Does nearsightedness surgery require an incision?

Written by Li Zhen Dong

Ophthalmology

Updated on November 28, 2024

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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

38sec

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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.

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Written by Hu Shu Fang

Ophthalmology

43sec

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Can 600-degree acquired myopia be inherited?

A myopia of 600 degrees is considered high myopia, and it can be inherited by the next generation. Moreover, eyes with high myopia are prone to other complications at the back of the eye, such as retinal breaks, macular holes, and posterior staphyloma. Therefore, it is crucial to pay attention to high myopia and have regular check-ups. If both parents have high myopia, there is an 80% chance that their children will tend to be myopic. If one parent has high myopia, there is a 50% chance that their children will tend to be myopic. Even if neither parent is myopic, there is still about a 20% chance that their children will be myopic.

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Written by Zheng Xin

Ophthalmology

49sec

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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 Deng Jiang Tao

Ophthalmology

1min

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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 Lian Wen Xi

Pediatrics

51sec

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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.