Can congenital myopia be treated with surgery?

Nov 18, 2025 Source: Cainiu Health

Dr. Wang Lei

Introduction

Congenital myopia can be corrected surgically, but certain criteria must be met, including adequate age, stable refractive error, and suitable ocular conditions. Not all patients are eligible for surgery, and a professional evaluation is required to determine the appropriate surgical plan. Individuals with ocular diseases or significant fluctuations in refractive error should seek timely medical consultation to assess their suitability for surgery. Patients with congenital myopia must be at least 18 years old.

Congenital myopia can be corrected with surgery, but certain criteria must be met, including age requirements, stable myopic refractive error, and satisfactory ocular conditions. Not all patients are suitable candidates; a professional evaluation is required to determine the appropriate surgical plan. Individuals with ocular diseases or significant fluctuations in refractive error should seek timely medical advice to determine whether surgery is appropriate.

Patients with congenital myopia must be at least 18 years old, and their myopia should have progressed by no more than 50 degrees per year over the past two years to prevent further progression after surgery that could compromise visual outcomes. Individuals who are too young may still be undergoing eye development; surgery could interfere with normal ocular growth and increase the risk of complications.

Surgery has strict requirements regarding ocular health, including adequate corneal thickness and the absence of conditions such as keratitis, glaucoma, or retinal disorders. Pupil size, intraocular pressure, and other parameters must also be within normal ranges. Congenital myopia is often associated with excessive axial elongation of the eye, so a detailed assessment of retinal health is essential to identify any contraindications to surgery.

A comprehensive preoperative eye examination is necessary. After surgery, patients should follow medical instructions for medication use and attend regular follow-up visits, avoiding eye rubbing and strenuous physical activity. Maintaining good ocular hygiene, minimizing prolonged eye strain, reducing screen time, and consuming a diet rich in eye-protective nutrients can support postoperative recovery.

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