Managing Myopia: Can You Stop Progression After 30? - Ophthalmology

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Myopia


1.
Is it true that after the age of 30, the prescription will no longer increase?
2.
Are there any methods to prevent the prescription from increasing?
3.
I currently have a prescription of about -9.00 diopters.
What can I do to reduce my prescription? Should I focus on dietary improvements or engage in exercises?

Ou Xiaojuan, 30~39 year old female. Ask Date: 2002/03/12

Dr. Wang Ziyang reply Ophthalmology


1.
Myopia may continue to increase after the age of 30, especially in cases of excessive computer use, which is very common.
2.
Reducing screen time or using cycloplegic eye drops can help prevent excessive contraction of the ciliary muscle, which can lead to axial elongation.
3.
If it is not pseudomyopia, the only way to reduce the degree of myopia is to undergo laser vision correction surgery.

Reply Date: 2002/03/12

More Info


Managing myopia, or nearsightedness, is a common concern, especially for those who have experienced significant changes in their vision. Let's address your questions one by one.

1. Does myopia stop progressing after age 30?
While it is common for myopia to stabilize in adulthood, particularly after the age of 30, this is not a universal rule. For many individuals, myopia can continue to progress into their 40s or even later, especially if they have a high degree of myopia. Factors such as genetics, lifestyle, and environmental influences can all play a role in the progression of myopia. Therefore, while many people may experience stabilization, it is not guaranteed that your myopia will stop increasing simply because you have reached a certain age.

2. Are there methods to prevent myopia from increasing?
There are several strategies that may help in managing myopia progression, although results can vary from person to person. Here are some methods that have been researched:
- Orthokeratology (Ortho-K): This involves wearing specially designed contact lenses overnight that reshape the cornea. This can temporarily reduce myopia during the day and may slow its progression.

- Atropine eye drops: Low-dose atropine drops have been shown to slow the progression of myopia in children and adolescents. Some studies suggest that it may also be beneficial for adults, but more research is needed.

- Multifocal or bifocal glasses: These types of lenses can help reduce the strain on the eyes during close-up tasks, which may help in slowing myopia progression.

- Increased outdoor time: Studies have shown that spending more time outdoors can reduce the risk of developing myopia and may slow its progression. The exact mechanism is not fully understood, but it is believed that exposure to natural light and the opportunity to focus on distant objects plays a role.

3. How can I reduce my current myopia of approximately 900 degrees?
While it may not be possible to completely reverse myopia, there are steps you can take to manage your condition and potentially improve your vision:
- Regular eye exams: Ensure you have regular check-ups with an eye care professional to monitor your vision and update your prescription as needed.

- Healthy diet: A diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, can support eye health. Foods such as leafy greens, carrots, fish, and nuts are beneficial.

- Eye exercises: While the effectiveness of eye exercises is debated, some people find that taking regular breaks during prolonged near work (like reading or using a computer) can help reduce eye strain. The 20-20-20 rule is a popular guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.

- Limit screen time: Reducing the amount of time spent on screens and ensuring proper lighting while reading or working can help minimize eye strain.

In conclusion, while myopia may stabilize after a certain age, it is not guaranteed. There are various methods to manage and potentially slow the progression of myopia. Consult with an eye care professional to discuss the best options tailored to your specific situation. They can provide personalized advice and treatment options based on your degree of myopia and overall eye health.

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