Emetropia : This is also known as normal vison sight where
no prescription is required in order to see things clearly and comfortably.
The fraction 20/20 is understood as follows: the bottom half represents
the distance in feets at which a perfect sighted person is able to see
clearly a target seen by another at 20 feet. So if you are perfect sighted
you
will see at 20 feet exactly what another perfect sighted person will see
at 20 feet. However, if you have trouble seeing things in the distance,
you might see at 20 feet what a perfect sighted person sees at 40 feet.
So this means your vision is measured as 20/40.
Assuming you have perfect sight then when you are looking at something
in the distance, light from the object will focus on your retinas very
precisely. When seeing something close-up the focusing is blurred very
momentarily, but this is unnoticeable because your eye has an automatic
refocusing ability that makes the target clear. This refocusing ability
is called 'Accommodation' and it works by making the natural lens of the
eye fatter, or more convex in shape. As we get older we lose more and
more of this ability, which is why things close-up start to blur after
about 45 years of plodding on the planet.
Myopia
: Also known as Short-sight ness, short-sighted individuals
have trouble seeing things in the distance while anything close-up is
clearer. This occurs because light from the objects being viewed focuses
in front of the retina and not on it. It is believed that this mostly
happens as a result of the eyeball being slightly too long. The scientific
term for this is Axial Myopia.
Hyperopia
: Also known as Far-sight , long-sighted individuals have
difficulty with anything

close-up
while their general distance vision is not as bad. Light from objects
viewed will theoretically focus behind the retina and not on it. However
because the eye is able to naturally fatten the lens and cause light to
bend more, this error in focus is overcome, which explains why distance
vision is generally pretty good. When the same individual tries to look
at something up close, much more effort is required, as light from a near
object will fall much further back behind the retina. Vision at near is
therefore worse.
Astigmatism :
Often the eye is shaped like an egg or football. This is what we call
astigmatism. It is quite a normal condition and most of us have to some
degree. Like an egg, two main areas of curvature are found: one is flatter
and the other is steeper. This causes the light to focus in two different
positions such that the steeper or more curved area focuses further forward
and the less curved or flatter further back. The effect on vision is to
distort shapes so similarly shaped characters become confused. The letter
G may be confused with a C and the number 2 may be mistaken for the letter
Z.
Presbyopia :
As our eyes grow older the ability to focus clearly on anything close-up
starts to diminish. This occurs because we lose our ability to accommodate
or make the lens of the eye fatter in shape. One popular way of explaining
how this happens likens the natural lens of the eye to a pillow with feathers
inside. The lens contains many fibres (feathers) which grow throughout
life in the same way that hair and skin continues to grow. This is not
surprising considering that these tissues all come from the same founding
cells. When the lens is younger and has fewer fibres it is more flexible
and can change its shape more easily just as a pillow with fewer feathers
can. When the lens is older and has many more fibres this flexibility
is obviously lost which causes the near vision to blur.
How
do lenses work ? Lenses have the ability to bend light
or change its direction. A minus-powered lens causes light to diverge once
it has passed through, while a plus-powered lens does the opposite by converging
the light towards a point. A minus lens is generally thicker at the outside
edges than at the center and a plus lens is thicker at its center than at
the edge. This applies to both spectacle and contact lenses.
Minus Lenses and Short-sight
: 
As the short-sighted eye focuses light in front or short of the retina
it makes sense to use a minus lens to take the focus back to the retina.
It changes the direction of light before it enters the eye by making it
more divergent. This, coupled with the normal focusing of the short-sighted
eye, serves to place the focal point back on the retina assuming the correct
strength of prescription has been used.
Plus
Lenses and Long-sight : The long-sighted person's focus
is too far back so a plus-powered lens is ideal in order to create more
bending of light. This convergence of light occurs in front of the eye
and when the effect is coupled with that of the eye's normal focusing
the focal point is brought forwards onto the retina.
Plus Lenses and Presbyopia :
The visual experience of presbyopia is the same as that for long-sight
such that near objects are blurry. The difference is that long-sighted
individuals have a prescription for their distance as well as near vision
and that prescription is always plus-powered. Presbyopes have a more plus-powered
prescription up close only, while their distance vision could be perfect,
short-sighted or even astigmatic. So whatever the individuals distance
prescription may be, the near prescription is invariably always different.
Toroidal Lenses and Astigmatism
: The astigmatic eye possesses two main areas of curvature
causing light to focus shorter along one curve and further back along
the other. Since minus lenses push the focus of light further back and
plus lenses bring focal points forwards, a combination of the characteristics
of these lenses in a single lens would solve the problem of astigmatism.
This lens form is termed toroidal and in contact lenses the term toric
is often used.