Goals of myopia correction

  The high prevalence of myopia has made it a serious public health problem, with prevalence rates ranging from 30% to 90% in our student population. Unoptically corrected myopic eyes do not see far well, resulting in their poor distance vision, which affects functions related to distance vision, such as attending classes, watching movies, and driving. The growth of the eye axis in high myopia causes thinning of the eye wall, leading to many changes in the fundus, which can cause pathological changes such as macular hemorrhage, atrophy, retinal fissures, and choroidal atrophy, ultimately leading to the destruction of vision. Therefore, in terms of treatment, the goals of myopia treatment can be divided into two: 1. Correction of myopia: correction of the refractive state of myopic eyes by means of frame glasses, corneal contact lenses, surgery, etc. Evaluation of treatment: clear, comfortable and effective binocular vision and a healthy eye condition.  2. Control of myopia progression: The progression of myopia can be alleviated or even stopped by various methods, such as medications and OK lenses, in order to reduce the chance of pathological changes in the fundus after becoming highly myopic.  The evaluation of the treatment is the delay or stabilization of myopia growth and the delay or even stop of the growth of the eye axis length. The ideal myopia treatment should combine these two goals. The causes of myopia are complex, with genetics and environment considered to be the two main categories of causes, but removal of the cause is almost impossible regardless of which category dominates. Optical correction of myopia is still easy to achieve, but stopping the progression of myopia is a challenge. The World Health Organization has set a goal to reduce preventable blindness by 2020, and refractive errors, including myopia, are in the top 5 priorities.  The goal of correction Clear, comfortable, and effective binocular vision. This also means that we do not just measure the visual acuity of one and both eyes during the optometry, but also assess the patient’s binocular vision status.  Frames and Corneal Contact Lenses Correcting myopia with myopic frames or corneal contact lenses is a commonly used non-surgical correction option. The choice between frames or corneal contact lenses is based on a number of factors: the patient’s age, motivation for wearing corneal contact lenses, assessment of compliance with corneal contact lens care and maintenance, corneal physiology, and financial considerations. It is the optometrist’s responsibility to help the patient choose the appropriate optical correction based on his or her condition.  Some advantages of frame eyeglasses: In most cases, frame eyeglasses are more economical. Frame glasses, especially when the lenses are made of polycarbonate, provide protection for the eyes.  Frame glasses can be combined with a number of other optical treatments, such as prisms, bifocals, and progressive lenses, and can be used to manage the internal obliquity and maladjustment associated with myopia.  Compared to corneal contact lenses, frames require less adjustment, so there is less chance of developing accommodation fatigue or blurring at the near point in patients approaching the onset of presbyopia.  For some types of astigmatism, frames provide better correction.  Some advantages of corneal contact lenses: 1, wearing corneal contact lenses does not affect the appearance, cosmetic effect; 2, the retinal image of corneal contact lenses is large, in high myopia correction vision will be slightly better; 3, for refractive partials, corneal contact lenses caused by the image size like unequal small; 4, corneal contact lenses reduce the weight of frame glasses, visual field limitations, and because of frame skew caused by the prismatic effect and imbalance phenomenon; 5. Some special corneal contact lenses can also slow or stop the progression of myopia.