Eyecare Center of Maryland – Dr. Norman Shedlo O.D.

Eyecare Center of Maryland

6525 Belcrest Rd Suite 200 Hyattsville MD  20782  301-779-2424            4701 Randolph Rd Suite G2 Rockville MD 20852  301-348-8640


Why Do My Child’s Eyes Turn In? Especially When Reading?

Children’s eyes, and many adult’s eyes, often turn in when reading because they are farsighted or hyperopic.

When eyes are hyperopic, focusing on near objects, also known as accommodation, causes the eyes to converge or turn in.  Hyperopes who don’t wear their glasses must focus their eyes, or accommodate, to a large degree in order to see clearly at near. 

These focusing attempts stimulate the accommodative reflex which in turn causes the eyes to converge.  When the convergence of the eyes is greater than the amount the eyes can focus, the eyes then will turn in even more making the eyes appear crossed.  This is called accommodative esotropia.  

This is easily corrected by wearing and eyeglass or contact lens prescription with plus lenses of suitable strength.  With the patient wearing the correct prescription, the eyes will not be turning in anymore.

Why is My Vision Blurry all the Time?

Your vision may be blurry for different reasons.  Blurry vision may be caused by the need for glasses, or what is called refractive error, or may be caused by medical eye problems such as cataracts, diabetes, glaucoma and macular degeneration.   Medical eye problems require a correct diagnosis and appropriate medical management to prevent permanent vision loss or blindness. 

It is very important to see an eye care professional to figure out what the problem is.  The most common cause of constant blurry vision is refractive error.  This includes being nearsighted, farsighted, having astigmatism or being unable to read after the age of forty. 

The technical terms for these conditions are myopia, hyperopia, astigmatism and presbyopia.  Myopia, the most common is where the eye is too long relative to the focusing power off the cornea and lens leading to a blurry image on the retina.  

Hyperopia is the opposite problem.  The eye is too short for the focusing ability of the cornea and lens, creating a blurry image on the retina.  In hyperopia, however, the eye can be partially correct the problem by focusing the internal lens using the ciliary muscles.  This often leads to eye strain and blurry vision that becomes clear and blurry throughout the day. 

Astigmatism creates a distinct type of blur as a result of the cornea not being exactly spherical in shape.  This results in two meridians of focus that don’t come together creating a blurry image on the retina. 

Presbyopia is the universal decreased ability of the eye to focus at near after the age of 40.  All these refractive conditions can be corrected for the most part with glasses and contact lenses after your eyes are examined and a proper diagnosis is made. 

Changing How You See

“Our brains are designed to stop us paying too much attention. This is well demonstrated by the optical illusion called Troxler fading (named after the nineteenth-century Swiss physician who discovered the effect). If presented with a steady image in the area of our peripheral vision, we actually stop seeing it after a while. This phenomenon — the general neuroscientific term is habituation — probably points to an efficient way in which the brain operates. Neurons stop firing once they have sufficient information about an unchanging stimulus. But this does not mean that habituating is always our friend.”