Water has a higher refractive index than air; it's similar to that of the cornea of the eye. Light entering the cornea from water is hardly refracted at all, leaving only the eye's crystalline lens to focus light. This leads to very severe hypermetropia. People with severe myopia, therefore, can see better underwater without a mask than normal-sighted people.

Diving masks, dive helmets and fullface masks solve this problem by creating an air space in front of the diver's eyes. The refraction error created by the water is mostly corrected as the light travels from water to air through a flat lens, except that objects appear approximately 34% bigger and 25% closer in salt water than they actually are. Therefore total field-of-view is significantly reduced and eye-hand coordination must be adjusted.

(This affects underwater photography: a camera seeing through a flat window in its casing is affected the same as its user's eye seeing through a flat mask window, and so its user must focus for the apparent distance to target, not for the real distance.)

Divers who need corrective lenses to see clearly outside the water would normally need the same prescription while wearing a mask. Generic and custom corrective lenses are available for some two-window masks. Custom lenses can be bonded onto masks that have a single front window.

A "double-dome mask" has curved windows in an attempt to cure these faults, but this causes a refraction problem of its own.

On rare occasions, commando frogmen use special contact lenses instead, to see underwater without the large glass surface of a diving mask, which can reflect light and give away the frogman's position.

As a diver changes depth, he must periodically exhale through his nose to equalize the internal pressure of the mask with that of the surrounding water. Swimming goggles which only cover the eyes do not allow for equalization and thus are not suitable for diving.