Myopia: Eye Health Tips and Treatment Options - Ophthalmology

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Vision problems


Hello Doctor, for the past two years, I have occasionally had difficulty seeing clearly at a distance.
I recently had an eye exam and both eyes have a myopia of -1.25 diopters.
I would like to ask a few questions:
1.
With both eyes at -1.25 diopters, I can see clearly when using my phone or computer.
Is it necessary for me to wear glasses? (I am 26 years old this year and am not used to wearing glasses.) If I choose not to wear glasses, will this cause my myopia to worsen, or is the difference only in clarity of vision?
2.
I often feel eye fatigue.
Would you recommend purchasing over-the-counter eye drops? Are there any specific brands you would suggest?
3.
Are there any methods to improve my myopia (besides laser surgery)?
Thank you for your answers, Doctor.

p, 20~29 year old female. Ask Date: 2023/02/14

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
You can wear glasses when needed.
2.
It is recommended to first determine if there are other factors contributing to eye fatigue, such as prolonged use of electronic devices or lack of sleep.
If necessary, please consult an ophthalmologist for a prescription.
Self-purchasing is not advised.
3.
Aside from surgical options like laser procedures, there is currently no evidence that can completely cure or reduce myopia.
However, some studies suggest that controlling screen time, increasing outdoor activities, maintaining proper nutrition and sleep, and performing certain eye exercises may help improve the progression of myopia.

Reply Date: 2023/02/14

More Info


Understanding myopia, or nearsightedness, is crucial for maintaining eye health, especially as we spend more time on screens and engage in activities that require prolonged near vision. Your concerns about your recent diagnosis of myopia at -1.25 diopters in both eyes, along with your experiences of visual fatigue, are common among individuals in your age group. Let's address your questions one by one.

1. Wearing Glasses for Myopia: With a prescription of -1.25, you may find that you can see well enough for most daily activities without glasses, especially if you are comfortable with your current vision. However, not wearing glasses can lead to visual strain, particularly during tasks that require clear distance vision, such as driving or watching television. While it is unlikely that not wearing glasses will significantly accelerate the progression of your myopia, it can contribute to eye fatigue and discomfort. The primary concern is not just clarity but also the overall health of your eyes. If you find yourself squinting or straining to see, it may be beneficial to wear glasses, even if only occasionally.

2. Eye Fatigue and Eye Drops: Experiencing eye fatigue is common, especially with increased screen time. While over-the-counter eye drops can provide temporary relief, it is essential to choose the right type. Artificial tears can help alleviate dryness and discomfort. Brands like Refresh, Systane, or TheraTears are popular and effective options. However, it is crucial to avoid drops that claim to "whiten" the eyes, as these can sometimes lead to rebound redness and further irritation. Additionally, practicing the 20-20-20 rule—taking a 20-second break to look at something 20 feet away every 20 minutes—can significantly reduce eye strain.

3. Improving Myopia: Unfortunately, there are no non-surgical methods proven to reverse myopia. However, certain lifestyle changes can help manage its progression. Engaging in outdoor activities has been shown to slow the progression of myopia in children and adolescents, likely due to increased exposure to natural light. Additionally, ensuring proper lighting when reading or using screens, maintaining a proper distance from screens, and taking regular breaks can help reduce eye strain. Some studies suggest that orthokeratology (the use of specially designed contact lenses to reshape the cornea overnight) may help manage myopia progression, but this should be discussed with an eye care professional.

In conclusion, while your current level of myopia may not necessitate immediate corrective lenses, it is essential to monitor your vision and consider wearing glasses if you experience discomfort. Regular eye exams are crucial for tracking any changes in your vision. If you continue to experience significant eye fatigue or other symptoms, consulting with an eye care professional for personalized advice and potential treatment options is advisable. Remember that maintaining good eye health involves a combination of proper vision correction, regular check-ups, and healthy visual habits.

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