High Myopia: Is Your Prescription Increasing? - Ophthalmology

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High myopia, also known as pathological myopia, is a condition where the eyeball elongates excessively, leading to a significant increase in the refractive error. This condition can lead to various complications, including retinal detachment, macular degeneration, and glaucoma. Your concern about whether your prescription is increasing is valid, especially given the nature of high myopia.

When you mention that you can see 1.0 (which typically indicates good vision) with your glasses but struggle to achieve the same clarity without them, it suggests that your current prescription is indeed necessary for optimal vision. The fact that you needed to adjust your prescription significantly to see clearly indicates that your myopia may have progressed.
In high myopia, it is common for individuals to experience changes in their prescription over time. This can be due to several factors, including the natural progression of the condition, changes in the shape of the eye, or even environmental factors such as prolonged near work or lack of outdoor activities.
To determine if your myopia is indeed increasing, it is essential to have regular eye examinations. During these exams, your eye care professional will measure your refractive error and assess the overall health of your eyes. They may also perform additional tests, such as retinal imaging, to check for any signs of complications associated with high myopia.

If your prescription has increased, it is crucial to address this with your eye care provider. They may recommend specific strategies to manage your myopia progression. These can include:
1. Orthokeratology (Ortho-K): This involves wearing specially designed contact lenses overnight to reshape the cornea temporarily, allowing for clear vision during the day without glasses or contacts.

2. Atropine Eye Drops: Low-dose atropine drops have been shown to slow the progression of myopia in children and adolescents.

3. Increased Outdoor Activity: Studies suggest that spending more time outdoors can help slow the progression of myopia in children.

4. Regular Eye Exams: Keeping up with regular check-ups will help monitor any changes in your vision and allow for timely interventions if necessary.

5. Corrective Lenses: Ensuring you have the correct prescription for your glasses or contact lenses is essential for maintaining good vision and reducing eye strain.

In conclusion, if you are noticing changes in your vision or an increase in your prescription, it is advisable to consult with your eye care professional. They can provide a comprehensive evaluation and discuss the best management strategies for your high myopia. Regular monitoring and proactive measures can help mitigate the risks associated with this condition and maintain your visual health.