The main cause of myopia formation

Written by Peng Xi Feng
Ophthalmology
Updated on September 08, 2024
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Myopia is primarily caused by the focusing system of the eyeball focusing parallel light rays in front of the retina when our eyes are in a relaxed adjustment state. The far point of a myopic eye is at a certain point in front of the eye. The occurrence of myopia is influenced by a combination of factors including genetics and environment, and the incidence is still being explored. Based on the refractive components, myopia can be classified into refractive myopia and axial myopia. According to the degree of myopia, it can be classified into mild myopia (below 300 degrees), moderate myopia (300 to 600 degrees), and high myopia (above 600 degrees). The clinical manifestations of myopia include blurry distance vision but good near vision, often with fluctuating distance vision where squinting is needed to see clearly at a distance.

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Where is the incision made for nearsightedness surgery?

Firstly, myopia surgery essentially involves thinning the cornea by cutting it, which is like transferring the degree of myopia onto the cornea itself. Let's first talk about the layering of the cornea. From front to back, the cornea is divided into five layers, generally consisting of the epithelial layer, anterior elastic layer, stromal layer, posterior elastic layer, and the corneal endothelial layer. Among these layers, the stromal layer is the thickest, about 500 microns, accounting for over 90% of the total corneal thickness. Therefore, during myopia surgery, the main area of cutting is in the stromal layer of the cornea.

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What should we do if a child has severe myopia of 800 degrees?

Myopia can be divided into pseudomyopia and true myopia, with true myopia further categorized into low, moderate, and high degrees. Clinically, myopia exceeding 600 degrees is usually referred to as high myopia. High myopia not only causes blurred vision in children but can also lead to various eye diseases, such as retinal detachment. Thus, it is very serious. Moreover, once children develop high myopia, their vision might continue to deteriorate even into adulthood. Therefore, parents must pay significant attention. During childhood, methods such as wearing glasses can be used to control the progression of myopia. If the child has reached adulthood and their eyesight has not continued to worsen over two years, considering treatment options like surgery might be possible, though currently, it is incurable.

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Written by Hu Shu Fang
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How can children with myopia recover their eyesight?

Children with myopia should go to a formal optometric center for eye examinations and to get properly prescribed glasses. After wearing glasses, it is important in daily life to not read or write in dim environments and to maintain a correct posture while reading or writing. Abide by the "rule of three": the distance between the eyes and the book should be about one foot; the distance between the body and the desk should be about one fist; and the distance from the tip of the pen to the holding point should be about one inch. This can help prevent the deepening of myopia in children. Additionally, after using the eyes for forty minutes, it is recommended to gaze into the distance or perform eye exercises to relieve eye fatigue. Children should engage in outdoor activities for more than two hours per day, and more than fourteen hours per week, and they should have regular check-ups, generally every six months, to ensure the prescription of the glasses matches the degree of myopia. Currently, there are also options like orthokeratology lenses that can be worn at night to effectively control the progression of myopia.

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Can glaucoma patients undergo myopia surgery?

Glaucoma is a group of eye diseases characterized by atrophy of the optic nerve and defects in the visual field. Common symptoms include reduced vision, eye pain, and loss of visual field. In terms of treatment, it primarily involves the use of medications to control eye pressure or anti-glaucoma surgery to manage eye pressure, which helps delay the atrophy of the optic nerve and the loss of vision. However, since glaucoma has already caused damage to the optic nerve, it is generally not recommended to undergo myopia surgery, as it cannot improve vision.

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Can a child's 150-degree myopia be reversed?

Whether myopia of 150 degrees in children can be reversed depends on whether it is true myopia or pseudo-myopia. However, clinically, the vast majority of cases of 150-degree myopia are true myopia, so the chances of recovery are very small. Pseudo-myopia can be reversed through certain methods, such as protecting eyesight in daily life, developing scientific and reasonable eye habits, and regularly performing eye exercises. After a period, it is possible for the vision to return to normal. However, once true myopia occurs, current medical methods are unable to restore a child's vision to normal. Vision can only be corrected through methods such as wearing glasses, enabling the child's vision to reach a normal level. However, once glasses are removed, the child's vision remains myopic.