Will Wearing Glasses Cause My Normal Eye to Become Nearsighted? - Ophthalmology

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Binocular disparity


I have a difference of about 100 degrees between my two eyes (one is normal and the other is nearsighted), and I wear glasses.
I would like to know if wearing glasses for a long time will cause the normal eye to become nearsighted as well.

Jie Sen, 10~19 year old female. Ask Date: 2022/09/01

Dr. Gao Pilin reply Ophthalmology


Hello, Jiefeng: As long as you pay attention to eye care, wearing glasses will not cause myopia.
In fact, if there is a disparity in vision, it is even more important to wear glasses.

Reply Date: 2022/09/01

More Info


Wearing glasses, especially if they are prescribed for nearsightedness (myopia), does not inherently cause the normal eye to become nearsighted. However, there are several factors to consider regarding the relationship between wearing glasses and the development of myopia in the unaffected eye.

First, it’s essential to understand how myopia develops. Myopia occurs when the eyeball is too long or the cornea is too curved, causing light rays to focus in front of the retina instead of directly on it. This condition is often influenced by genetic factors, environmental factors, and visual habits. For instance, prolonged near work, such as reading or using screens, can contribute to the progression of myopia.

When you wear glasses, they are designed to correct the refractive error of your vision. If you have one eye that is normal and the other that is nearsighted, wearing glasses will help you see clearly with both eyes. However, if you rely heavily on your glasses for prolonged periods, especially for near tasks, it may lead to increased visual stress on the normal eye. This stress can potentially contribute to changes in the eye over time, but it does not directly cause the eye to become nearsighted.

Moreover, the phenomenon of "accommodative lag" can occur when the eye struggles to focus on near objects, which may lead to visual discomfort. If the normal eye is frequently subjected to visual strain without proper breaks or adjustments, it may lead to a gradual change in its refractive status. This is particularly relevant for individuals who spend a lot of time on close-up tasks without adequate visual hygiene practices.

It’s also worth noting that if you have a family history of myopia, you may be at a higher risk of developing myopia in your normal eye, regardless of whether you wear glasses or not. Regular eye examinations are crucial, as they can help monitor any changes in your vision and allow for timely interventions if necessary.

To mitigate the risk of developing myopia in your normal eye, consider the following recommendations:
1. Practice the 20-20-20 Rule: Every 20 minutes of near work, take a 20-second break and look at something 20 feet away. This helps reduce eye strain.

2. Ensure Proper Lighting: When reading or working on tasks, make sure you have adequate lighting to reduce strain on your eyes.

3. Limit Screen Time: Try to reduce the amount of time spent on screens, and take regular breaks to allow your eyes to rest.

4. Engage in Outdoor Activities: Studies suggest that spending time outdoors may help reduce the risk of developing myopia, as natural light and distance vision are beneficial for eye health.

5. Regular Eye Exams: Keep up with regular eye check-ups to monitor your vision and make adjustments to your prescription as needed.

In summary, while wearing glasses does not directly cause your normal eye to become nearsighted, the way you use your eyes and the visual habits you develop can influence your overall eye health. By practicing good visual hygiene and being mindful of your eye care, you can help maintain the health of both your eyes. If you have any concerns about your vision or the effects of wearing glasses, it’s always best to consult with an eye care professional for personalized advice and recommendations.

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