Q. What is the cause of myopia
A. In this part of the world, myopia is the most common refractive
error especially among the school children and young adults. The cause
of the development of myopia is not fully understood. It is generally believed
that the predominant causative factor is environmental rather than genetic,
and it's closely related to the urbanized lifestyles which involved excessive
near visual tasks.
Q. What can I do to prevent my child suffering from myopia?
A. It's a fact that many children become myopia when they start
attending schools with an increased NEAR VISUAL TASKS. As myopia is strongly
linked with genetic influence, a child is also predisposed to myopia if
parents are myopic. Proper use of the eyes is therefore essential in helping
to prevent the development of this prevalent defective vision.
The followings are good visual habits to prevent over stress of the
eyes:
-
Reading and near works should be done at a distance
of about 40cm from the eyes.
-
Doing near visual works under proper lighting
and to avoid shadow on the reading materials or reflection from them.
-
Illumination from a 60W tungsten table lamp coupled
with a ceiling fluorescent lighting provides a more natural illumination
for reading and near works indoors
-
Maintain a proper posture with your back straight
and neck relaxed when reading or doing closed works.
-
Take a break of 5 to 10 minutes after every hour
of reading or closed works and do "distance gazing". The eyes are relaxed
when viewing distance objects.
-
Don't lie down to read. The illumination is often
poor and the reading materials often too close to the eyes.
-
Maintaining at least 3 meters away from the TV
set when watching TV programs with a correct viewing angle.
When
using computer:
-
Position the monitor at a distance 50 - 60 cm
from your eyes, and the top of the monitor below eye level. Avoiding glare
and reflection from the screen.
-
Adjust the brightness and contrast to a comfortable
level. High contrast and medium brightness is best for most people.
-
Keep your back straight and neck relaxed.
-
Take 5 - 10 minutes of breaks to relax your eyes
for every hour of works.
Q. What should I do to prevent my myopia from increasing rapidly?
A. There is no single effective way to achieve this goal. As
mentioned above, myopia is a condition with multiple causative factors,
and very little can do to influence the myopic gene.
Besides prevent to over stress your eyes, wearing Rigid Contact Lenses
appears to be effective to retard the progression of myopia.
Wearing bifocal, progressive power lenses, or atropine eye drops is
also effective in reducing progression of myopia in some children.
There are several myopic-control products available in the market, unfortunately,
they are not scientifically proven to be effective.
Q. What is night blindness?
A. This is a condition of the eye unable to see under reduced
illumination. Lack of Vitamin A is the most common cause of this condition
in the poor countries. Some eye diseases affecting the rod shape cells
in the retina also result night blindness. Congenital night blindness is
rare.
Q. What is night myopia?
A. This is a condition of the eye which cannot see well at long
distances in low illumination, such as driving at night. It's a myopic
condition induced from complex optical factors as a result of dilatation
of the pupil and reaction in the focusing mechanism of the eye. This problem
can be alleviated by appropriately increased the correcting power to be
used in the low illumination.
Q. I don't feel any eye discomfort when in the bright sun, do
I need a sunglass?
A. There are medical reasons to wear a good sunglass (not necessary
"branded" or expensive), not only for fashion but to protect the eyes from
UV rays. Excessive exposure to the UV rays have been
linked to skin cancer and certain eye diseases, such as pterygium, corneal
damage, cataract and retinal degeneration. Most of the plastic lenses,
whether with or without power, can be coated with 100% UV protection.
Q. When should I have my eyes check-up?
A. Generally, it's advisable to have the eyes check-up once
annually. This is particularly important for preschool children as high
myopia, hypermetropia or astigmatism
can lead to strabismus (squint) or amblyopia
(lazy eye), which can be prevented if detected and corrected early before
a child is 6 years old.
Q. Should I wear my spectacle constantly?
A. If you are over 6 years old and without any symptom on performing
visual tasks, it's all right to put on your spectacle whenever you need
it. However, it's rather dangerous when you are driving or carry out certain
activities with poor vision. If you are under 6 years old, it's advisable
to wear the spectacle constantly, unless your refractive error is mild.
Q. Should I regularly "update" my spectacle power for 6/6 vision?
A. Your practitioner is trained to prescribe the appropriate
correction which meets your daily visual needs best. Different people have
different visual needs and different tolerance to the correction.
In most cases, full correction is prescribed for best comfortable vision.
For certain cases, the correction may be deliberately under corrected to
aid tolerance, and then gradually strengthened over a period of months,
if desired. Your practitioner may also prescribe slightly under powered
(myopic) correction if your activities involved mainly near works.
Q. What is a cataract and how does it affect the vision?
A. The human crystalline lens is a clear, flexible substance
in the normal eye. It is situated just behind the pupil and constitute
one of the main elements that focus incident light onto the retina.
A cataract means the clouding or opacification of the crystalline lens
which in most cases is due to aging. When a cataract is formed, the incident
light become scattered or blocked, causing blur images on the retina hence
poor vision.
In early stage, cataract often accompanied with a myopic shift (an increase
in myopia or decrease in hypermetropia) which also result poor vision,
but vision may be improved for a period of time by fitting with appropriate
spectacle correction. However, the best result is through surgery removal
of the clouding lens and implant an IOL (intra-ocular lens).
This material is not a substitute
for professional eye care. If you have any problem with your eyes and vision,
you should contact your personal eye care practitioner.
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