Will nearsightedness be inherited?

Written by Li Zhen Dong
Ophthalmology
Updated on September 11, 2024
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Myopia has a certain hereditary aspect, but it is mainly caused by improper use of the eyes. Myopia is characterized by clear near vision and blurred distant vision, primarily due to changes in the eye's axial length. After the onset of myopia, it is crucial to properly dilate the pupils and conduct an optometric examination to rule out false myopia and amblyopia. Currently, the main treatments for myopia are still corrective glasses or orthokeratology lenses. Surgical treatment can also be considered for individuals aged 20 to 45. Once myopia develops, proper eye usage should be practiced, reducing close-range activities to avoid eye strain, and regular follow-ups are advised.

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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 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 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 Zheng Xin
Ophthalmology
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Does nearsightedness surgery require hospitalization?

Myopia surgery does not require hospitalization; it is completed on an outpatient basis. Before the surgery, routine blood tests, screenings for infectious diseases, and specialized eye examinations are conducted. If the pre-operative examinations are thorough and there are no contraindications for surgery, the procedure can be performed on an outpatient basis. After the surgery, patients can go home and must return to the surgical hospital the next day for a follow-up examination. Post-operative medication should be used as prescribed by the surgeon, and regular follow-up appointments should be scheduled.

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Written by Deng Jiang Tao
Ophthalmology
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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.