Compared with spectacles, do hyperopes accommodate more or less with contact lenses?

• A. More
• B. Less
• C. About the same
• D. Not at all

Answer: (B)

When a farsighted eye uses lenses, the amount of accommodation needed depends on where the corrective power is located relative to the eye. Contact lenses sit directly on the cornea, delivering the correction without the extra distance (vertex distance) between lens and eye that spectacles have. That closer, more direct correction means the eye’s own focusing system has less work to do, especially for near tasks. As a result, hyperopes tend to use less accommodation with contact lenses than with spectacles.