In recent years, the development of myopia status among adolescents has gradually become more common and younger. Parents are also particularly anxious and anxious to get treatment, but inappropriate treatment often goes against their wishes. In this process, there are a series of misconceptions and misunderstandings that affect the correction of myopic children, which need to be understood.
Can the level of visual acuity indicate a child’s myopia status?
The human visual acuity is not constant throughout the day. Normal adults in different environments and at different points in time vision can be adjusted to show a difference of one or two lines of change, adolescents due to compensatory capacity greatly exceeds that of adults, this change will be much larger, and each person is very different from each other. There is no absolute one-to-one correspondence between visual acuity and myopia. In other words, a child whose visual acuity is 1.0 on a vision chart test may not necessarily not be nearsighted. Likewise, a child with a vision chart test result of 0.3 may not be more myopic than a child with 0.5. Generally speaking, children whose ciliary muscles are fully relaxed after a good rest can have their visual acuity exceeded by several lines during the transient examination, and this is similar to how you tiptoe to measure your height, which looks beautiful but cannot be sustained, and is not a true indication of your child’s myopia. Therefore, it is not possible to judge a child’s myopia status by the level of the visual acuity test alone, but rather the degree of myopia and the length of the eye’s axis, as determined by a standard medical examination.
What is the gold standard of myopia screening for adolescents? Is it safe?
Since there is a clear compensatory adjustment in the refraction of teenage eyes, which affects our understanding of their true visual acuity, myopia examinations for teenagers must be performed with medication to relieve this effect and relax the ciliary muscles in a state of adjustment, which is what we usually see in ophthalmology and opticians: dilated eye examinations. This is the gold standard for adolescent myopia examinations, and it is the only way we can find out your child’s true visual acuity and myopia. When the pupils are relaxed and dilated, the child will temporarily show fear of light and blurred vision up close. Many parents are concerned about this: How can they be afraid of light and have worse vision after ordering the medication? In fact, this is a very normal part of the pupil dilatation process. Generally, after a few hours of compensating for the medication, these phenomena will be removed automatically and will not have any effect on the child’s health.
Can myopia in adolescents be treated or only corrected? Are the two concepts the same?
Myopia in adolescents is commonly referred to as myopic adjustment (pseudomyopia), axial myopia (true myopia), and mixed myopia. Due to the phenomenon of compensatory regulation and the delay in parental detection and treatment (myopia is detected when the loss of regulation is low), the majority of myopic children are seen late in the clinic, and the percentage of children with true pseudomyopia is very small. Most children are in true myopia or mixed myopia as soon as they are discovered.
Since myopia is a problem, it is important to find ways to salvage it. Many parents are eager to ask the doctor: Is my child pseudomyopic? Because most parents know that pseudomyopia has the possibility of treatment, while true myopia requires glasses and no rule of law.
Modern optometric practice shows that pseudomyopia, which is a compensatory disorder, can be improved by resting the eyes and restoring the original function of the ciliary muscle. However, there is no treatment for true myopia in the world that can effectively cure it completely. All that can be done clinically is to control the rapid increase of myopia. A search of authoritative medical science and technology databases at home and abroad also leads to this conclusion.
The instability of the body structure of adolescents at the peak of growth and development dictates that we cannot use invasive methods such as surgery to treat myopia. The most advanced technology and methods can be applied to do this: non-surgical correction. Correction is not the same as treatment. Treatment is the stabilization and shortening of the eye axis to restore the eye to constant orthoptics. Correction is only through a variety of aids to make myopic children’s vision temporarily corrected to a positive vision state.
The dazzling ancestral recipes and foreign technology is real and credible?
Nowadays, the market is flooded with various secret formulas and foreign technologies that claim to be able to cure myopia. Some of them use various deceptive techniques to convince children and parents of the results of the treatment. It is up to parents to have a pair of eyes to calmly identify.
Why is the best and most advanced treatment technology not first applied in clinical practice by ophthalmology specialists, but first promoted to the market by some laymen? This is a bit similar to the psoriasis ads on the street: like hepatitis, rheumatism, diabetes and other difficult diseases, what disease can not be cured in large hospitals, what disease there are fraudulent clinics can cure.
Chinese medicine is very mysterious, the magical recipe can cure all diseases why can not go out of the country to be accepted by foreigners? You should know that Japan’s youth myopia level is higher than China. Why is the miraculous recipe only effective for our people here? In fact, in the end is the magic or fraud on their own to distinguish.
As for the introduction of foreign technology really is not true, how good, is not hanging sheep’s head to sell dog meat that is more simple. Now the network information is so developed, find a friend who knows a foreign language to check a foreign country’s old background will know. Do not say that such a friend is not easy to find, each school can be a lot of foreign teachers.
Each of them claims to be a regular medical examination and treatment, what qualifications do the practitioners have? Do they know about myopia and the physiology and pathology of the eye? Do they have the ability to treat safely? One day they carry a hoe to plant, the next day they can put on a white coat as a doctor? Can a fryer also wear a white coat and be considered a doctor? If you don’t need a doctor to see a doctor, who should see a doctor? Those who just pay a small joining fee, two days of training to learn the knowledge can offset the hospital at least five years of formal medical education quality? If you listen to such people to see a doctor to cure myopia is like looking for a blind man to show the way, have credibility? Are you not worried about the damage to your child’s eyes? There are relatively few optometric professionals, and hospitals below the county level are not even specially equipped with ophthalmologists, so why would an experienced veteran doctor come to sit in a classroom to treat myopia after retirement? If you want to know whether the person concerned has medical qualifications, it is actually very simple, not to see his own mouth to say that it is not, smart people in the provincial health department’s website to check the medical practice qualification will know everything.
What are the marketing techniques of commercial treatment that are fooling people?
The urgency of parents is known to everyone, and this mood is often exploited.
Tactic 1: Lying about the condition before treatment: Your child has hundreds and hundreds of degrees. During the examination, a quick jump, or choose a distance standard vision table, each line of the visual scale there is an invisible even if you can not see.
Tactic two: exaggerate the effect after treatment: slow selection of visual standards, or select the near distance vision table, each line of visual standards can see one even if they can see.
Tactic 3: Induce examination: “Look carefully to the left or to the right?” “Up or down?” Children have a 50% probability of guessing, and parents rejoice when they guess, and the psychological relief of the traitor.
Gimmick four: choose the timing of the examination: the follow-up, never in the child as soon as the door to check the vision, but slowly after processing, so that the child fully adjusted and relaxed before checking, the problem is that the child usually have such conditions during class?
Tactic 5: Forcing the child to adjust: telling the child, “Can’t you see? Can you blink hard and look again?” Does this forced adjustment usually work? Do you need your child to keep blinking in class?
It is easy to judge the effectiveness of the so-called treatment: find another family or find yourself a vision chart and check it yourself. Without reminding or massaging to relax, see if your child’s vision improves in its original state. Of course it would be more objective to have the results of dilated pupil examination and eye axis to compare.
Is there a single device, drug or food that can magically cure myopia in youth?
We all have the unrealistic fantasy that we will come across a magic pill that will easily solve our child’s myopia problem in a flash. The problem is that we can’t find it in the catalogs of the State Drug Administration or the FDA. For example, many of the now much-vaunted drugs this element that element, carefully check the pharmacopoeia: decades ago existed, the clinical has a standardized scope of application and object. It is a drug, if not selective bragging abuse will not eat bad health?
At present some so-called therapeutic lenses, multifocal lenses, bifocal lenses, transmission prisms, pinhole lenses, after years of clinical practice shows basically no obvious value in the treatment of myopia. Moreover, if the treatment indication is wrongly chosen, the fitting is not qualified and standardized, and the wearing is not appropriate, it will cause abnormal stereo vision and medical strabismus, etc. This is not a disease that can be solved by an informal hospital.
The occurrence and development of myopia is a multifactorial and prolonged formation, at least for the time being, no shortcut to treatment or correction has been seen in the medical clinic. Unrealistic fantasies can only provide room for scammers to fool around.
Can you leave him alone now and wait until your child is an adult to have laser treatment for myopia, all at once?
Myopia laser treatment has a range of applicability, at least for the time being, it is not recommended to use excimer laser surgery for myopia above 1,000 degrees. In addition, for some patients with naturally thin corneas, it may only be possible to achieve a maximum of seven hundred degrees. If your child’s myopia is not taken care of, and if you let his myopia grow like crazy, you will have to consider whether your child will have the physical conditions to undergo laser surgery as an adult. The higher the degree, the greater the risk of surgery, which is also self-evident.
How to face myopia properly and treat it actively?
Myopia is now a common problem among teenagers. If your child is unfortunate enough to have poor vision, he or she should go to a hospital eye specialist as soon as possible and have a professional doctor and technician perform a dilated eye exam, a binocular visual function test, an axial measurement, and if necessary, a corneal topography and an IOP and corneal thickness test. A case file will be created for future comparison to understand the child’s true visual acuity. You should accept the reality that not wearing glasses does not mean that you are not myopic, and you should not wishfully assume that your child is only pseudomyopia and is unwilling to undergo vision correction, which delays the correction of your child’s vision, which often accelerates the rapid growth of myopia due to refractive error and increased visual fatigue.
Pseudomyopia can be relaxed and adjusted and combined with medication.
True myopia must be corrected in children’s vision, not because the appearance of unattractive and other factors refuse to wear glasses to correct. The easiest thing to do in general is to apply frame glasses. The lenses are fitted according to the prescription established by the doctor. Wear them during normal eye use. For children whose myopia is growing rapidly in the short term, consider using keratoplasty or RGP lenses to reduce the rate of myopia progression. A standard visual function review is usually done every six months or so to determine changes in the degree of myopia and countermeasures to deal with it.
Some children’s myopia progresses rapidly because of abnormal binocular vision, so they should be examined in a regular hospital and have an optometrist develop a relevant visual function training program for binocular vision training.
Another very important aspect is that parents and teachers must supervise children to have a good eye habit, otherwise the best correction will be in vain. By the same token, if myopia has already occurred, emphasizing the correction of eye habits without correcting myopia will not prevent it from increasing.
Good eye habits include proper rest, regular rest, frequency of eye use, eye environment, writing posture, pencil grip, etc. Most parents are well aware of these habits. Here parents’ persistence, perseverance and communication with teachers and children are very crucial. After all, it is easy to pay attention in the short term, but it is difficult to persist for a long time. Consistent persistence will pay off well.