Managing High Myopia: Tips for Teachers with 1000-Diopter Vision - Ophthalmology

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Myopia of 1000 diopters?


Hello Doctor, I haven't had my vision checked in nearly ten years.
A few months ago, my vision increased from -7.00 diopters to -10.00 diopters.
After getting new glasses, I've recently experienced constant blinking, squinting, and a fear of looking at things.
When I don't wear my glasses, I don't have these symptoms.
I am a teacher and need to use my eyes seriously, especially when reading (which I love).
I'm wondering if I should get a lighter prescription for my glasses.
Thank you, Doctor.

Xiao Zhao, 30~39 year old female. Ask Date: 2022/08/08

Dr. Gao Pilin reply Ophthalmology


Hello, Xiao Chao: Due to wearing shallower glasses for a long time, it may take some time to adjust to the new, deeper glasses.
You might gradually get used to them.
If you experience such symptoms, you can use a pair of glasses with a lower prescription while reading, which will allow your eyes to relax more.

Reply Date: 2022/08/08

More Info


Managing high myopia, especially at a level of 1000 diopters, can be quite challenging, particularly for someone like you who is a teacher and relies heavily on their vision for reading and other tasks. It’s important to understand the implications of such a high degree of myopia and how to manage it effectively.

Firstly, high myopia (also known as pathological myopia) is characterized by an elongated eyeball, which can lead to various complications, including retinal detachment, glaucoma, and cataracts. With a prescription of 1000 diopters, your eyes are under significant strain, and this can lead to symptoms such as eye fatigue, discomfort, and the blinking or squinting you mentioned. These symptoms can be exacerbated by prolonged near work, such as reading or using a computer, which is common in your profession.

Here are some tips to help manage your condition:
1. Regular Eye Exams: Since you mentioned that you haven't had an eye exam in nearly ten years, it's crucial to schedule regular check-ups with an eye care professional. They can monitor the health of your eyes, check for any complications related to high myopia, and adjust your prescription as needed.

2. Corrective Lenses: While you have a new pair of glasses, if they feel too heavy or uncomfortable, you might want to consider lighter lenses. High-index lenses are thinner and lighter than standard lenses, which can reduce the weight on your nose and ears. Additionally, bifocal or progressive lenses can help if you need to switch between different focal lengths frequently.

3. Take Breaks: Implement the 20-20-20 rule to reduce eye strain. Every 20 minutes, take a 20-second break to look at something 20 feet away. This helps relax the eye muscles and can alleviate some of the discomfort you’re experiencing.

4. Proper Lighting: Ensure that your reading and working environment is well-lit. Poor lighting can increase eye strain, especially when reading. Use task lighting that illuminates your work area without causing glare on your screen or pages.

5. Blink Regularly: When focusing on reading or screens, people tend to blink less, which can lead to dryness and discomfort. Make a conscious effort to blink more often to keep your eyes moist.

6. Consider Contact Lenses: If glasses are causing discomfort, you might want to explore contact lenses. They can provide a wider field of vision and eliminate the weight of glasses on your face. However, it’s essential to consult with your eye care provider to determine if contacts are a suitable option for your level of myopia.

7. Eye Exercises: Some people find relief from eye strain through simple eye exercises. For example, focusing on a near object for a few seconds and then shifting focus to a distant object can help strengthen the eye muscles.

8. Healthy Lifestyle: Maintain a healthy diet rich in vitamins A, C, and E, omega-3 fatty acids, and antioxidants, which are beneficial for eye health. Staying hydrated is also crucial.

9. Limit Screen Time: If possible, reduce the amount of time spent on screens, as this can contribute to eye strain. If your job requires it, ensure you take regular breaks and use screen filters to reduce glare.

10. Manage Stress: Stress can exacerbate eye strain and discomfort. Consider relaxation techniques such as meditation, yoga, or deep-breathing exercises to help manage stress levels.

In summary, managing high myopia requires a proactive approach to eye care. Regular check-ups, appropriate corrective lenses, and good habits can significantly improve your comfort and visual health. If your symptoms persist or worsen, it’s essential to seek further evaluation from an eye care professional. Your vision is vital, especially in your role as a teacher, and taking these steps can help ensure you maintain the best possible eye health.

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