Where is the incision made for nearsightedness surgery?

Written by Deng Jiang Tao
Ophthalmology
Updated on August 31, 2024
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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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Is nearsightedness surgery safe?

Myopia surgery is relatively safe, but it is essential to understand the specific indications and contraindications before undergoing such a procedure. Firstly, myopia surgery involves operations on the cornea, including the creation of a concave lens on the surface, and intraocular procedures, such as the implantation of artificial lenses for those with lens-related issues. If there are other underlying retinal problems, these conditions are absolute contraindications. For surgeries on the cornea, it is crucial to measure the corneal thickness and rule out conditions like keratoconus. Once the contraindications and indications are properly assessed, these surgeries are very safe to perform.

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Written by Huang Kun Mei
Pediatrics
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Children's myopia lacks which trace elements?

The relationship between myopia in children and the lack of trace elements is not significant. Myopia is generally caused by several reasons: The first is hereditary factors, where one or both parents may have myopia. The second reason is poor eye habits in children, such as sitting too close to the desk while doing homework, or excessive use of the eyes, like watching TV or spending a long time on mobile phones, which can easily lead to myopia in children. Once a child develops myopia, the degree could increase by 50-100 degrees each year. Thus, if this is the case, it is necessary to conduct a timely dilated optometry for the child to confirm whether they can wear orthokeratology lenses. If the child is over eight years old and all conditions are suitable, orthokeratology lenses can be prescribed to control the progression of myopia.

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Written by Hu Shu Fang
Ophthalmology
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What department should you visit for nearsightedness?

People with nearsightedness should visit the ophthalmology department, as it is a major type of refractive error in outpatient services. Nearsightedness means clarity when looking at close objects, but blurriness when viewing objects at a distance. Currently, nearsightedness in adolescents is a significant health issue in China. Patients with nearsightedness should see an ophthalmologist at a qualified hospital for eye examinations to rule out any eye diseases, and then wear prescription glasses with the correct diopters to prevent the progression of nearsightedness. Additionally, those with nearsightedness must regularly visit the doctor to check their eyes.

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Written by Li Zhen Dong
Ophthalmology
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Should the degree of myopia sunglasses be the same as the degree of myopia?

If you want to customize sunglasses or photochromic glasses with a prescription, the prescription should be exactly the same as that used for regular prescription glasses. The main purpose of these glasses is to protect the eyes from direct exposure to light, which can lead to excessive eye strain and cause symptoms like eye fatigue, pain, bulging, soreness, or the sensation of a foreign body in the eye. Typically, it is acceptable to use such glasses for prescriptions up to 500 degrees. However, it is generally not advisable for patients with high myopia, as these glasses do not provide clear vision.

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Does myopia correction rebound?

Will there be a rebound after myopia correction surgery? Generally, it relates to two aspects. The first is associated with your pre-surgery degree of myopia; the second relates to your habits in using your eyes after the surgery. Generally speaking, the higher the degree of myopia before the surgery, the more likely a rebound will occur. Roughly speaking, if your degree of myopia was above 700 degrees before the surgery, there's about a 20% to 30% chance of rebounding. However, a rebound does not mean it will return to the previous degree of over 700; typically, it might rebound by around 100 to 200 degrees. The second aspect is significantly related to your post-surgery visual habits. If, after the surgery, you frequently use computers, read documents, or use your phone, there’s a higher chance of experiencing some degree of rebound. Conversely, if your screen time is less, the proportion of myopia rebound tends to be smaller.