Some older myopic patients ask a question before surgery: “Will I wear old glasses early after myopic surgery?” For this question, today I would like to explain to you in detail about my own understanding. First of all, let’s take a look at what is presbyopia? Aging is also called presbyopia, which means that as age increases, the elasticity of the lens fibers and the contraction ability of the ciliary muscle both decline, and when looking at the near, the refractive power of the eye cannot be increased as easily as when you are young, and the adjustment power of the eye decreases, resulting in the inability to see near objects clearly. The purpose of the lenses is to increase the refractive power of the eye. The older you get, the more pronounced the decrease in refractive power, and eventually the total loss of refractive power. For myopic eyes, the refractive power of the entire eye increases compared to the normal eye, and when looking at the near, it requires relatively less regulation, so even if the regulation of the eye decreases with age, the increased regulation of myopia itself can compensate to a certain extent. This is what we usually hear about nearsightedness not getting old light. However, it is important to realize that it is almost impossible to match the reduced accommodation power with the increased refractive power of myopia, and that it is more likely that two different pairs of glasses will be needed to see far and near. It is also important to mention that myopic eyes, due to the fact that the ciliary muscle is rarely used, lead to a decrease in the strength and atrophy of the ciliary muscle, resulting in a faster decrease in accommodation power compared to people of the same age, and on this level, myopic eyes age faster than normal people. The ciliary muscle needs to use the same amount of contraction, although it may be slightly difficult in the early post-operative period, but this instead exercises the ciliary muscle strength and prevents premature atrophy of the ciliary muscle, thus delaying the onset of ageing (at least it can be said that it occurs at about the same time as normal people). This delays the onset of old light (to say the least, about the same time as normal people). What’s more, if the patient does have a need to see near, the surgeon can also perform a special surgical design that allows the patient to balance seeing near and far after surgery and, perhaps, stay away from both presbyopic and nearsighted glasses for the rest of his or her life. In short, there is no doubt that myopia surgery does not cause premature aging. Perhaps it will even slow down the development of presbyopia to a certain extent. (Reprinted from “Eye Curtain”)