What should I do if nearsightedness is inherited by my child?

Written by Zheng Xin
Ophthalmology
Updated on September 06, 2024
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Not all myopia is hereditary, but high myopia does have a genetic component. The occurrence of myopia is mainly related to genetic and environmental factors. If there are children in the family with a history of high myopia, they should develop good eye habits from a young age, or undergo genetic testing for high myopia. If myopia occurs, it can be corrected by wearing glasses, or by refractive surgery after reaching adulthood.

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Written by Li Zhen Dong
Ophthalmology
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Does nearsightedness surgery require an incision?

There are two types of myopia surgery. One is performed using lasers, and the other involves making a small incision on the edge of the cornea to implant an artificial lens into the eye. Corneal laser surgery uses a laser to create a concave mirror on the cornea to resolve the symptoms of blurry vision when looking at distant objects. The ICL surgery, which involves the implantation of an artificial lens, significantly improves the patient's vision after the procedure. Both types of myopia surgeries are currently quite advanced in terms of technology. Therefore, patients who wish to stop wearing glasses and have clear indications from pre-operative examinations can consider undergoing myopia surgery treatment.

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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.

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Written by Zheng Xin
Ophthalmology
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What lenses should be used for nearsightedness?

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 Huang Kun Mei
Pediatrics
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Children's myopia lacks which trace elements?

The relationship between myopia in children and the lack of trace elements is not significant. Myopia is generally caused by several reasons: The first is hereditary factors, where one or both parents may have myopia. The second reason is poor eye habits in children, such as sitting too close to the desk while doing homework, or excessive use of the eyes, like watching TV or spending a long time on mobile phones, which can easily lead to myopia in children. Once a child develops myopia, the degree could increase by 50-100 degrees each year. Thus, if this is the case, it is necessary to conduct a timely dilated optometry for the child to confirm whether they can wear orthokeratology lenses. If the child is over eight years old and all conditions are suitable, orthokeratology lenses can be prescribed to control the progression of myopia.

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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.