Myopia Correction: Questions About Sunglasses and Treatment Options - Ophthalmology

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Regarding the issue of myopia correction?


Hello Doctor: I have myopia, with my right eye being the most affected at approximately -4.00 diopters, and both eyes have a congenital astigmatism of -0.50 diopters.
I have a few questions to ask.

Q1: Recently, the sun has been very bright, and when I ride my motorcycle to school, the intense light causes my eyes to squint.
If I switch to wearing sunglasses, will my prescription cause blurred vision or make it difficult to see objects in front of me?
Q2: I would like to correct my vision to restore it to 0.8 (20/25) and completely eliminate the burden of wearing glasses.
Besides laser therapy, what other treatment options are available? What is the duration of the treatment? Are there any precautions I should take? What is the approximate cost?
Thank you for your response.
Sincerely, Xiao Qin, May 17, 2009.

Xiao Qin, 10~19 year old female. Ask Date: 2009/05/17

Dr. Ke Meilan reply Ophthalmology


Hello: In response to your question, here are my answers: 1.
Please wear prescription sunglasses over your regular glasses or contact lenses.
2.
I believe that a prescription of -4.00 diopters is a reality; aside from surgery or laser treatment, there are no published studies on other methods.
There are many precautions to consider with surgery and laser treatment, so please look it up online; it's not hard to find.
Wishing you peace and good health.

Reply Date: 2009/05/17

More Info


Hello 小琭,
Thank you for your questions regarding myopia correction and sunglasses. Let’s address each of your concerns in detail.

Q1: Wearing Sunglasses with Myopia and Astigmatism
When it comes to wearing sunglasses, especially if you have myopia (nearsightedness) and astigmatism, it’s essential to choose the right type of sunglasses. If you wear prescription sunglasses that match your eye prescription, you should not experience blurred vision or difficulty seeing objects clearly.
However, if you opt for non-prescription sunglasses, you might indeed find that your vision is not as clear, especially if the sunglasses do not have the appropriate corrective lenses for your myopia and astigmatism. This is because regular sunglasses do not correct for refractive errors, which can lead to discomfort and visual distortion.
To ensure clarity while protecting your eyes from UV rays, consider getting prescription sunglasses that include your specific prescription for both myopia and astigmatism. Polarized lenses can also help reduce glare, which is particularly beneficial when riding a motorcycle or driving.

Q2: Treatment Options for Myopia
Regarding your desire to correct your vision to 0.8 (which is approximately 20/25 vision), there are several options available beyond laser surgery (like LASIK). Here are some alternatives:
1. Orthokeratology (Ortho-K): This is a non-surgical method that involves wearing specially designed contact lenses overnight to reshape the cornea temporarily. Many patients find this effective for managing myopia, and it can provide clear vision during the day without glasses or contacts. The treatment duration varies, but many see results within a few days to weeks.

2. Refractive Lens Exchange (RLE): This procedure is similar to cataract surgery and involves replacing the eye's natural lens with an artificial one. It is typically considered for those with higher degrees of myopia or those who are not candidates for LASIK. The recovery time can vary, but many patients return to normal activities within a few days.

3. Implantable Collamer Lenses (ICL): This is a surgical option where a lens is implanted in the eye to correct vision. It is reversible and can be a good option for those with high myopia. The procedure is quick, and recovery is generally swift.

4. Vision Therapy: This is a non-surgical approach that involves exercises to improve visual skills and processing. It is more commonly used for conditions like strabismus or amblyopia but can sometimes help with focusing issues.

Considerations and Costs:
- Treatment Duration: The duration for recovery or adjustment varies by method. LASIK typically has a quick recovery, while Ortho-K may take a few days to weeks for optimal results.


- Costs: The costs for these procedures can vary widely based on location, the technology used, and the specific clinic. LASIK can range from $2,000 to $3,000 per eye, while Ortho-K lenses might cost around $1,000 to $2,000 for the initial fitting and lenses. RLE and ICL can be more expensive, often exceeding $5,000 per eye.

- Important Considerations: Before undergoing any treatment, it’s crucial to have a thorough eye examination and discuss your options with an eye care professional. They can help you understand the risks, benefits, and expected outcomes based on your specific condition.

In summary, wearing prescription sunglasses tailored to your vision needs will help you see clearly while protecting your eyes from the sun. For correcting your myopia, several options exist beyond laser surgery, each with its own benefits and considerations. Consulting with an eye care specialist will provide you with the best personalized advice.

Feel free to reach out if you have more questions or need further clarification!
Best regards,
Doctor Q&A Teams

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