Myopia

ALSO KNOWN AS: Nearsightedness

ANATOMY OR SYSTEM AFFECTED: Eyes

DEFINITION: A visual defect that impairs the perception of distant objects

CAUSES: Genetic predisposition, prolonged eyestrain

SYMPTOMS: Impaired perception of distant objects

DURATION: Varies

TREATMENTS: Wearing concave lenses, correction through laser surgery

Causes and Symptoms

Nearsightedness (myopia) occurs when light from distant objects reaches a focal point in front of, rather than on, the retina, the photoreceptive tissue of the eye. Consequently, vision of distant objects is blurred on the retina. The primary cause of myopia is an eyeball that is too long from front to back. People whose parents have myopia are more likely to have it, indicating a genetic cause; a few studies have also shown correlations between higher testosterone levels in the womb and later incidence of myopia. Research has also found that prolonged eyestrain, especially from long periods of reading or other close work, can distort the shape of the eye. This may be one reason why more highly educated people manifest higher rates of nearsightedness than individuals with less formal education.

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All children are born nearsighted; by the age of six months, however, vision begins to improve. Myopia is an uncommon problem in younger school-age children but begins to increase in prevalence as children move into their teenage years. From the twenties until the forties, the rate of visual deterioration tends to slow down. As people enter middle and old age, however, the rate of visual decline accelerates again. People past the age of seventy are fourteen times as likely to experience myopia resulting in legal blindness as those in their twenties.

Treatment and Therapy

For several centuries, nearsightedness has been corrected by the use of a concave lens, which moves the focal point of light in myopic eyes closer to the retina. The first eyeglasses, invented in late thirteenth-century Italy, had convex lenses that corrected for farsightedness (hyperopia); not until the fifteenth century did glasses with concave lenses appear. As the twentieth century drew to a close, innovative surgical approaches were developed to correct for myopia. Most of these procedures, such as laser surgery, move the focal point of light closer to the retina by changing the shape of the cornea.

Bibliography

Badash, Michelle. "Nearsightedness." Health Library. EBSCO, 17 July 2014. Web. 3 May 2016.

Biswas, Sayantan, et al. "The Influence of the Environment and Lifestyle on Myopia." Journal of Physiological Anthropology, vol. 43, no. 7, 31 Jan. 2024, doi.org/10.1186/s40101-024-00354-7. Accessed 3 Apr. 2024.

Buettner, Helmut, ed. Mayo Clinic on Vision and Eye Health. Rochester: Mayo Clinic, 2002. Print.

"Facts about Myopia." National Eye Institute. Natl. Insts. of Health, Oct. 2010. Web. 3 May 2016.

"Nearsightedness." Upd. Franklin W. Lusby. Rev. David Zieve et al. MedlinePlus Medical Encyclopedia. Natl. Lib. of Medicine, 2 Sept. 2014. Web. 3 May 2016.

Riordan-Eva, Paul, and Emmett T. Cunningham Jr., eds. Vaughan & Asbury’s General Ophthalmology. 18th ed. New York: McGraw, 2011. Print.

Spaide, Richard F., Kyoko Ohno-Matsui, and Lawrence A. Yannuzzi, eds. Pathologic Myopia. New York: Springer, 2014. Print.

Turbert, David. "Nearsightedness: What Is Myopia?" American Academy of Ophthalmology, 22 Sept. 2022, www.aao.org/eye-health/diseases/myopia-nearsightedness. Accessed 3 Apr. 2024.