The vast majority of nearsightedness isn’t very strong. It can hurt the ability to read tiny letters or make out small details, but those aren’t really needed for hunting or gathering.
Also, reading or looking at screens a lot during childhood, when your eyes are still developing, cause cause or worsen nearsightedness. It’s a lot more common in modern society than it was back when hunting and gathering was a significant factor for the average person.
Near-sightedness is in large part an acquired condition due to too much close-in reading during childhood. Your eye ball grows longer to accommodate close in work at the expense of distance vision.
Fortunately, by the time society required children to spend hours a day reading, they also invented glasses.
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