Which is more serious, amblyopia or myopia?

Written by Luan Shu Lin
Ophthalmology
Updated on September 07, 2024
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Amblyopia and myopia are two different concepts; there is no comparative severity between them. Amblyopia refers to a condition where, despite correction, vision still does not reach 0.8, which is defined as amblyopia and generally occurs before the age of eight. Myopia, on the other hand, is a type of refractive error. This condition can be corrected by wearing eyeglasses, contact lenses, or through myopia surgery after reaching adulthood.

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Written by Peng Xi Feng
Ophthalmology
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The main cause of myopia formation

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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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 Li Zhen Dong
Ophthalmology
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The difference between nearsightedness and farsightedness.

Myopia is characterized by clear vision up close and blurred vision at a distance; hyperopia is characterized by clear vision at a distance and blurred vision up close. The main difference between myopia and hyperopia is the issue with the eye’s axial length. In an unaccommodated state, when parallel light rays enter the eye and focus in front of the retina, it is called myopia; when they focus behind the retina, it is called hyperopia. Myopic glasses are concave lenses, while hyperopic glasses are convex lenses. When myopia or hyperopia occurs, it is important to rest, reduce close-up activities, avoid eye fatigue, use eyes properly, eat a light diet, adjust your attitude, have regular check-ups, and pay attention to vision health.

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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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How to treat high myopia?

High myopia refers to a degree of nearsightedness above 1000 degrees. High myopia brings great troubles to people, even affecting their diet and preventing them from participating in high-intensity physical exercise. It may also lead to complications such as retinal detachment, cataracts, macular hemorrhage, macular degeneration, vitreous liquefaction degeneration, and glaucoma. The treatment of high myopia has always been a major challenge in ophthalmology. With the advent of refractive lens exchange surgery, after extensive clinical practice, it has now become a better option for correcting vision in patients with extremely high myopia. The refractive state of the eyeball is mainly determined by the refractive power of the eyeball and the length of the eye axis. In cases of nearsightedness, the lengthening of the eye axis causes the light to focus in front of the retina, making it difficult for patients to see distant objects clearly. During refractive lens exchange surgery, a concave lens specifically tailored to the patient is implanted into the eyeball to change the focal point of the light so that it accurately focuses on the retina, achieving the purpose of correcting nearsightedness. Refractive lens exchange surgery maintains the integrity and accommodative function of the eye's physiological structure, has a larger optical zone, eliminates aberrations, and has a wider range of adaptability compared to corneal refractive surgery. Post-surgery, patients experience less discomfort, faster vision recovery, stable refraction, and no regression phenomenon.