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Will myopia (nearsightedness) continue to progress?

Jun 29, 2022 Source: Cainiu Health
Dr. Chen You
Introduction
Myopia progression does not continue indefinitely. In general, myopia stabilizes after adulthood. However, during middle and older age, refractive changes may occur again due to alterations in lens shape. If myopia continues to progress after adulthood, it may indicate pathological myopia. Myopia progresses most rapidly between ages 8 and 14, as this is the period of most rapid physical development in children.

Myopia is the most common ophthalmic condition. Individuals with myopia experience blurred vision at distance but can see clearly up close. When the eye is at rest, parallel light rays from distant objects are refracted by the eye’s optical system, causing the focal point to fall in front of the retina. Does myopia progression continue indefinitely?

Does myopia progression continue indefinitely?

No, myopia does not progress indefinitely. In general, myopia stabilizes after adulthood. However, during middle and older age, changes in lens morphology may lead to further refractive shifts. If myopia continues to progress after adulthood, it may indicate pathological myopia. The most rapid progression typically occurs between ages 8 and 14, coinciding with peak physical and ocular development; during this period, myopia may increase by 50–100 diopters annually. Therefore, parents should arrange annual vision examinations for their children. Glasses should be prescribed promptly upon detection of visual decline.

Currently, surgical intervention represents the most advanced treatment option for myopia. Among available procedures, femtosecond laser surgery and intraocular refractive surgery (phakic intraocular lens implantation) are considered the most effective and minimally invasive options. Femtosecond laser surgery involves minimal tissue trauma and yields excellent visual outcomes; it corrects myopia by reshaping the cornea’s refractive power. Intraocular refractive surgery—also known as phakic intraocular lens (IOL) implantation—involves implanting an artificial lens inside the eye while preserving the natural crystalline lens, thereby altering the eye’s overall refractive state to correct myopia. Both techniques are suitable for treating high myopia.

We recommend that patients avoid prolonged smartphone use and maintain proper posture while reading or working. We hope this information proves helpful.

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