Is a child's vision of 4.7 considered nearsighted?

Written by Lian Wen Xi
Pediatrics
Updated on March 24, 2025
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Children's vision at 4.7 does require a comprehensive analysis to determine if they are nearsighted. Generally, a child with a vision of 4.7 is likely to be nearsighted, but this single parameter should not be used to diagnose myopia. It's necessary to differentiate whether the child has true myopia or false myopia.

Additionally, the issue could be amblyopia, astigmatism, or farsightedness. Moreover, the child's age also plays a significant role in assessing vision. For instance, a vision of 4.7 might indicate nearsightedness in a child aged seven or eight, but for a child around three years old, a vision of 4.7 is considered normal. Parents are advised to take their child to the hospital for a dilated refraction test to ascertain the specific condition.

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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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What lenses should be used for nearsightedness?

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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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.

doctor image
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Written by Lian Wen Xi
Pediatrics
51sec home-news-image

Is a child's vision of 4.7 considered nearsighted?

Children's vision at 4.7 does require a comprehensive analysis to determine if they are nearsighted. Generally, a child with a vision of 4.7 is likely to be nearsighted, but this single parameter should not be used to diagnose myopia. It's necessary to differentiate whether the child has true myopia or false myopia. Additionally, the issue could be amblyopia, astigmatism, or farsightedness. Moreover, the child's age also plays a significant role in assessing vision. For instance, a vision of 4.7 might indicate nearsightedness in a child aged seven or eight, but for a child around three years old, a vision of 4.7 is considered normal. Parents are advised to take their child to the hospital for a dilated refraction test to ascertain the specific condition.

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Written by Li Zhen Dong
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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.