Alternative Vision Correction Options for Myopia and Astigmatism - Ophthalmology

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Correction of myopia


Hello: My sister is about to turn 18.
Her left eye has no myopia but has astigmatism of approximately 150 degrees, while her right eye has myopia of 450 degrees and no astigmatism.
I would like to know if there are other correction options besides orthokeratology.
Thank you.

Shuang, 20~29 year old female. Ask Date: 2022/02/06

Dr. Gao Pilin reply Ophthalmology


Hello, you can wear contact lenses.
Alternatively, you can consider laser treatment after turning eighteen.
If you are comfortable wearing regular glasses, that is also a viable option.

Reply Date: 2022/02/06

More Info


Hello! It's great that you're looking into vision correction options for your sister. Myopia (nearsightedness) and astigmatism are common refractive errors that can significantly affect one's quality of life, especially at a young age. While orthokeratology (corneal reshaping) is a popular option, there are several other alternatives to consider for correcting these vision issues.

1. Eyeglasses: This is the most straightforward and non-invasive method for correcting myopia and astigmatism. Prescription glasses can be tailored to your sister's specific needs, providing clear vision without the need for surgery. For astigmatism, cylindrical lenses are used to correct the uneven curvature of the cornea.

2. Contact Lenses: Soft contact lenses are available for both myopia and astigmatism. Toric contact lenses are specifically designed for astigmatism and can provide excellent vision correction. Additionally, there are rigid gas permeable (RGP) lenses that can also correct both conditions effectively. Contact lenses offer a wider field of vision compared to glasses and are often preferred by active individuals.

3. Refractive Surgery: If your sister is considering a more permanent solution, refractive surgery options such as LASIK or PRK (Photorefractive Keratectomy) could be explored. These procedures reshape the cornea to correct refractive errors. However, it's essential to ensure that her eyes are fully developed and stable before considering surgery, which is typically recommended for individuals over 18.

4. Implantable Contact Lenses (ICL): For individuals who may not be suitable candidates for laser surgery, ICLs can be an excellent alternative. These lenses are surgically implanted in the eye and can correct myopia and astigmatism without altering the cornea.

5. Vision Therapy: In some cases, vision therapy may be recommended, especially if there are underlying issues with eye coordination or focusing. This is more common for conditions like strabismus (crossed eyes) or convergence insufficiency, but it can also help improve visual skills.

6. Lifestyle Adjustments: Encouraging good eye health practices can also be beneficial. This includes taking regular breaks from screens (the 20-20-20 rule), ensuring proper lighting while reading, and maintaining a healthy diet rich in vitamins A, C, and E, which are known to support eye health.

7. Regular Eye Exams: It's crucial for your sister to have regular eye examinations to monitor her vision and eye health. This will help in making timely adjustments to her prescription and exploring new options as they become available.

In conclusion, there are various alternatives to corneal reshaping for correcting myopia and astigmatism. The best option will depend on her specific needs, lifestyle, and preferences. It would be beneficial for her to consult with an eye care professional who can provide personalized recommendations based on a comprehensive eye examination. This way, she can make an informed decision about the best vision correction method for her. Thank you for your inquiry, and I hope this information helps you and your sister!

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