Managing High Myopia: Should You Fully Prescribe Glasses? - Ophthalmology

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Managing high myopia, particularly when it reaches levels like 1400 to 1500 degrees, requires careful consideration of several factors, including the prescription of corrective lenses, the potential for further deterioration of vision, and the management of associated symptoms like floaters.
Firstly, it’s important to understand that high myopia is associated with a higher risk of various ocular complications, including retinal detachment, glaucoma, and cataracts. This is primarily due to the elongation of the eyeball, which can lead to structural changes in the retina and other eye components. Therefore, regular eye examinations are crucial for monitoring the health of your eyes and detecting any potential issues early.

Regarding your concern about whether to fully prescribe glasses, there are differing opinions among eye care professionals. Some practitioners suggest that wearing under-corrected lenses (lenses with a lower prescription than what is needed) may help reduce the progression of myopia, especially in younger patients. However, this approach can lead to eye strain and discomfort, particularly in individuals with high myopia like yourself. If your current prescription of 1100 degrees feels insufficient and causes visual discomfort, it may be advisable to consider a full prescription that allows for clearer vision, as this can help reduce the strain on your eyes.

It's also worth noting that the idea of under-correcting to prevent myopia progression is still a topic of ongoing research. While some studies suggest that under-correction may not significantly impact the progression of myopia, others indicate that wearing the correct prescription can improve visual comfort and reduce the risk of developing additional eye problems. Therefore, it is essential to have a thorough discussion with your eye care provider about the best approach for your specific situation.

As for your concern about floaters, it is a common occurrence in individuals with high myopia. Floaters are typically caused by changes in the vitreous gel inside the eye, and while they can be bothersome, they are usually harmless. Unfortunately, there are no medications or eye drops that can eliminate floaters or make them "sink" away. The best approach is to learn to adapt to them, as they often become less noticeable over time. However, if you notice a sudden increase in floaters or flashes of light, it is crucial to seek immediate medical attention, as these can be signs of retinal detachment.

Regarding the use of supplements like lutein, while they are often marketed for eye health, their effectiveness in treating floaters or preventing myopia progression is not well established. Lutein is an antioxidant that may help protect the retina from oxidative stress, but it should not be relied upon as a primary treatment for myopia or floaters.

In conclusion, managing high myopia effectively involves a combination of wearing the appropriate corrective lenses, regular eye examinations, and monitoring for any changes in vision or eye health. It is crucial to have open communication with your eye care provider to determine the best course of action tailored to your specific needs. If you continue to experience discomfort or have concerns about your vision, do not hesitate to seek a second opinion or further evaluation from a specialist. Your eye health is paramount, and proactive management can help preserve your vision for the future.