Nearsightedness (Myopia)

Nearsightedness, also known as myopia, is a common refractive error where close objects appear clear, but distant objects are blurry. People with nearsightedness may have difficulty seeing clearly beyond a certain distance, which can affect activities like driving or watching television. This condition occurs when the eyeball is too long or the cornea is too curved, causing light to focus in front of the retina instead of directly on it.

As a result, individuals with myopia often experience eyestrain, headaches, or squinting when trying to see distant objects clearly. Myopia can develop or worsen during childhood and adolescence, impacting millions of people globally.


Symptoms of nearsightedness (myopia) may include:

  • Blurred vision when looking at distant objects.
  • Difficulty seeing clearly while driving, watching TV, or recognizing faces from a distance.
  • Eyestrain or headaches, especially after prolonged periods of focusing on distant objects.
  • Squinting or blinking frequently to try and see more clearly.

These symptoms can vary in intensity depending on the severity of myopia. Regular eye examinations are crucial for early detection and management of myopia to ensure optimal eye health and clear vision for daily activities.

Causes & Risk Factors:

Causes of nearsightedness (myopia) may include:

  • Eyeball shape: Myopia often occurs when the eyeball is too long or the cornea is too curved, causing light to focus in front of the retina instead of directly on it.
  • Genetic factors: A family history of myopia can increase the likelihood of developing the condition.
  • Environmental factors: Prolonged near work, such as reading or computer use, especially during childhood and adolescence, may contribute to the development or progression of myopia.
  • Age-related changes: While myopia often develops during childhood, it can continue to progress into young adulthood as the eye continues to grow and change.
  • Medical conditions: Certain health conditions, such as diabetes or cataracts, can affect the shape or structure of the eye, leading to myopia.

These factors disrupt the normal visual focusing process, resulting in difficulty seeing distant objects clearly without corrective lenses or treatment.

Testing & Diagnosis:

Testing and diagnosis of myopia (nearsightedness) typically involve:

  • Visual Acuity Testing: This assesses clarity of vision at various distances using an eye chart, such as the Snellen chart or a near vision card, to determine if close objects are seen more clearly than distant ones.
  • Refraction Test: A refraction test helps measure the degree of myopia by determining the precise eyeglass prescription needed to correct vision. This involves looking through a series of lenses to find the combination that provides the sharpest vision.
  • Eye Health Examination: An eye health evaluation is conducted to assess the overall health of the eyes, including examining the retina, optic nerve, and other structures, to rule out any underlying conditions or complications associated with myopia.
  • Cycloplegic Refraction: In some cases, especially for children or individuals with significant myopia, a cycloplegic refraction may be performed. This involves using eye drops to temporarily paralyze the muscles that help focus the lens, providing a more accurate assessment of refractive error.

These tests and evaluations help our team accurately diagnose myopia and determine the most appropriate treatment options to improve vision and maintain eye health.

Treatment Options

Some common treatment options for myopia (nearsightedness) include:

  • Prescription Eyeglasses: Corrective lenses prescribed based on the degree of myopia can refocus light onto the retina, improving distance vision.
  • Contact Lenses: Depending on individual preferences and lifestyle, contact lenses can provide clear vision without the need for eyeglasses.
  • Refractive Surgery: Procedures such as LASIK (Laser-Assisted In Situ Keratomileusis) and PRK (Photorefractive Keratectomy) reshape the cornea to adjust how light is focused onto the retina, reducing or eliminating the need for corrective lenses.
  • Orthokeratology (Ortho-K): This involves wearing specially designed contact lenses overnight to temporarily reshape the cornea, providing clear vision throughout the day without corrective lenses.
  • Atropine Eye Drops: Low-dose atropine eye drops may be prescribed to slow the progression of myopia in children.

The choice of treatment depends on factors such as the severity of myopia, age, lifestyle, and personal preferences. Regular follow-up visits are important to monitor vision changes and adjust treatments as needed to maintain optimal visual acuity and eye health.

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