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 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 Li Zhen Dong
Ophthalmology
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What is the uncorrected visual acuity of high myopia?

Myopia can be classified as mild myopia from 200-400 degrees, moderate myopia from 400-600 degrees, and high myopia as above 600 degrees. What is the uncorrected visual acuity for high myopia? There is no clear pattern for this because a visual acuity of 0.1 may be corrected to 1.0 with just 50 degrees, or it might not reach 0.5 even with 1000 degrees. Therefore, uncorrected visual acuity is not a standard measure for high myopia. The level of uncorrected visual acuity depends on the condition of the eye's axial length and diopter. If the change in the axial length is not significant, a minor uncorrected visual acuity is not crucial, and the required correction might be very low. Conversely, the longer the axial length, the higher the correction needed might be.

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Written by Li Zhen Dong
Ophthalmology
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Can eye fatigue lead to nearsightedness?

Myopia is characterized by clear vision up close but blurry vision at a distance, primarily caused by changes in the eye's axial length. Several factors contribute to the development of myopia: first, hereditary factors; second, inappropriate use of eyes, such as prolonged usage leading to eye fatigue, which can worsen the degree of myopia. Typically, the development of myopia occurs under the age of 20. After 20, there shouldn't be further development; if there is, it is referred to as pathological myopia. Therefore, it is important for patients with myopia or eye fatigue to use their eyes correctly, reduce close-up activities to avoid eye strain, and have regular check-ups to monitor their vision.

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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.