Where is the incision made for nearsightedness surgery?

Written by Deng Jiang Tao
Ophthalmology
Updated on August 31, 2024
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Firstly, myopia surgery essentially involves thinning the cornea by cutting it, which is like transferring the degree of myopia onto the cornea itself. Let's first talk about the layering of the cornea. From front to back, the cornea is divided into five layers, generally consisting of the epithelial layer, anterior elastic layer, stromal layer, posterior elastic layer, and the corneal endothelial layer. Among these layers, the stromal layer is the thickest, about 500 microns, accounting for over 90% of the total corneal thickness. Therefore, during myopia surgery, the main area of cutting is in the stromal layer of the cornea.

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Written by Hu Shu Fang
Ophthalmology
1min 20sec home-news-image

How can children with myopia recover their eyesight?

Children with myopia should go to a formal optometric center for eye examinations and to get properly prescribed glasses. After wearing glasses, it is important in daily life to not read or write in dim environments and to maintain a correct posture while reading or writing. Abide by the "rule of three": the distance between the eyes and the book should be about one foot; the distance between the body and the desk should be about one fist; and the distance from the tip of the pen to the holding point should be about one inch. This can help prevent the deepening of myopia in children. Additionally, after using the eyes for forty minutes, it is recommended to gaze into the distance or perform eye exercises to relieve eye fatigue. Children should engage in outdoor activities for more than two hours per day, and more than fourteen hours per week, and they should have regular check-ups, generally every six months, to ensure the prescription of the glasses matches the degree of myopia. Currently, there are also options like orthokeratology lenses that can be worn at night to effectively control the progression of myopia.

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Written by Deng Jiang Tao
Ophthalmology
38sec home-news-image

Where is the incision made for nearsightedness surgery?

Firstly, myopia surgery essentially involves thinning the cornea by cutting it, which is like transferring the degree of myopia onto the cornea itself. Let's first talk about the layering of the cornea. From front to back, the cornea is divided into five layers, generally consisting of the epithelial layer, anterior elastic layer, stromal layer, posterior elastic layer, and the corneal endothelial layer. Among these layers, the stromal layer is the thickest, about 500 microns, accounting for over 90% of the total corneal thickness. Therefore, during myopia surgery, the main area of cutting is in the stromal layer of the cornea.

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Written by Wang Fang
Ophthalmology
47sec home-news-image

Can eye fatigue cause nearsightedness?

Eye fatigue can exacerbate myopia, and it is an important factor in worsening nearsightedness. When the eyes look into the distance, they are in a completely relaxed state, which does not cause or worsen myopia. Myopia occurs due to near-distance eye activities. Prolonged close-distance eye activities and working too closely can lead to chronic fatigue in the external eye muscles. When this happens, the eye axis is stretched and, over time, cannot fully return to its original state, resulting in the onset or worsening of myopia. Therefore, during daily eye use, it is essential to avoid excessive duration and too close distances to prevent fatigue and thus avoid worsening myopia.

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Written by Li Zhen Dong
Ophthalmology
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The difference between nearsightedness and farsightedness.

Myopia is characterized by clear vision up close and blurred vision at a distance; hyperopia is characterized by clear vision at a distance and blurred vision up close. The main difference between myopia and hyperopia is the issue with the eye’s axial length. In an unaccommodated state, when parallel light rays enter the eye and focus in front of the retina, it is called myopia; when they focus behind the retina, it is called hyperopia. Myopic glasses are concave lenses, while hyperopic glasses are convex lenses. When myopia or hyperopia occurs, it is important to rest, reduce close-up activities, avoid eye fatigue, use eyes properly, eat a light diet, adjust your attitude, have regular check-ups, and pay attention to vision health.

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Written by Zhou Qing
Ophthalmology
1min 57sec home-news-image

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.