Why can't true myopia be reversed?

Written by Li Zhen Dong
Ophthalmology
Updated on February 13, 2025
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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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Can glaucoma patients undergo myopia surgery?

Glaucoma is a group of eye diseases characterized by atrophy of the optic nerve and defects in the visual field. Common symptoms include reduced vision, eye pain, and loss of visual field. In terms of treatment, it primarily involves the use of medications to control eye pressure or anti-glaucoma surgery to manage eye pressure, which helps delay the atrophy of the optic nerve and the loss of vision. However, since glaucoma has already caused damage to the optic nerve, it is generally not recommended to undergo myopia surgery, as it cannot improve vision.

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How is the surgery for nearsightedness?

The choice and design of myopia surgery methods need to be comprehensively considered based on factors such as the patient's preoperative examination results and postoperative vision requirements. Generally, patients can choose laser myopia surgery. If high visual acuity is needed due to study or work, or if there is high physical activity after surgery, it is recommended to choose a safer surgical option. This is because minimally invasive technology causes less trauma to the corneal nerves, which can more effectively improve postoperative night vision, greatly enhance visual quality, and better stabilize postoperative vision.

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Written by Li Zhen Dong
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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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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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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.