This article presents three cases of decreased vision due to acquired
hyperopia, which were caused by a chalazion of the upper eyelid. Throu
gh manifest refraction and computerized corneal topographic analysis,
acquired hyperopia associated with central corneal flattening was reve
aled. These findings were responsible for the blurred vision that was
reversed by chalazion resolution or removal. Although not usually cons
idered a risk factor for refractive disorders other than astigmatism,
chalazia of the upper eyelid can present as a decrease in vision assoc
iated with reversible central corneal flattening and acquired hyperopi
a.