Effective Techniques for Long-Distance Gazing and Myopia Prevention - Ophthalmology

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What is the correct way to practice distant gazing and how can myopia be prevented?


Hello Dr.
Ke, I am currently 24 years old, male, and have not yet served in the military.
I am studying in graduate school, and my vision is -1000 diopters in both eyes.
I am currently relying on fatigue-relief eye drops and mydriatics prescribed by my ophthalmologist to slow the progression of my myopia.
However, I have a concern: I have observed that my vision deteriorates by approximately 100 diopters each year on average.
This situation does not seem to slow down with age, which makes me quite worried about the possibility of becoming blind in the future.
Additionally, the heavy coursework and stress in graduate school make me concerned that my eyes may not be able to handle the load.
During my leisure time, I try to step out of the cold research room to walk outside and relax my eyes.
I attempt to relax my eyes and gaze into the distance, but I would like to ask you, doctor, whether I should wear glasses or contact lenses while gazing into the distance, or should I take them off during this time?
Furthermore, I have previously suffered an eye injury that resulted in a retinal tear, and three years ago, I underwent laser surgery to seal the tear.
However, I still frequently experience the phenomenon of light flashes, especially when exposed to sudden bright light.
Although I have regular dilated eye examinations two to three times a year, I am still quite worried about this situation and would like to know your opinion.
Lastly, I would like to ask if long-term use of mydriatic eye drops can lead to irreversible side effects.
Could you also recommend methods and steps for maintaining eye health, particularly in terms of preventing the progression of myopia? Thank you for patiently reading through my concerns, and I appreciate your response.
Best wishes!

Ke Lu, 20~29 year old female. Ask Date: 2005/05/28

Dr. Ke Meilan reply Ophthalmology


Hello: 1.
The difference between wearing or not wearing glasses is not significant.
2.
Regular check-ups are sufficient; don't scare yourself.
3.
Since you are already 24 years old, dilating drops won't help much; it is recommended to wear glasses with a -1.50 prescription for near work.
Sincerely, Dr.
Komeilan, Ophthalmology.

Reply Date: 2005/05/28

More Info


Hello! Thank you for your detailed questions regarding myopia prevention and eye health. It’s great that you’re proactive about your vision, especially considering your significant myopia of 1000 degrees in both eyes. Let’s address your concerns one by one.


Effective Techniques for Long-Distance Gazing
1. Gazing Techniques: When it comes to long-distance gazing, it’s generally recommended to take breaks from close-up work every 20 minutes. This is often referred to as the "20-20-20 rule": every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps reduce eye strain and allows your eye muscles to relax.

2. Wearing Glasses or Contacts: When you gaze into the distance, it’s advisable to wear your corrective lenses (glasses or contact lenses) if they help you see clearly at that distance. If you are comfortable and can see well without them, you may choose to take them off. However, since you have a history of retinal issues, it’s safer to keep your corrective lenses on to avoid any strain or discomfort.

3. Outdoor Activities: Spending time outdoors is beneficial for eye health. Studies suggest that natural light exposure can help slow the progression of myopia. Engaging in activities that require distance vision, such as sports or simply walking in a park, can also be helpful.


Concerns About Retinal Issues
Regarding your history of retinal tears and the persistent visual disturbances (like seeing light flashes), it’s crucial to maintain regular check-ups with your ophthalmologist. While the laser treatment you underwent is effective, any new or worsening symptoms should be reported immediately. The light flashes could indicate ongoing retinal issues, and it’s always better to err on the side of caution.


Long-Term Use of Cycloplegic Agents
You mentioned using cycloplegic agents (dilating drops) to manage your myopia. While these drops can temporarily relax the eye muscles and reduce accommodation (which can help with myopia progression), long-term use should be monitored by your eye care professional. Generally, there are no irreversible side effects from occasional use, but chronic use may lead to issues such as increased sensitivity to light or difficulty focusing. Always discuss the frequency and necessity of these drops with your ophthalmologist.


Recommendations for Eye Health
1. Regular Eye Exams: Continue with your annual dilated eye exams. These are crucial for monitoring your retinal health, especially after your previous surgery.

2. Healthy Lifestyle: Maintain a balanced diet rich in vitamins A, C, and E, omega-3 fatty acids, and antioxidants. Foods like leafy greens, fish, nuts, and fruits can support eye health.

3. Limit Screen Time: Try to reduce the amount of time spent on screens, and ensure that your workspace is well-lit to minimize glare.

4. Eye Exercises: Incorporate eye exercises into your routine. Simple exercises like rolling your eyes, focusing on near and far objects, and blinking frequently can help reduce strain.

5. Protective Eyewear: Consider wearing sunglasses with UV protection when outdoors to shield your eyes from harmful rays.

6. Stress Management: Since you mentioned that your studies are stressful, finding ways to manage stress through relaxation techniques, such as meditation or yoga, can also benefit your overall eye health.

In conclusion, while myopia can be concerning, especially at your level, adopting these strategies can help manage your condition and potentially slow its progression. Always consult with your eye care professional for personalized advice and treatment options. Take care of your eyes, and best wishes for your studies!

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