Is 1000-degree acquired myopia hereditary?

Written by Li Zhen Dong
Ophthalmology
Updated on February 11, 2025
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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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What should I do if nearsightedness is inherited by my child?

Not all myopia is hereditary, but high myopia does have a genetic component. The occurrence of myopia is mainly related to genetic and environmental factors. If there are children in the family with a history of high myopia, they should develop good eye habits from a young age, or undergo genetic testing for high myopia. If myopia occurs, it can be corrected by wearing glasses, or by refractive surgery after reaching adulthood.

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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.

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Written by Zhou Qing
Ophthalmology
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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.

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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 Hu Shu Fang
Ophthalmology
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How can children with myopia recover their eyesight?

Children with myopia should go to a formal optometric center for eye examinations and to get properly prescribed glasses. After wearing glasses, it is important in daily life to not read or write in dim environments and to maintain a correct posture while reading or writing. Abide by the "rule of three": the distance between the eyes and the book should be about one foot; the distance between the body and the desk should be about one fist; and the distance from the tip of the pen to the holding point should be about one inch. This can help prevent the deepening of myopia in children. Additionally, after using the eyes for forty minutes, it is recommended to gaze into the distance or perform eye exercises to relieve eye fatigue. Children should engage in outdoor activities for more than two hours per day, and more than fourteen hours per week, and they should have regular check-ups, generally every six months, to ensure the prescription of the glasses matches the degree of myopia. Currently, there are also options like orthokeratology lenses that can be worn at night to effectively control the progression of myopia.