Preprint / Version 1

Nearsightedness: A Comprehensive Review of Myopia and its Impact on Vision

##article.authors##

  • Sanjana Shresta Polygence

DOI:

https://doi.org/10.58445/rars.885

Keywords:

Nearsightedness, Myopia, Vision

Abstract

Myopia is a common ocular disorder that affects nearly 140 million people in the US. It causes difficulty in focusing on objects located at a far distance. The cause of myopia is multifactorial and only partially understood. There are several medical and surgical management options for myopia in adults, and only some of these apply to adolescents, even though the average onset of myopia is reported to range from 6-14 years old. In this literature review, we will review the current understanding of the causes, challenges, management options, and preventative measures of myopia in adults and adolescents and identify gaps for future research. The causes and management options for myopia for adults and children are well-researched, though gaps remain. The cause of myopia is multifactorial, with genetic and environmental components, though a thorough understanding of all causes has not been achieved. There are several challenges associated with living with myopia, including financial, social, and management-related challenges. Additionally, while non-surgical treatments such as orthokeratology (Ortho-K), contact lenses, glasses, and atropine eye drops are effective, they can be very costly and translate to a life-long financial burden. The same applies to surgical treatments such as refractive lens exchange (RLE), photorefractive keratectomy (PRK), and laser-assisted in situ keratomileusis (LASIK). Furthermore, there are currently no safe surgical treatments for adolescents due to their eyes being underdeveloped. More research is needed to thoroughly understand the causes of myopia and possible additional management options for adolescents. This work should include expert-conducted studies, studies on how to alleviate the effect of refractive surgery on growing eyes, and more studies on how to effectively reduce the acute repercussions of refractive surgery.

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