What lenses should be used for nearsightedness?

Written by Zheng Xin
Ophthalmology
Updated on September 20, 2024
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Myopia, or nearsightedness, refers to a refractive condition where, in a relaxed state of accommodation, parallel light rays are focused in front of the retina after passing through the eye's refractive system. Myopia is categorized by degree into mild myopia, which is less than or equal to 300 degrees, moderate myopia ranging from 325 to 600 degrees, and high myopia, which is over 600 degrees. Generally, the degree of myopia is within 600 degrees, and most patients do not exhibit any pathological changes in the fundus. They require the use of suitable concave lenses for correction. If the degree of myopia exceeds 600 degrees, a fundus examination is necessary. If there are no special changes in the fundus, correction can also be made using appropriate concave lenses.

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Written by Wang Fang
Ophthalmology
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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 Hu Shu Fang
Ophthalmology
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What department should you visit for nearsightedness?

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 Lian Wen Xi
Pediatrics
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Is a child's vision of 4.7 considered nearsighted?

Children's vision at 4.7 does require a comprehensive analysis to determine if they are nearsighted. Generally, a child with a vision of 4.7 is likely to be nearsighted, but this single parameter should not be used to diagnose myopia. It's necessary to differentiate whether the child has true myopia or false myopia. Additionally, the issue could be amblyopia, astigmatism, or farsightedness. Moreover, the child's age also plays a significant role in assessing vision. For instance, a vision of 4.7 might indicate nearsightedness in a child aged seven or eight, but for a child around three years old, a vision of 4.7 is considered normal. Parents are advised to take their child to the hospital for a dilated refraction test to ascertain the specific condition.

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Written by Zheng Xin
Ophthalmology
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The difference between amblyopia and myopia.

Amblyopia refers to a condition where, through examination, the eyeball has no organic lesions, but the vision is poor. Even after correction, the vision remains significantly lower than normal, generally less than or equal to 0.8, without any organic lesions in the eyeball. In such cases, amblyopia can be considered. Myopia, on the other hand, refers to poor vision that can reach normal or better levels after correction. The difference between the two is that amblyopia cannot be fully corrected through adjustment, whereas myopia can be completely corrected. In terms of treatment, myopia can be corrected by wearing glasses or undergoing surgery, while amblyopia can only be managed by wearing glasses or undergoing specific amblyopia treatments.

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Written by Huang Kun Mei
Pediatrics
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Can massage cure myopia in children?

If a child develops myopia, it generally cannot be cured through massage. Depending on the specific case of myopia, if it is pseudo-myopia, it can be cured by massage. However, if it is confirmed as myopia after a dilated eye examination, massage cannot cure it. Once a child has myopia, the degree of myopia can increase by 50-100 degrees per year, so it is essential to control it promptly. After a series of examinations, if the child is suitable for orthokeratology lenses, these lenses should be used as they are the best method to control myopia.