What is refractive error?
Refractive errors are eye disorders caused by irregularity in the shape of the eye. This makes it difficult for the eyes to focus images clearly, and vision can become blurred and impaired.
Refractive errors include eye problems such as myopia (short-sightedness), hyperopia (long-sightedness) and astigmatism (caused by an irregularly curved cornea).
They also include presbyopia, a normal ageing change, where the eye is no longer able to focus at close range.
These eye disorders can be particularly problematic in developing countries, where those affected may not be able to afford sight tests or spectacles to help improve their vision. What’s more, those living in rural areas may not have access to eye care – in sub-Saharan Africa, for example, two-thirds of ophthalmologists and optometrists are based in capital cities, leaving a shortage of trained eye care professionals working in rural areas.
How is refractive error treated?
Eye test
The patient is given an eye test to find out how badly their vision is affected.
Diagnosis
During the test, they're asked to read letters or symbols from a chart.
Correction
If they have refractive error, it can then be corrected with spectacles.
What we’re doing
Since 2004, Sightsavers has dispensed almost three million pairs of spectacles across Africa, Asia and the Caribbean as part of our work in universal health care.
We have also helped to train 732 optometrists and 433 optometric technicians, who are able to carry out sight tests, diagnose eye problems and help to treat people with low vision in some of the poorest parts of the world, who may otherwise not have access to eye healthcare.
Sightsavers’ School Health Integrated Programming (SHIP) project, which ran throughout 2016, screened schoolchildren in Cambodia, Ethiopia, Ghana and Senegal for health problems such as poor vision.
As part of the project, teachers were trained to carry out basic eye tests and refer children for further treatment. During the project, 57,400 children were screened for eye problems and 1,000 were given spectacles.
Download Sightsavers refractive error strategy (pdf) to read more about our work to treat refractive error.
Riya’s story
For children such as Riya, something as simple as a pair of glasses can mean the difference between a bright future and being trapped in a cycle of poverty.
Read her storyFind out about other eye conditions we treat
Protecting sightMore about refractive error
Stories from the SHIP eye health project in Pakistan
Sightsavers’ eye health screening project in Pakistan is helping children see and learn all over the country. We listen to stories of some of the children we have helped.
How Sightsavers celebrated World Sight Day
To mark World Sight Day 2019 on 10 October, Sightsavers country offices celebrated by highlighting the need to provide good-quality eye care to everyone.
It’s all about the numbers: how economics is helping us to save sight in schools
By using economics, we can make sure our school eye screening programmes are affordable and efficient, ensuring thousands of children in poorer countries can get the eye care they need.
