Managing Myopia: Tips for Eye Care and Treatment Options - Ophthalmology

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Hello, I previously asked a question about myopia?


I am currently experiencing a worsening of my myopia and have not been wearing glasses, which makes me quite anxious about my vision deteriorating rapidly.
About a month ago, my vision was 0.3 and 0.2, and after using a cycloplegic agent, I noticed a decline in my vision again after about seven days without using it.
I used a vision chart at home and it seems I have regressed further; my current vision appears to be around 0.2.

Could you please advise if I should continue using the cycloplegic agent? Should I apply it daily? Is there a need to particularly reduce my screen time while using the cycloplegic agent? I am currently studying almost all day, taking breaks of 10 minutes after every 45 minutes of reading.
Are there any "rehabilitation" methods you would recommend? Would looking at distant green trees, applying warm compresses to my eyes, and moving my eyeballs be beneficial? Does the effectiveness of the cycloplegic agent vary based on how I use it?

A Tsai, 10~19 year old female. Ask Date: 2012/05/11

Dr. Zhuang Yamin reply Ophthalmology


Dear A-Cai,
I am glad to see that you are taking such good care of your eyes! Regarding your questions...
First, it is important to know the degree of your myopia and whether you have any astigmatism.
Additionally, have you been spending more time reading at close distances recently? Have you experienced a rapid increase in height lately? These factors can affect your prescription and lead to a noticeable deterioration in vision over a short period.
As for whether recovery is possible, we would need to measure your refractive status after dilation to determine that.
Warm compresses can help relieve fatigue, but they do not significantly affect your prescription.
Focusing on distant objects can help relax the ciliary muscles, which may slow the progression of myopia; this is a good habit to develop.

Regarding dilating agents, their effects depend on the type and concentration, and generally, long-acting agents should not be used intermittently.
The function of dilating agents is to force the ciliary muscles to relax, but this does not mean they can completely control the progression of myopia, so it is important not to rely on them too heavily.
Developing good daily eye care habits is crucial!
Additionally, some individuals squint due to blurred vision, which can often lead to a faster progression of myopia.
In such cases, I would recommend getting corrective lenses to help slow down the deterioration.
Wishing you good health,
Changhua Hospital, Department of Health

Reply Date: 2012/05/11

More Info


Managing myopia, especially in a rapidly changing situation, can be a source of anxiety for many individuals. Given your recent experiences with vision changes and the use of eye drops, it’s essential to approach this matter with a comprehensive understanding of myopia management and eye care practices.


Understanding Myopia and Its Progression
Myopia, or nearsightedness, occurs when the eye is longer than normal or has a cornea that is too curved, causing distant objects to appear blurry. The progression of myopia can be influenced by various factors, including genetics, environmental conditions, and visual habits. It’s common for myopia to worsen during childhood and adolescence, but it can also progress in adulthood due to prolonged near work, such as reading or using computers.


Eye Care Tips
1. Regular Eye Exams: It’s crucial to have regular eye examinations with an optometrist or ophthalmologist. They can monitor your vision and eye health, providing personalized recommendations based on your specific condition.

2. Use of Eye Drops: You mentioned using a cycloplegic agent (like a dilating eye drop) for your eyes. These drops can temporarily paralyze the ciliary muscle, allowing for a more relaxed state of the eye, which may help in some cases. However, the frequency and necessity of using these drops should be determined by your eye care professional. It’s not typically recommended to use them daily without guidance, as overuse can lead to other complications.

3. Screen Time Management: Reducing screen time is beneficial. The 20-20-20 rule is a helpful guideline: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice can help reduce eye strain and fatigue.

4. Visual Hygiene: Maintain good lighting while reading or working on a computer. Ensure that your screen is at eye level and about an arm's length away. This positioning helps reduce strain on your eyes.

5. Outdoor Activities: Studies have shown that spending time outdoors can help slow the progression of myopia in children and adolescents. Aim for at least 2 hours of outdoor time each day, if possible.

6. Eye Exercises: While there is limited scientific evidence supporting eye exercises as a method to reverse myopia, they can help alleviate eye strain. Simple exercises include rolling your eyes, focusing on distant objects, and practicing the aforementioned 20-20-20 rule.

7. Warm Compresses: Applying a warm compress can help relieve eye strain and discomfort. It can also promote relaxation of the eye muscles.


Treatment Options
1. Corrective Lenses: Glasses or contact lenses are the most common methods for correcting myopia. Regular updates to your prescription are essential as your vision changes.

2. Orthokeratology: This involves wearing specially designed contact lenses overnight to reshape the cornea temporarily, which can help reduce myopia during the day.

3. Atropine Eye Drops: Low-dose atropine drops have been shown to slow the progression of myopia in children. Discuss this option with your eye care provider to see if it’s suitable for you.

4. Surgical Options: For adults, refractive surgery (like LASIK) may be an option to consider, depending on the stability of your prescription and overall eye health.


Conclusion
In summary, managing myopia involves a combination of regular eye care, lifestyle adjustments, and possibly medical interventions. It’s essential to consult with your eye care professional regarding the use of any medications, including eye drops, and to develop a personalized plan that addresses your specific needs. By taking proactive steps and maintaining good eye health practices, you can help manage your myopia effectively.

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