Can glaucoma patients undergo myopia surgery?

Written by Zheng Xin
Ophthalmology
Updated on September 18, 2024
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Glaucoma is a group of eye diseases characterized by atrophy of the optic nerve and defects in the visual field. Common symptoms include reduced vision, eye pain, and loss of visual field. In terms of treatment, it primarily involves the use of medications to control eye pressure or anti-glaucoma surgery to manage eye pressure, which helps delay the atrophy of the optic nerve and the loss of vision. However, since glaucoma has already caused damage to the optic nerve, it is generally not recommended to undergo myopia surgery, as it cannot improve vision.

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Written by Zhou Qing
Ophthalmology
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How is the surgery for nearsightedness?

The choice and design of myopia surgery methods need to be comprehensively considered based on factors such as the patient's preoperative examination results and postoperative vision requirements. Generally, patients can choose laser myopia surgery. If high visual acuity is needed due to study or work, or if there is high physical activity after surgery, it is recommended to choose a safer surgical option. This is because minimally invasive technology causes less trauma to the corneal nerves, which can more effectively improve postoperative night vision, greatly enhance visual quality, and better stabilize postoperative vision.

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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 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 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 Luan Shu Lin
Ophthalmology
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Which is more serious, amblyopia or myopia?

Amblyopia and myopia are two different concepts; there is no comparative severity between them. Amblyopia refers to a condition where, despite correction, vision still does not reach 0.8, which is defined as amblyopia and generally occurs before the age of eight. Myopia, on the other hand, is a type of refractive error. This condition can be corrected by wearing eyeglasses, contact lenses, or through myopia surgery after reaching adulthood.