Pseudomyopia: Recovery Time and Treatment Questions - Ophthalmology

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I would like to ask about the issue of pseudomyopia?


Thank you for the doctor's response.
Previously, due to excessive eye strain while preparing for graduate school exams, I went for a dilated eye examination and found that I have 75 degrees of pseudomyopia in each eye.
The doctor prescribed me eye drops to be used four times a day, containing 0.01% Neostigmine methylsulfate.
I would like to ask: 1.
If I have adequate rest, how long will it take to return to my original prescription (both eyes were 500 after dilation)? 2.
After using the prescribed eye drops, can I still use a dilating agent before bed? 3.
Will wearing contact lenses during this time have any impact? (Assuming I have adequate rest and look at distant objects) Thank you again for the doctor's clarification.

xuesheng, 20~29 year old female. Ask Date: 2007/04/19

Dr. Ke Meilan reply Ophthalmology


Hello: 1.
The medication mentioned above will not reduce pseudomyopia.
2.
Instilling a cycloplegic agent is sufficient.
3.
If it is confirmed to be only pseudomyopia, there is no need to wear contact lenses; otherwise, it will be difficult for myopia to regress.
Sincerely, Dr.
Mei-Lan Ke, Ophthalmology Department.

Reply Date: 2007/04/19

More Info


Pseudomyopia, often referred to as "false myopia," is a condition that can occur due to prolonged near work, such as studying or using digital devices for extended periods. It is characterized by a temporary decrease in distance vision, which can be reversed with proper rest and management. Here, I will address your questions regarding recovery time, treatment, and the use of medications and contact lenses.

1. Recovery Time: The recovery time from pseudomyopia can vary significantly depending on individual factors, including the extent of the condition, the amount of rest taken, and adherence to treatment recommendations. Generally, if you take adequate breaks from near work and follow your doctor's advice, you might start to notice improvements within a few days to a couple of weeks. However, full recovery to your baseline vision (in your case, returning to a refractive state of 500 degrees) may take longer, especially if the eyes have been under significant strain. It is crucial to allow your eyes to rest and avoid activities that require intense focus on close objects during this recovery period.

2. Using the Medication: The medication prescribed to you, which contains 0.01% Neostigmine methylsulfate, is typically used to help improve accommodation (the eye's ability to focus on near objects). It is essential to follow your doctor's instructions regarding the use of this medication. If you are considering using a cycloplegic agent (a type of eye drop that temporarily paralyzes the ciliary muscle, leading to a temporary inability to focus), it is best to consult your eye care professional before doing so. Using both medications simultaneously without guidance could lead to complications or reduced effectiveness.

3. Wearing Contact Lenses: Wearing contact lenses during this recovery period is generally acceptable, provided you are following the recommended guidelines for eye care. However, it is essential to ensure that your eyes are well-rested and not strained. If you experience discomfort or worsening of your symptoms while wearing contact lenses, it may be wise to take a break from them and switch to glasses until your vision stabilizes. Additionally, when wearing contact lenses, make sure to maintain proper hygiene and follow the recommended wearing schedule to avoid any potential complications.

In summary, pseudomyopia is a reversible condition that can improve with proper rest and management. It is vital to adhere to your doctor's recommendations regarding medication and to monitor your symptoms closely. If you have any concerns about your recovery or the use of medications and contact lenses, do not hesitate to reach out to your eye care professional for personalized advice. They can provide you with the best guidance tailored to your specific situation, ensuring that you achieve the best possible outcome for your vision health.

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