the eyeball is too short or if the cornea does not have enough curvature, and the light rays that enter the eye are not focused properly. Common signs include complaints of blurred vision, difficulty concentrating and sustaining focus on near objects, headaches, eyestrain, or rubbing of the eyes after near work.

Many vision screenings do not detect farsightedness as most technicians or school nurses, for example, will only check distance eyesight. Mild cases of hyperopia may not require glasses or contacts as the individual can compensate without corrective lenses.


Astigmatism is a visual condition when there is an irregular shape to the front surface of the eye (cornea), usually where it is shaped more oblong like a football rather than a normal spherical basketball. The cornea and internal lens are responsible for properly focusing the light rays that enter the eye. With astigmatism, light is focused in one direction differently than it is in another, causing the distorted image to be out of focus at any viewing distance. The optimal goal of clear and comfortable vision is often attainable from the combination of either optical correction, in the form of spectacle or contact lenses, and/or other methods of treatment.

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