What department should you visit for nearsightedness?

Written by Hu Shu Fang
Ophthalmology
Updated on September 18, 2024
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People with nearsightedness should visit the ophthalmology department, as it is a major type of refractive error in outpatient services. Nearsightedness means clarity when looking at close objects, but blurriness when viewing objects at a distance. Currently, nearsightedness in adolescents is a significant health issue in China. Patients with nearsightedness should see an ophthalmologist at a qualified hospital for eye examinations to rule out any eye diseases, and then wear prescription glasses with the correct diopters to prevent the progression of nearsightedness. Additionally, those with nearsightedness must regularly visit the doctor to check their eyes.

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Written by Peng Xi Feng
Ophthalmology
1min 8sec home-news-image

The main cause of myopia formation

Myopia is primarily caused by the focusing system of the eyeball focusing parallel light rays in front of the retina when our eyes are in a relaxed adjustment state. The far point of a myopic eye is at a certain point in front of the eye. The occurrence of myopia is influenced by a combination of factors including genetics and environment, and the incidence is still being explored. Based on the refractive components, myopia can be classified into refractive myopia and axial myopia. According to the degree of myopia, it can be classified into mild myopia (below 300 degrees), moderate myopia (300 to 600 degrees), and high myopia (above 600 degrees). The clinical manifestations of myopia include blurry distance vision but good near vision, often with fluctuating distance vision where squinting is needed to see clearly at a distance.

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Written by Tao Yuan
Ophthalmology
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Can people with high myopia and floaters undergo myopia surgery?

Patients with high myopia who experience floaters can also undergo myopia correction surgery to eliminate nearsightedness. However, symptoms of floaters will not improve after the surgery. The commonly used myopia correction surgeries include laser surgery and the implantation of a posterior chamber intraocular lens for aphakic eyes. Patients need to visit the ophthalmology department of a hospital for optometry, corneal topography, and A-scan ultrasound examinations. The type of surgery is then determined based on the condition of the eyes. Floaters are caused by the clouding of the vitreous body within the eye due to aging. They can be treated with oral medications to promote absorption. For example, currently, lecithin complex iodine tablets can be taken, but the absorption is slow, requiring patients to adhere to regular treatment. (Please follow the doctor's advice when taking medication.)

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Written by Hu Shu Fang
Ophthalmology
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Can 600-degree acquired myopia be inherited?

A myopia of 600 degrees is considered high myopia, and it can be inherited by the next generation. Moreover, eyes with high myopia are prone to other complications at the back of the eye, such as retinal breaks, macular holes, and posterior staphyloma. Therefore, it is crucial to pay attention to high myopia and have regular check-ups. If both parents have high myopia, there is an 80% chance that their children will tend to be myopic. If one parent has high myopia, there is a 50% chance that their children will tend to be myopic. Even if neither parent is myopic, there is still about a 20% chance that their children will be myopic.

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Written by Zhou Qing
Ophthalmology
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How to treat high myopia?

High myopia refers to a degree of nearsightedness above 1000 degrees. High myopia brings great troubles to people, even affecting their diet and preventing them from participating in high-intensity physical exercise. It may also lead to complications such as retinal detachment, cataracts, macular hemorrhage, macular degeneration, vitreous liquefaction degeneration, and glaucoma. The treatment of high myopia has always been a major challenge in ophthalmology. With the advent of refractive lens exchange surgery, after extensive clinical practice, it has now become a better option for correcting vision in patients with extremely high myopia. The refractive state of the eyeball is mainly determined by the refractive power of the eyeball and the length of the eye axis. In cases of nearsightedness, the lengthening of the eye axis causes the light to focus in front of the retina, making it difficult for patients to see distant objects clearly. During refractive lens exchange surgery, a concave lens specifically tailored to the patient is implanted into the eyeball to change the focal point of the light so that it accurately focuses on the retina, achieving the purpose of correcting nearsightedness. Refractive lens exchange surgery maintains the integrity and accommodative function of the eye's physiological structure, has a larger optical zone, eliminates aberrations, and has a wider range of adaptability compared to corneal refractive surgery. Post-surgery, patients experience less discomfort, faster vision recovery, stable refraction, and no regression phenomenon.

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Written by Deng Jiang Tao
Ophthalmology
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Does myopia correction rebound?

Will there be a rebound after myopia correction surgery? Generally, it relates to two aspects. The first is associated with your pre-surgery degree of myopia; the second relates to your habits in using your eyes after the surgery. Generally speaking, the higher the degree of myopia before the surgery, the more likely a rebound will occur. Roughly speaking, if your degree of myopia was above 700 degrees before the surgery, there's about a 20% to 30% chance of rebounding. However, a rebound does not mean it will return to the previous degree of over 700; typically, it might rebound by around 100 to 200 degrees. The second aspect is significantly related to your post-surgery visual habits. If, after the surgery, you frequently use computers, read documents, or use your phone, there’s a higher chance of experiencing some degree of rebound. Conversely, if your screen time is less, the proportion of myopia rebound tends to be smaller.