Can Wearing Weaker Glasses Improve Vision and Reduce Myopia? - Ophthalmology

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Can wearing glasses with a lower prescription for myopia improve vision?


If adults frequently focus on nearby objects or use computers, can wearing glasses with a lower prescription than their measured myopia improve vision or reduce myopia? If it can reduce myopia, is it possible to gradually decrease the prescription strength of the glasses over time?

fc, 20~29 year old female. Ask Date: 2016/12/01

Dr. Cai Wenyuan reply Ophthalmology


Hello, there is no such statement.
Wishing you peace and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/12/01

More Info


Wearing weaker glasses to improve vision and reduce myopia is a topic that has garnered significant attention, particularly among adults who spend considerable time focusing on near tasks, such as using computers or reading. The idea of using weaker prescriptions to alleviate visual strain and potentially reduce myopia progression is appealing, but it is essential to understand the underlying principles of myopia and the effects of wearing glasses.

Myopia, or nearsightedness, occurs when the eye is longer than normal or when the cornea is too curved, causing light rays to focus in front of the retina rather than directly on it. This results in blurred distance vision while near vision remains clear. The primary treatment for myopia is corrective lenses, which help to refocus light onto the retina, allowing for clearer vision.

When it comes to wearing weaker glasses, there are a few considerations:
1. Visual Comfort: Wearing weaker glasses may provide temporary relief from visual discomfort, especially during prolonged near tasks. However, this does not mean that it will improve your vision or reduce your myopia in the long term. In fact, using weaker prescriptions can lead to increased eye strain, headaches, and visual fatigue, particularly if the prescription is significantly weaker than what is needed.

2. Myopia Progression: Research indicates that myopia tends to progress during childhood and adolescence, and while some adults may experience stabilization, others may continue to see changes in their prescription. Wearing weaker glasses does not inherently slow down the progression of myopia. In fact, it may lead to a reliance on stronger prescriptions over time as the eyes struggle to compensate for inadequate correction.

3. Adaptation: The eyes can adapt to different prescriptions, but this adaptation does not equate to a reduction in myopia. If you wear weaker glasses, your eyes may become accustomed to the reduced clarity, but this does not change the underlying refractive error. Over time, you may find that you need to increase your prescription again to achieve the same level of clarity.

4. Potential Risks: Prolonged use of weaker glasses can lead to a cycle of visual discomfort and increased dependency on corrective lenses. It is crucial to have regular eye examinations to monitor your vision and ensure that your prescription is appropriate for your needs.

5. Alternative Approaches: Instead of relying on weaker glasses, consider other methods to manage myopia. These include:
- Orthokeratology: This involves wearing specially designed contact lenses overnight to reshape the cornea temporarily.

- Multifocal or bifocal lenses: These can help reduce the strain associated with near tasks.

- Lifestyle changes: Incorporating regular breaks during prolonged near work, practicing the 20-20-20 rule (looking at something 20 feet away for 20 seconds every 20 minutes), and spending more time outdoors can help manage myopia progression.

In conclusion, while wearing weaker glasses may provide some short-term comfort, it is not a recommended strategy for improving vision or reducing myopia. It is essential to consult with an eye care professional to determine the best course of action for your specific situation. Regular eye exams and appropriate corrective lenses tailored to your needs are crucial for maintaining optimal eye health and vision clarity.

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