Will nearsightedness be inherited?

Written by Li Zhen Dong
Ophthalmology
Updated on September 11, 2024
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Myopia has a certain hereditary aspect, but it is mainly caused by improper use of the eyes. Myopia is characterized by clear near vision and blurred distant vision, primarily due to changes in the eye's axial length. After the onset of myopia, it is crucial to properly dilate the pupils and conduct an optometric examination to rule out false myopia and amblyopia. Currently, the main treatments for myopia are still corrective glasses or orthokeratology lenses. Surgical treatment can also be considered for individuals aged 20 to 45. Once myopia develops, proper eye usage should be practiced, reducing close-range activities to avoid eye strain, and regular follow-ups are advised.

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Written by Huang Kun Mei
Pediatrics
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Can massage cure myopia in children?

If a child develops myopia, it generally cannot be cured through massage. Depending on the specific case of myopia, if it is pseudo-myopia, it can be cured by massage. However, if it is confirmed as myopia after a dilated eye examination, massage cannot cure it. Once a child has myopia, the degree of myopia can increase by 50-100 degrees per year, so it is essential to control it promptly. After a series of examinations, if the child is suitable for orthokeratology lenses, these lenses should be used as they are the best method to control myopia.

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Written by Wang Fang
Ophthalmology
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Can eye fatigue cause nearsightedness?

Eye fatigue can exacerbate myopia, and it is an important factor in worsening nearsightedness. When the eyes look into the distance, they are in a completely relaxed state, which does not cause or worsen myopia. Myopia occurs due to near-distance eye activities. Prolonged close-distance eye activities and working too closely can lead to chronic fatigue in the external eye muscles. When this happens, the eye axis is stretched and, over time, cannot fully return to its original state, resulting in the onset or worsening of myopia. Therefore, during daily eye use, it is essential to avoid excessive duration and too close distances to prevent fatigue and thus avoid worsening myopia.

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Written by Li Zhen Dong
Ophthalmology
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Why can't true myopia be reversed?

True myopia is mainly characterized by the elongation of the eyeball, and the current medical level cannot solve the problem of eyeball elongation. Therefore, its nature cannot be changed, which means it cannot be reversed. Present treatment methods can only alleviate the symptoms of blurred vision when viewing distant objects in myopic patients, but cannot resolve the fundamental nature of myopia. Current treatment options include prescription glasses, orthokeratology lenses, contact lenses, and surgical treatments. Surgical options include corneal laser surgery and ICL (implantable collamer lens) surgery. After the onset of myopia, it is important to rest and use the eyes correctly to prevent further progression of the condition.

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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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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.