Overuse of the eyes does not cause or worsen refractive error. The causes of the main types of refractive error are described below:

• Myopia (close objects are clear, and distant objects are blurry): Also known as nearsightedness, myopia is usually inherited and often discovered in childhood. Myopia often progresses throughout the teenage years when the body is growing rapidly. Watch a video explaining myopia.
• Hyperopia (close objects are more blurry than distant objects): Also known as farsightedness, hyperopia can also be inherited. Children often have hyperopia, which may lessen in adulthood. In mild hyperopia, distance vision is clear while near vision is blurry. In more advanced hyperopia, vision can be blurred at all distances. Watch a video explaining hyperopia.
• Presbyopia (aging of the lens in the eye): After age 40, the lens of the eye becomes more rigid and does not flex as easily. As a result, the eye loses its focusing ability and it becomes more difficult to read at close range. This normal aging process of the lens can also be combined with myopia, hyperopia or astigmatism. Watch a video explaining presbyopia.
• Astigmatism: Astigmatism usually occurs when the front surface of the eye, the cornea, has an asymmetric curvature. Normally the cornea is smooth and equally curved in all directions, and light entering the cornea is focused equally on all planes, or in all directions. In astigmatism, the front surface of the cornea is curved more in one direction than in another. This abnormality may result in vision that is much like looking into a distorted, wavy mirror. Usually, astigmatism causes blurred vision at all distances. Watch a video explaining astigmatism.