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Can Myopia Be Reversed?

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In front of a blurry visual acuity test, a pair of hands holds up eyeglasses that sharpen some of the letters.

For millions worldwide, myopia (or nearsightedness) isn’t just a minor inconvenience—it’s a condition that affects daily life, from reading road signs to seeing far-off objects. Parents often worry when they notice their child squinting at a whiteboard or holding books too close to their face, leading to one critical question: Can myopia be reversed?

While myopia can’t be reversed, there are effective ways to slow its progression, improve quality of life, and prevent complications, including specialty contact lenses, eye drops, and good old-fashioned time outside.

What Is Myopia?

Myopia is a common eye condition in which distant objects appear blurry while close-up vision remains sharp. It occurs when the eyeball grows too long, or the cornea (the clear front part of the eye) is too curved, causing light entering the eye to focus in front of the retina instead of on it. 

Causes & Symptoms

The exact cause of myopia isn’t fully understood, but it typically develops in childhood and can progress throughout adolescence. Some contributing factors include:

  • Genetics: If one or both parents are nearsighted, their children have a higher chance of developing myopia.
  • Lifestyle: Spending significant time on close-up activities, like reading or using screens, with limited outdoor exposure has been linked to increased risk.
  • Eye strain: Prolonged digital device use can exacerbate myopia symptoms, although it isn’t a cause. 

Symptoms of myopia include:

  • Blurred vision when looking at distant objects
  • Frequent squinting or eye strain
  • Headaches caused by eye fatigue
  • Trouble seeing the board at school or road signs while driving

Myopia & Astigmatism

Myopia is often confused with or accompanied by astigmatism, another refractive error in which the eye’s surface is irregularly shaped. This irregularity affects vision at all distances, making it frustrating and challenging when combined with myopia. Understanding the specific issue is crucial for effective treatment.

Why Measuring Axial Length Matters

A critical aspect of managing myopia is measuring the axial length (the distance from the front to the back of the eye). This is critical because the longer the axial length, the higher the risk of severe complications, such as:

Parents might not immediately consider the axial length of their child’s eyes. Still, regular monitoring by an eye care professional can help identify if the condition is progressing dangerously and whether intervention is needed.

How to Determine Your Child’s Risk

Parents often wonder, “Will my child develop myopia, and if so, how severe could it be?” Here are some risk factors to be aware of:

  • Family history: If nearsightedness runs in the family, check your child’s eyes regularly, even if they aren’t showing symptoms yet.
  • Lifestyle habits: Kids spending less than an hour outdoors daily are at higher risk.
  • Early onset: If myopia develops before age 8, it’s more likely to become severe over time.

If these risk factors apply to your child, consult an eye care professional to establish a monitoring and management plan.

Ways to Slow Myopia’s Progression On Your Own

If your child has been recently diagnosed with myopia, here’s the good news—there are steps you can take at home to slow its progression:

  • Encourage outdoor play: Studies show that spending at least 2 hours outdoors daily can reduce the risk of myopia progression in children.
  • Limit screen time: Follow the 20-20-20 rule: Look at something 20 feet away for 20 seconds every 20 minutes of screen use.
  • Use proper lighting: Ensure reading or working spaces are well-lit to reduce eye strain.
  • Take frequent breaks: Long stretches of close-up work or screen usage can increase eye strain. Breaks are essential for giving your eyes a rest.

These measures can help create healthier habits and potentially slow myopia.

A young child in pink glasses plays outside with iridescent bubbles as part of their myopia management plan.

Personalized Options for Myopia Control

While some aspects of myopia care are within your control, the best way to help your child manage their myopia is through specialized treatment from eyecare professionals. Even though myopia cannot be reversed, advances in science and technology offer several ways to slow its progress—and even significantly improve vision. 

1. MiSight Contact Lenses

These specially designed soft contact lenses are proven to correct vision and slow myopia progression in children. MiSight lenses alter how light focuses on the retina, reducing the eye’s elongation. 

  • Ideal for: Active children who dislike glasses or parents looking for science-backed solutions.
  • Effectiveness: Clinical trials have shown a 50% reduction in myopia progression.

2. Orthokeratology (Ortho-k)

Ortho-k lenses are gas-permeable contacts worn overnight to gently reshape the cornea while you sleep. This temporary reshaping results in clear vision throughout the day without needing glasses or contacts.

  • Ideal for: Older children who prefer a non-surgical vision correction option and are responsible enough to use contact lenses.
  • Effectiveness: Often slows down axial length growth in children while offering daytime convenience.

3. Atropine Eye Drops

Low-dose atropine drops have been shown to slow the progression of myopia in children significantly. Typically applied just before bedtime, these drops may be prescribed alone or alongside other treatments.

  • Ideal for: Parents seeking a simple and non-intrusive treatment for younger children.
  • Effectiveness: Studies show atropine can reduce progression by 60-70%.

4. Laser Eye Surgery

For adults with stable myopia, laser eye surgery, such as LASIK or SMILE, offers permanent vision correction by reshaping the cornea. While this doesn’t reverse myopia progression during childhood, it’s a great option when growth stabilizes.

  • Ideal for: Adults looking for a long-term solution post-myopia progression.
  • Effectiveness: High success rate with immediate results for most patients.

Take Control of Myopia Today

Although myopia cannot be reversed, parents and patients now have better tools, resources, and treatments than ever before. Proactive measures like regular eye exams, early diagnosis, and personalized treatment plans can make a difference.Lifetime Optometric advocates for parents to take a proactive approach to understanding their child’s unique needs regarding eyesight. Contact us today to schedule an appointment and identify the right plan for managing your child’s myopia.

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Written by Lifetime Optometric

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