Myopia Progression Risks: Is 475 Diopters as Concerning? - Ophthalmology

Share to:

Probability of Myopic Degeneration


1.
Doctor, is my risk of complications similar to that of someone with -5.00 or -6.00 diopters, given that my myopia is -4.75 diopters in both eyes?
2.
Is the risk of complications really high for those with -5.00 or -6.00 diopters? I've seen online that the risk for complications at -5.00 or -6.00 diopters is several times higher, and it makes me feel very anxious.

Hi, 10~19 year old female. Ask Date: 2023/03/25

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
Your myopia is -4.75 diopters, which may have a slightly lower risk of complications compared to those with -5.00 or -6.00 diopters.
However, it is still important to pay attention to your eye health, as individual factors such as the shape of the eyeball, corneal thickness, and eye usage habits can all influence the risk of complications.
2.
High myopia (greater than -5.00 diopters) does indeed increase the risk of certain vision problems, such as retinal detachment, glaucoma, and cataracts.
However, not all individuals with high myopia will experience these issues, and the multiplicative risk factors mentioned online are typically based on statistical data and do not represent every individual's situation.
If you have any concerns, it is advisable to seek medical advice and undergo regular eye examinations to maintain eye health.

Reply Date: 2023/03/25

More Info


Myopia, or nearsightedness, is a common refractive error where distant objects appear blurry while close objects can be seen clearly. The degree of myopia is measured in diopters (D), and higher levels of myopia are associated with an increased risk of various ocular complications, including retinal detachment, glaucoma, and myopic maculopathy. Your concern about having a myopia of 475 diopters and its associated risks is valid, especially when considering the potential complications that can arise with higher levels of myopia.

To address your first question, the risk of developing complications from myopia does increase with the severity of the condition. While a myopia of 475 diopters is significant, it is generally considered less severe than myopia of 500 or 600 diopters. However, the difference in risk is not merely linear; rather, it can be influenced by various factors, including the individual's overall eye health, family history of eye diseases, and lifestyle factors such as screen time and outdoor activity. Studies have shown that individuals with high myopia (typically defined as -6.00 D or worse) have a significantly higher risk of developing serious eye conditions compared to those with lower levels of myopia.
Regarding your second question, the risk of complications indeed increases with myopia levels of 500 and 600 diopters. Research indicates that individuals with high myopia are at a greater risk for conditions such as myopic maculopathy, which can lead to vision loss, and retinal detachment, which is a medical emergency. The statistics you may have seen online suggesting that the risk of complications is several times higher for those with 500 or 600 diopters compared to those with lower levels are generally accurate. For instance, studies have indicated that the risk of retinal detachment can be up to 10 times higher in individuals with high myopia compared to those with mild myopia.

It's important to note that while the risks are higher for those with severe myopia, not everyone with high myopia will experience complications. Regular eye examinations and monitoring by an eye care professional are crucial for early detection and management of any potential issues. Additionally, there are preventive measures that can be taken, such as managing screen time, ensuring adequate outdoor activity, and possibly considering interventions like orthokeratology or myopia control lenses, which may help slow the progression of myopia.

In conclusion, while a myopia of 475 diopters does carry some risk for complications, it is generally lower than that associated with 500 or 600 diopters. However, it is essential to maintain regular check-ups with an eye care professional to monitor your eye health and address any concerns you may have. If you have specific worries about your vision or the progression of your myopia, discussing these with your eye doctor can provide you with personalized advice and reassurance.

Similar Q&A

Managing Myopia Progression: The Role of Cycloplegic Agents

Hello, doctor. I am currently a senior in high school, and my eyesight is -500 diopters in both eyes. My myopia has been rapidly increasing, with an increase of about 50 diopters in the past six months. I would like to ask the doctor: 1. Is it still effective to use atropine eye ...


Dr. Gao Pilin reply Ophthalmology
Hello: Mydriatic agents need to be used at appropriate concentrations. If the control effect is inadequate, a higher concentration medication may be required. However, higher concentrations can lead to more side effects, and patients may be more light-sensitive, so careful consid...

[Read More] Managing Myopia Progression: The Role of Cycloplegic Agents


Understanding Myopia: Causes, Risks, and Management Strategies

I have been wearing glasses since elementary school. Currently, my myopia in the right eye has reached -9.25 diopters, with a difference of about 3.00 diopters between both eyes. Why has my prescription not stabilized? Will such a high degree of myopia eventually lead to blindnes...


Dr. Zhang Yuanze reply Ophthalmology
Generally, myopia tends to stabilize or increase less significantly after the age of twenty or upon entering college. However, prolonged near work can still contribute to an increase in myopia. Another type, known as pathological myopia, can also lead to an increase. Myopia excee...

[Read More] Understanding Myopia: Causes, Risks, and Management Strategies


Understanding Myopia: Converting Diopter Measurements Explained

Hello! I would like to ask, if my myopia is over 0.2 diopters, how does that translate to the common measurement of myopia in diopters? If I exceed 600 diopters, is that considered above or below 0.2? Thank you!


Dr. Zhang Yuhua reply Ophthalmology
Dear Xiao Wei, Basically, the degree of myopia is not directly proportional to visual acuity. In other words, having a prescription of -500 diopters does not necessarily mean one will see 0.1, and -600 diopters does not guarantee seeing 0.1 either. Visual performance depends not...

[Read More] Understanding Myopia: Converting Diopter Measurements Explained


Understanding the Risks of Retinal Disorders in High Myopia Patients

1. Among individuals with high myopia, only a small portion will develop retinal tears; consequently, is it correct to assume that the incidence of retinal detachment in high myopia is even lower? 2. Do individuals with myopia of 500 or 600 diopters always have thinning of the ...


Dr. Gao Pilin reply Ophthalmology
Hello: 1. Yes, only a small portion of individuals with high myopia will experience retinal tears, so the risk of retinal detachment in people with high myopia is not high. 2. Generally speaking, the higher the degree of myopia, the greater the likelihood that the peripheral reti...

[Read More] Understanding the Risks of Retinal Disorders in High Myopia Patients


Related FAQ

Myopia

(Ophthalmology)

High Myopia

(Ophthalmology)

Hyperopia

(Ophthalmology)

Diplopia

(Ophthalmology)

Astigmatism

(Ophthalmology)

False Myopia

(Ophthalmology)

Laser Surgery For Myopia

(Ophthalmology)

Parallax

(Ophthalmology)

Age-Related Farsightedness

(Ophthalmology)

Intraocular Pressure

(Ophthalmology)