Understanding Myopia: Causes, Symptoms, and Treatment Options

Key Takeaways

  • This refractive error occurs when the eyeball grows too long (typically over 24mm in adults) or the cornea curves too steeply, causing light to focus in front of the retina instead of directly on it.
  • Progression typically accelerates during school years, worsening by -0.25 to -0.75 diopters annually until the early twenties when it usually stabilizes.
  • Children spending less than 90 minutes outdoors daily have significantly higher rates, while those with 2+ hours of outdoor time show 30-40% reduced risk of developing the condition.
  • Low-dose atropine eye drops (0.01-0.05%) can slow progression by up to 67% in children, while orthokeratology contact lenses worn overnight temporarily reshape the cornea.
  • High prescriptions above -6.00 diopters increase risk of retinal detachment by 40x and glaucoma by 3x compared to normal vision, requiring annual dilated eye exams.

Myopia, also known as nearsightedness, is a common eye condition that affects millions of people worldwide. If you have difficulty seeing distant objects clearly but can easily read a book up close, you may have myopia. In this article, we'll explore the causes, symptoms, and treatment options for myopia to help you better understand and manage this condition.

What Causes Myopia?

Myopia occurs when the structure of your eye causes light to focus incorrectly on the retina, the light-sensitive part of your eye. This can happen if your eyeball is too long or if the cornea, the protective outer layer of your eye, is too curved. As a result, images focus in front of the retina instead of directly on it, leading to blurred vision.

Several factors can increase your risk of developing myopia, including:

  • Family history of myopia

  • Spending excessive time doing close-up activities, such as reading or working on detailed crafts

  • Prolonged screen time

  • Spending most of your time indoors

Symptoms of Myopia

The primary symptom of myopia is blurred vision when looking at distant objects. Other signs and symptoms may include:

  • Headaches

  • Squinting

  • Eye strain

  • Eye fatigue when trying to see objects more than a few feet away

Children with myopia may exhibit additional symptoms, such as:

  • Frequent squinting

  • Unawareness of distant objects

  • Excessive blinking

  • Rubbing their eyes frequently

  • Sitting too close to the television

  • Difficulty reading words displayed at the front of the classroom

Diagnosing Myopia

An eye exam performed by an eye doctor can determine if you have myopia. During the exam, your doctor may conduct a nearsighted test using a Snellen chart or a phoropter test to assess your vision and determine the appropriate prescription for corrective lenses.

Your prescription for glasses or contact lenses will be a negative number, with higher negative numbers indicating a stronger prescription. For example, -3.00 is stronger than -2.50.

Understanding Myopia: Causes, Symptoms, and Treatment Options

Treatment Options for Myopia

Myopia can usually be corrected with eyeglasses, contact lenses, or eye surgery. Your eye doctor will prescribe the most suitable treatment based on the severity of your myopia and your individual needs.

Emerging Treatments

  • Eye Drops

  • Repeated low-level red light therapy

  • Photorefractive intrastromal cross-linking (PIXL)

Corrective Lenses

Eyeglasses and contact lenses are the most common treatments for myopia. Concave lenses help focus light correctly on the retina, improving distant vision. If your prescription is higher than -3.00 D, you may require high-index lenses, which are thinner and lighter than regular plastic lenses.

Eye Surgery

For those seeking a more permanent solution, eye surgery can significantly improve vision and reduce or eliminate the need for corrective lenses. The most common surgical procedures for myopia include:

  • Photorefractive keratectomy (PRK)

  • Laser-assisted in situ keratomileusis (LASIK)

  • EVO Implantable Collamer Lens (ICL)

In cases of high myopia, special contact lenses or atropine eye drops may be prescribed to slow the progression of the condition.

Managing Myopia

While there is no cure for myopia, you can manage the condition and maintain good eye health by following these tips:

  • Schedule regular eye exams with your eye doctor

  • Protect your eyes from the sun by wearing sunglasses or seeking shade

  • Wear protective eyewear during sports activities

  • Ensure proper lighting when reading or doing close-up work

  • Take frequent breaks from digital screens (follow the 20-20-20 rule)

  • Maintain overall health through a balanced diet, regular exercise, and not smoking

If you experience any sudden changes in your vision, such as floaters, flashes of light, or a curtain-like shadow in your field of vision, seek immediate medical attention, as these symptoms may indicate a serious eye condition.

By understanding myopia, its causes, symptoms, and treatment options, you can take proactive steps to manage the condition and maintain clear, healthy vision. Regular eye exams and adherence to your eye doctor's recommendations are essential for preserving your eye health and quality of life.

For more information on myopia and other eye health topics, visit:

The Bottom Line

Early intervention with outdoor time and specialized treatments can significantly slow progression in children, preventing severe complications later in life. Regular monitoring is essential since higher prescriptions dramatically increase serious eye disease risks. If you're noticing distance vision changes or want to discuss prevention options, Doctronic can connect you with eye care expertise quickly.

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