Essential Tips for Managing High Myopia and Eye Health - Ophthalmology

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Precautions for High Myopia


Hello, Doctor! Due to work, I spend about 8-10 hours daily using electronic devices, and my myopia has increased by approximately 200 degrees over the past three years (L: 925 -> 1050, R: 600 -> 800).
An eye examination showed that my retina is normal, but my optic nerve condition is poor.
I feel a bit anxious about my situation… After researching a lot of eye care information, I have the following two questions and hope you can provide some advice:
1) I saw an eye heating pad in a store and would like to use it before bed (it has no massage function, just a regular rechargeable heating pad).
However, the precautions state, "Not recommended for myopia over 600 degrees." Is there a basis or reason for this?
2) Can individuals with high myopia engage in activities like jump rope, sit-ups, yoga (not inverted, not holding breath), and aerobic dance (like the more dynamic Korean dance routines)? Some say it's not advisable, while others say it's fine.
Thank you, Doctor, for taking the time to respond!

Xiao Xia, 20~29 year old female. Ask Date: 2017/10/19

Dr. Cai Wenyuan reply Ophthalmology


Hello, 1.
Since there is such a warning, let's adhere to it.
2.
It depends on the situation; if it's not too severe, there generally won't be any restrictions.
It's best to consult the examining physician.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/10/19

More Info


Managing high myopia, especially when it has progressed significantly, requires a multifaceted approach that includes lifestyle adjustments, regular eye examinations, and awareness of specific activities that may pose risks to eye health. Here are some essential tips for managing high myopia and maintaining eye health:

1. Understanding High Myopia
High myopia, defined as a refractive error greater than -6.00 diopters, can lead to various complications, including retinal detachment, glaucoma, and cataracts. Regular eye examinations are crucial to monitor the condition of your eyes and detect any potential complications early.


2. Screen Time Management
Given your extensive use of digital devices (8-10 hours daily), it's vital to implement the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice helps reduce eye strain and fatigue. Additionally, ensure that your screen is positioned at eye level and about 25 inches away from your eyes to minimize strain.


3. Eye Exercises and Rest
Incorporating eye exercises can help alleviate discomfort. Simple exercises include rolling your eyes, focusing on near and far objects, and blinking frequently to keep your eyes moist. If you find it challenging to take longer breaks, even short 5-minute breaks every 45 minutes can be beneficial.


4. Use of Heat Compresses
Regarding your question about using an eye heat compress, the caution against using such devices for individuals with high myopia (over 600 degrees) may stem from concerns about increased intraocular pressure or potential strain on the optic nerve. While heat can promote relaxation and improve blood circulation, it’s essential to consult with your eye care provider to ensure it’s safe for your specific condition.


5. Physical Activities
When it comes to physical activities like skipping rope, sit-ups, yoga, and aerobic dance, the general consensus is that moderate exercise is beneficial for overall health, including eye health. However, high-impact activities or those that involve sudden movements should be approached with caution, especially for individuals with high myopia. Activities that involve inversion (like certain yoga poses) or excessive straining (like holding your breath) may increase the risk of retinal detachment. It’s best to discuss your exercise routine with your eye care provider to tailor it to your needs.


6. Diet and Nutrition
A balanced diet rich in antioxidants, vitamins A, C, and E, and omega-3 fatty acids can support eye health. Foods such as leafy greens, fish, nuts, and fruits can help protect against oxidative stress and support overall eye function.


7. Protective Eyewear
Consider wearing protective eyewear during activities that could pose a risk to your eyes, such as sports or when using power tools. This can help prevent injuries that could exacerbate your myopia.


8. Regular Eye Check-ups
Regular visits to your eye care professional are essential for monitoring your myopia and overall eye health. They can provide personalized advice based on your specific condition and any changes in your vision.


9. Managing Anxiety
Feeling anxious about your vision is understandable, especially with the progression of myopia. Engaging in relaxation techniques, such as mindfulness or yoga (avoiding inversions), can help manage stress and anxiety related to your eye health.


Conclusion
In summary, managing high myopia involves a combination of lifestyle adjustments, regular monitoring, and careful consideration of activities that may impact your eye health. By following these tips and maintaining open communication with your eye care provider, you can take proactive steps to protect your vision and overall eye health. Always prioritize your eye care and seek professional advice tailored to your specific needs.

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