What do studies suggest children can do to decrease their risk of developing myopia?

Most parents are aware of the many benefits associated with children taking part in outdoor activities. The obvious benefits of fresh air and physical exercise aren’t the only perks for kids who play outdoors. Recent research shows that increased “sun time” can actually slow down the progression of myopia (often referred to as nearsightedness), or even postpone its onset!

But First, What Is Myopia and Why Is It Harmful? 

Myopia is an eye disease that causes the eye to elongate more than it should, resulting in blurry distance vision.  It’s caused by a combination of genetic and environmental factors, two of which are not spending enough time outdoors and doing excessive near work like device use. 

Many parents aren’t aware that childhood myopia significantly increases the risk of developing serious eye diseases and conditions like glaucoma, retinal detachment, and macular degeneration later in life. It’s been shown that higher myopia is associated with a greater risk of eye disease. 

That’s why it’s important to stop myopia in its tracks with myopia management.


3 Reasons Why Outdoor Play Benefits Your Child’s Eyes  

Whether your child is currently nearsighted or not, spending time outdoors in the sunshine can help delay the onset of myopia or slow its progression.

Genetics 

A child is more likely to be myopic if one of their parents is nearsighted or myopic as well. If both parents are myopic, those chances increase even greater. Be sure to get your child’s vision checked if you or your spouse are myopic. 

1) The Brightness of the Sun 

The sun’s visible light is significantly brighter than the lighting in almost any indoor setting, which may play a major role in controlling myopia. 

Studies have shown that when sunlight comes in contact with the retina, it causes the release of dopamine into the eye. This may prevent the eye from elongating. Preventing the eye from growing too long is the main goal of myopia management. 

What is certain: children who spend at least 2-3 hours playing outdoors in the sunshine progress less rapidly than children who spend almost all their time indoors.

2) Long-Distance Focusing 

It is well established that prolonged near activities like reading and screen time contribute to myopia onset and progression. It’s no surprise that studies now show COVID-19 confinement may have caused higher rates of myopia in children as well. 

Spending time outdoors, on the other hand, encourages your child to focus on distant objects like trees, basketball hoops, a ball flying through the air— anything that’s more than an arm’s length away.

3) Vitamin D 

This smooth muscle helps focus light on the retina, and may also help maintain the proper eye shape and length between the lens and the retina, which can become distorted as a child’s eyes grow with every passing year.

Moreover, the sun’s invisible UVB light triggers Vitamin D production. Some studies have found that nearsighted individuals have lower levels of Vitamin D than those with normal vision. However, more research is needed to solidify this claim, as only small-scale studies have been performed. 

The recommended time for daily outdoor play is at least 2 hours for children over the age of 6. Be sure to send your child outside with a water bottle, sun hat, sunglasses, and sunscreen.

If Your Child Has Myopia, We Can Help!

At Treehouse Eyes, our goal is to battle childhood myopia and preserve children’s eye health for the long term. We encourage parents to learn more about myopia and check out real stories from satisfied parents and children sharing their experiences with our professional doctors, staff, and myopia treatment protocols at Treehouse Eyes.

Prevent serious, sight-robbing eye diseases by scheduling your child’s myopia consultation today. Contact your local Treehouse Eyes provider today and see your child’s quality of life improve before your eyes!

Q1: What is myopia? 

A: Myopia is a refractive error, or a vision condition that affects the ability to see distant images or objects clearly. Your eye doctor may refer to myopia as nearsightedness or shortsightedness.

According to the American Optometric Association, nearly 30 percent of the U.S. population, including both children and adults, suffer from myopia.

Q2: What are the signs and symptoms of myopia?

A: If your child is experiencing any of the following signs of myopia, schedule an eye exam with your eye doctor to determine if your child has a refractive error.

  • Squinting when reading the board or watching TV
  • Sitting at close proximity to the TV or computer screen
  • Sitting at the front of the classroom to clearly see the teacher and board
  • Holding books close to the eyes
  • Disinterest in playing sports that require clear distance vision
  • Reduced clarity of vision, as compared to friends and family

Q3: What causes myopia?

A: Myopia occurs when light enters the eye and focuses in front of the retina, rather than directly, on the retina. When the length of the eye is longer than normal, this particular shape causes the light to refract differently.

Myopia typically develops in childhood and worsens as the eyes continue to grow— as the eyes grow, so does their axial length. You may find that your child’s optical prescription worsens through their teenage years, and eventually reaches a plateau when the eye stops growing, typical around the age of 20.

Q4: Is myopia dangerous? 

A: While myopia is not a dangerous vision condition, it does increase your child’s risk for developing serious, vision threatening eye diseases later in life.

In about 10 percent of people with myopia, the condition worsens in severity— and as myopia gets worse, your child’s risk of eye disease increases.

Eye diseases associated with high myopia include:

  • Glaucoma
  • Cataracts
  • Retinal detachment
  • Myopic macular degeneration

If your child has worsening myopia, contact an eye doctor near you who can discuss the eye health benefits of myopia management.

SEE RELATED: Myopia Management for Athletes

Find an eye doctor for children near you

Q5: How can I prevent my child’s myopia from worsening?

A: Recent studies suggest that it may be possible to control myopia progression, before it gets worse— to protect children from high risks of eye diseases associated with high myopia.

Myopia management is a treatment program prescribed by eye doctors, to completely stop, or at least slow down myopia progression.

Many eye doctors believe that commonly prescribed single-vision glasses and contact lenses may actually contribute to myopia progression.

Studies show that although distance-only glasses and contact lenses improve distance vision clarity, they focus light onto the retina in a way that can actually increase the axial length of the eye. Therefore, myopia management techniques move away from single-vision lenses, and include different methods of myopia correction.

Q6: What is involved in myopia management? 

A: Depending on the age and severity of your child’s myopia, your eye doctor may prescribe any of the following management techniques:

Eyeglasses

Eyeglasses are one of the most popular choices for younger children. For many children with myopia, a further diagnosis of reduced focusing skills, which make it difficult for their eyes to work together as a team, can cause myopia to progress and worsen.

For these children, corrective lenses that contain more than one optical prescription, such as a bifocal or multifocal, will be prescribed to support their focusing skills.

The optical power for near vision tasks reduces the stress on the eyes and the progression of myopia.

Bifocal lenses contain two optical powers. The top segment of the lens is used for distance vision, while the bottom segment is used for near-point tasks.

Multifocal lenses contain different lens powers throughout the lens, for distance, intermediate, and near vision tasks.

Contact lenses

Contact lenses are preferred by older children and adults with myopia, as they are more comfortable for sports and contribute to improved self-confidence in social gatherings. Contact lenses also provide a wider field of view as compared to eyeglasses.

Multifocal contact lenses are similar to multifocal eyeglasses, improving distance vision acuity while simultaneously reducing the stress on the eyes for reading and other near vision tasks.

Atropine eye drops

Studies show that a daily, low dose of these medicated eye drops can reduce myopia progression and prevent your child’s prescription from climbing higher and higher. This method is most effective for children between the ages of 8 and 15. While these drops can assist in slowing down myopia progression, they are not used to correct myopia— so your child will still need to wear their eyeglasses or contact lenses regularly.

Caution: Side effects of atropine eye drops may include blurry near vision or light sensitivity. Speak to your eye doctor if side effects are affecting your child’s daily routine.

Orthokeratology (Ortho-k)

Ortho-k has been proven to reduce the rate of myopia progression in children by up to 50 percent.

This method involves the use of specialized rigid contact lenses worn at night, while your child sleeps. These contact lenses flatten the cornea, the front outer surface of the eye, to improve the way light is focused onto the retina.

Ortho-k provides clear vision for the whole day, without the need for glasses or contacts.

Q7: How effective is myopia management?

A: Myopia management has shown to reduce myopia progression by up to 78 percent.

Q8: Can vision therapy control myopia progression?

A: Vision therapy is effective in treating reduced focusing skills that may be contributing to worsening myopia.

Vision therapy involves a personalized program aimed at training the visual system, including the eye-brain connection, to work more efficiently. By improving your child’s focusing skills, you are decreasing their risk of myopia progression.

Q9: When should my child start myopia management?

A: Myopia generally worsens through the teenage years, until it stabilizes as the child reaches adulthood. Therefore, for optimal results, it is best to begin myopia management in the teenage years or as soon as possible.

If your child has been diagnosed with myopia, or their myopia is getting worse each year, speak to your eye doctor about a myopia management plan. 

Based on your child’s age and optical prescription, your eye doctor will determine which myopia management method will be most effective for your child.

LEARN MORE: Guide to Pediatric Eye Conditions

If your child has worsening myopia, contact an eye doctor near you who can discuss the eye health benefits of myopia management.

How can we prevent myopia in children?

What can you do to prevent myopia?.
Get an annual eye exam (not just a screening) to diagnose myopia as early as possible. ... .
Limit screen time, especially hand-held electronic devices, and avoid holding devices too close. ... .
Encourage your child to play outside as much as possible..

How can kids reduce myopia naturally?

Corrective lenses or surgery are the most effective treatments for myopia, but some natural treatment options can help slow the progression of myopia..
Increase the Time You Spend Outside. ... .
Protect Your Eyes from the Sun. ... .
Eat Healthily. ... .
Reduce Eyestrain. ... .
Don't Smoke..

How can myopia be prevented?

Steps you can take to promote good eye health and vision include the following:.
Get regular eye exams..
Protect your eyes from the sun..
Wear protective eyewear during sports or work that can result in eye injuries..
Use good lighting when reading and working..
Wear prescription lenses as directed..

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