What lenses should be used for nearsightedness?

Written by Zheng Xin
Ophthalmology
Updated on September 20, 2024
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Myopia, or nearsightedness, refers to a refractive condition where, in a relaxed state of accommodation, parallel light rays are focused in front of the retina after passing through the eye's refractive system. Myopia is categorized by degree into mild myopia, which is less than or equal to 300 degrees, moderate myopia ranging from 325 to 600 degrees, and high myopia, which is over 600 degrees. Generally, the degree of myopia is within 600 degrees, and most patients do not exhibit any pathological changes in the fundus. They require the use of suitable concave lenses for correction. If the degree of myopia exceeds 600 degrees, a fundus examination is necessary. If there are no special changes in the fundus, correction can also be made using appropriate concave lenses.

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Written by Zheng Xin
Ophthalmology
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Does nearsightedness surgery require hospitalization?

Myopia surgery does not require hospitalization; it is completed on an outpatient basis. Before the surgery, routine blood tests, screenings for infectious diseases, and specialized eye examinations are conducted. If the pre-operative examinations are thorough and there are no contraindications for surgery, the procedure can be performed on an outpatient basis. After the surgery, patients can go home and must return to the surgical hospital the next day for a follow-up examination. Post-operative medication should be used as prescribed by the surgeon, and regular follow-up appointments should be scheduled.

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Written by Li Zhen Dong
Ophthalmology
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Is 1000-degree acquired myopia hereditary?

High myopia of 1000 degrees can also be inherited. The inheritance of myopia is mainly significant in cases of high myopia. If both parents have high myopia, the heritability is almost above 90%. If one parent has high myopia, the heritability is 45%. If neither parent is myopic, the heritability is nearly 5%. Myopia is primarily formed due to improper use of eyes rather than hereditary factors, which are relatively rare and generally only account for about 10% of myopia cases. Therefore, correct use of eyes is very important.

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Written by Zheng Xin
Ophthalmology
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Does nearsightedness surgery involve holding the eyelid open?

Eye surgery, apart from eyelid surgery, requires the use of a speculum to hold the eyelids open to fully expose the field of vision for surgeries involving the eyeball and the inside of the eye. Myopia surgery, which involves the surface of the eyeball, also necessitates holding the eyelids open. The surgery can then be performed with the aid of a laser.

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Written by Deng Jiang Tao
Ophthalmology
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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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Written by Li Zhen Dong
Ophthalmology
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Does nearsightedness surgery require an incision?

There are two types of myopia surgery. One is performed using lasers, and the other involves making a small incision on the edge of the cornea to implant an artificial lens into the eye. Corneal laser surgery uses a laser to create a concave mirror on the cornea to resolve the symptoms of blurry vision when looking at distant objects. The ICL surgery, which involves the implantation of an artificial lens, significantly improves the patient's vision after the procedure. Both types of myopia surgeries are currently quite advanced in terms of technology. Therefore, patients who wish to stop wearing glasses and have clear indications from pre-operative examinations can consider undergoing myopia surgery treatment.