Myopia

Myopia, also known as near-sightedness and short-sightedness, is an eye disease where light from distant objects focuses in front of, instead of on, the retina. As a result, distant objects appear blurry while close objects appear normal. Other symptoms may include headaches and eye strain. Severe myopia is associated with an increased risk of macular degeneration, retinal detachment, cataracts, and glaucoma.

Myopia
Other namesnear-sightedness, short-sightedness
Diagram showing changes in the eye with myopia
SpecialtyOphthalmology, optometry
SymptomsDistant objects appear blurry, close objects appear normal, headaches, eye strain
ComplicationsRetinal detachment, cataracts, glaucoma
CausesCombination of genetic and environmental factors
Risk factorsNear work, greater time spent indoors, family history
Diagnostic methodEye examination
PreventionUnknown
TreatmentEyeglasses, contact lenses, surgery
Frequency1.5 billion people (22%)

Myopia results from the length of the eyeball growing too long or less commonly the lens being too strong. It is a type of refractive error. Diagnosis is by the use of cycloplegics during eye examination.

Tentative evidence indicates that the risk of myopia can be decreased by having young children spend more time outside. This decrease in risk may be related to natural light exposure. Myopia can be corrected with eyeglasses, contact lenses, or by refractive surgery. Eyeglasses are the simplest and safest method of correction. Contact lenses can provide a relatively wider corrected field of vision, but are associated with an increased risk of infection. Refractive surgeries like LASIK and PRK permanently change the shape of the cornea. Surgeries like Implantable Collamer Lens (ICL) implant a lens inside the anterior chamber in front of the natural eye lens. ICL doesn't affect the cornea.

Myopia is the most common eye problem and is estimated to affect 1.5 billion people (22% of the world population). Rates vary significantly in different areas of the world. Rates among adults are between 15% and 49%. Among children, it affects 1% of rural Nepalese, 4% of South Africans, 12% of people in the US, and 37% in some large Chinese cities. In China the proportion of girls is slightly higher than boys. Rates have increased since the 1950s. Uncorrected myopia is one of the most common causes of vision impairment globally along with cataracts, macular degeneration, and vitamin A deficiency.

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