What was your favorite part of this video? Stay tuned for the next 2 videos on what causes myopia to get worse and treatment options for slowing down myopia progression.
@@DoctorEyeHealth Can you speak to whether nasal cortosteroids make this worse or progress faster, as allergists seem to make it seem like it is no big deal, I noticed a big change when I started - that and peri-menopause
I didn't just accept myopia when I got diagnosed at age 13 like you. I wanted an explanation but still haven't really gotten one. Mostly just my suspicions checked by some common sense but I don't have a medical background so I'll probably never really get satisfied answers. I was convinced I spending too much time inside reading books which caused me to get near sighted. I get that not everyone that spends time inside doing up close work gets near sighted and I wish I had been one of those people but it just doesn't make sense that my perfectly functioning eyes would effectively stop working at such a young age when they were otherwise perfectly healthy. You might think that when I started getting near sighted and suspecting that this was all related to my behavior that I would adjust my behavior to protect myself but I didn't. I really really liked getting lost in another world reading fantasy books and even my optometrist was telling me it was my genes and there was nothing I could do to fix it. Changing a behavior you really enjoy takes a lot of motivation and mixed signals didn't cut it. But I'm convinced that if I at least spent more time outside instead of reading or playing video games it would have saved or at least mitigated the myopia. I've read some stuff online that adults can actually reverse the effects and shorten the eye but I don't think I have it in me to alter my behavior that much. I think wearing plus lenses when reading up close for long periods of time might help a little but I think the big thing is spending lots of time outside in the daylight. But just speculation. If I have kids I'll insist they spend lots of time outside for sure.
Primates in zoos who have indoor cages tend to be nearsighted, whereas primates who spend much of their time outdoors are not nearsighted. It looks like you're correct.
I have had progressive myopia since I was little, receiving my first pair of very thick glasses at the age of 3. I am now 66 and legally blind. I have had surgeries to repair holes and tears in the retina of both eyes when I 23, 2 macula hole repairs in the right eye (1998 & 2006) and 1 in the left eye (2001). Cataract surgery in both eyes in 2001 & 2002 respectively. Vision has gotten progressively worse over the past 8 years.
I'm 42 and was diagnosed this year at the same time as being declared sight impaired/partially sighted and they'll think it'll progress. I already have had a double RD and one eye has no useable vision.
I believe I was born myopic as I could not see distant things my dad pointed out to me; I think he thought I was a bit daft. As soon as I started school I was referred for spectacles and have worn them ever since, my prescription finally stabilising at -13. Without spectacles my far point is 60 mm and my near point 48; everything outside this is blurred. In my 60s I had both retinas detach, one with a hole and tear the other tore into strips. 3 ops totalling nearly 10 hours in theatre but my sight was saved. I was recommended to take beta carotene, lutein and zeoxanthin, so I do every day and I am eternally grateful to my surgeon. Look forward to your next videos. Thank you.
I was really worried about my eye sight at the age of 56, had progressing myopia and started to experience signs of glaucoma. Then I started to take NAC and later also astragalus which resulted not only in slightly more energy but also extremely slow improvement in my eye sight, especially with my night vision but my myopia improved as well. Several years ago I started to take C60 which appeared to accelerate my improvements, such as color vision at night and finally I was discarding my pair of glasses, although my vision is not perfect. Two weeks ago I finally decided to start experimenting with near infra red light. It appeared to improve my residual myopia even further. It was a relief that they stopped bugging me with ever more expensive glasses and I am no more dependent on a very well organized branch of health industry. I also decided to do everything in my power not to depend on prescription drugs, this includes antibiotics.
@@DoctorEyeHealth Astragalus is an ancient herbal remedy used in Traditional Chinese Medicine, C60 is a brand new substance created by scientist when studying the light spectra in the atmosphere of red giant stars. The UN (or maybe the EU) wanted to learn about the toxicity of the substance, so a university in Paris conducted a famous rat experiment which did not show any toxicity but appeared to extend the life of the laboratory rats and they did not get diseases of the old age. Many people started to self-experiment with the substance, myself included. There were blogs documenting the experience of people. Unfortunately these blogs disappeared from the internet and also the original documentation of the rat experiment was also removed. No reason given. I was lucky enough to discover it while some information was still available, which made me think that stem cell production was increased. That could explain the success in improving degenerative conditions. Most frequently mentioned conditions were the vision, skin health, arthritis, and so on. Thank you for NOT removing my comment, it might help some people.
@@anastasiavarianichenko9026 It is not exactly RED light, but infrared. Ordered a security camera infra red light source, keep it a few inches from my closed eyes. The radiation causes a mild, barely noticeable heat sensation, for about three minutes. I am just trying to figure out how to use it among the huge amount of contradicting information. I also was looking into the early morning Sun, when it was red, and it was causing the same mild heat sensation. It is too early to judge the effects on me, but it appears to be beneficial. I was never able to focus this perfectly since discarding my glasses, under ideal lighting conditions, at a large distance.
when i was a teenager, an eye doctor told me (very myopic) to never take up boxing, as a punch to my eye would separate my retina. 50 years later, it happened, my retina separated one day when i was hiking up a mountain. got to the top, and i had a hundred floaters in one eye. So, yes, this IS a potential problem for near sighted people.
A few years ago I realized I couldn't see far away well or drive anymore without problems, and I got my first glasses for myopia at 22. The thing though is that this happened essentially overnight. When I was 21 I was perfect, could see EVERYTHING. All of a sudden BAM, I couldn't ready any signs driving anymore. My dad makes fun of me because I'm only at a mere -0.75 but he doesn't seem to be concerned that this suddenly happened in the first place at all, regardless of how bad my vision actually is. Over time it will probably get worse and I don't want any of the things in this video happening to me. People have to take this more seriously, especially when it suddenly happens to young/younger people like me. For a period of time from the age 21-23 I didn't have a job and I always stayed home on the computer so I think this really contributed to the myopia suddenly, and with people being indoors on screens more I think this is a way bigger issue than people think.
I have myopic macular degeneration. This was the best explanation I have ever gotten on. What’s going on. I am legally blind at this point. My vision is getting progressively worse. I wish I would’ve had access to some of these things earlier. Many years ago, I checked into getting laser surgery, but at that point, my eyes were, too stretched out for anyone to try it. I still feel that I’ve been able to get that. I would not be in the position. I’m in now. It made me realize just how blessed I was when I had vision that was correctable with contacts or glasses. My big concern now is my children and grandchildren and trying to prevent them from going down the same road I have traveled. I have four siblings and only one other has the same issues I do. My brothers eyes have never been real bad thankfully. And my sister had laser surgery many years ago. Thankfully, my nature is such that I just plow on. I am thrilled that I am still independent and can do most things. I have a loving supportive family. But, at times, it can be so frustrating. Thank you for shutting light on so many issues. I really enjoy your videos and I’m looking forward to the two upcoming ones
Thank you so much for sharing your story! It always breaks my heart a little to hear people struggling but I must applaud you on having such an amazing attitude. Really, that accounts for so much. As far as your family, best thing to do is to share with them your concerns, encouraging young ones to spend more time outside, and to see their local eye doctors - especially if they have a doctor locally who specializes in myopia management. Wishing you and the family the best.
This has nothing to do with myopia but I was working up a patient for my ophthalmologist today and he had severe glaucoma and had NLP (No light perception) in both eyes. I was just sitting there just asking about the patients drops he uses.. because that's all I could do. When your eye is at that point, death of the optic nerve, theres nothing that is going to fix it. I just felt so bad while talking to him. I've had CF (counting fingers) HM (Hand Motion) and LP (Light Perception) before, they haven’t completely lost vision, it's close but they still have some sort of vision in one eye most of the time. But man, I'm not a fan of glaucoma or doctors who specialize in it.
Thank you! Yes, I am trying to commission more animations to help better show what is going on inside the eye. Our animator is one of the best in the eye industry.
Another phenomenal informative video, thank you so much. Myopia is indeed becoming pandemic and I'm looking forward to your next video discussing risk reduction tips!
I have shared this video everywhere. I wish I had had this knowledge even 10 years ago when I was -3.75; today I'm 36 and -5.5. I didn't care much about myopia and just exchanged lenses :/
I’ve had Myopic Macular Degeneration since I was 18 when I lost the central vision in my right eye. My left eye has been injected with Lucentis and Eyelea for the past 14 years due to bleeds. I’m in my 50’s and now registered as Sight Impaired. Myopia is a serious condition. Luckily, I live in the UK where treatment is available to me on the NHS.
I have progressive high myopia and have had the dx this year. I'm post double RD and registered sight impaired and will worsen as I'm losing peripheral and now losing central too. I am very high though at -12.5 in my good eye with 6/18 best corrected and HM in my bad eye. But it is what it is. I'm cane training and just doing all I can to slow it.
And books and tvs. If you look back, “bookworms” were routinely told to go outside and play. We have routinely been looking in the distance for most of our lives. Now we’re flipped it. Think of how smart people are portrayed as wearing glasses, that’s because we’ve been nose deep in a book since we began to read.
There is a role in the increased use of digital devices, research is pointing to near work in general, not just tablets and phones. However, we tend to hold phones closer to our faces then books - so that might play a role. Otherwise, just being inside more also plays a role.
I’m 28 and I’ve had 20/20 and 20/25 my entire life but still had a random PVD that turned into a retinal detachment with a macular pucker at 27! Doctors couldn’t figure out what caused it and I’m now left with 20/60 vision in one eye and a quickly progressing cataract. There’s absolutely no eye health education taught to people until it’s too late if there’s no previous vision impairments!
Coke glasses since age 9 got worse and worse my whole life. Retinal detachment in left eye in 2008. Laser to repair retina in right eye 2007. Cataract surgery in both eyes July/August 2024. Still recovering. Lots of floaters. Very dry eyes. 20/20 vision now- but my eyes are still sore after 4 weeks and the dry eyes are horrible. Not feeling great. 🤠💕
And also i was told my retina is completely fine but I do have floaters im kind of love this process of know more about my eye in past few months due to my eyes condition
my brother and sister are both myopic, had glasses when they were kids, and both had glaucoma manifest in their early 30s and have been on the eyedrops since then. Thankfully their eyesight has been preserved by their eye doctors. I used to always be farsighted and my eye pressure has not gone up and I'm already in my 60s.
I've had myopia for 43 years - I've also had real problems with one eye - why has absolutely no eye doctor ever seen fit to mention any of this .....? Thank you for telling me
A few years ago I noticed a weird, bright star-shape in my vision. Fortunately I was told to get this checked out immediately. The vitreous was pulling my retina right in the back of my eye. They waited on surgery. Then the other eye started doing this too. I had to have surgery to fix it. I had one eye did in May of that year and the other in September. I had to stay face down and use lots of different eye drops for 2 weeks after each surgery. It was miserable, but better than going blind. I still have little blind spots and twisted spots in my vision that I think will never heal. Also, that surgery speeds up the formation of cataracts. So I've also had cataract surgery. I was always more into reading than in playing outside. I wish I'd known better as a kid and had exercised my distance vision more. I wasn't worried when I needed glasses at seven. But it would have been better if I'd kept my eye shape and avoided the danger altogether.
My retinal test came back all good, but my eyesight keeps getting worse every 2-3 years (-10, -11). I noticed that it happened when I've done excessive reading (books) and looking at my phone for a few weeks (plus, I work with a computer. My husband tells me it's impossible that's the problem because he's always on his computer too, and he has no problem. I can't wait to see the follow-up videos.
hmm, interesting. My vision got worse all of a sudden. I thought I had diabetes or some thing but felt great. Anyways I went to optician and got a new prescription and glasses(I'm myopic). The new glasses worked amazingly. U had literally never seen better. However over course of a few months my distance vision got worse and worse as my near vision accommodation got better and better. Went to the otician and told them whats up. They recommended a new distance prescription lol. I said no. Anyways I recalled around the time my vision changed I had started reading in bed a few hours a day before sleeping with my glasses on which strained muscles in eye for near vision accommodation. Thinking this might be the cause I stop reading with my glasses which I didn't need for reading anyway, within a few weeks my eyes had relaxed back to good far vision with normal prescription with my near accommodation ability decreasing. Not sure if it was maybe a quasi myopia or my eye's lenses slowing being squished into a new state due to the focusing muscles constant squeezing them to be better at near focusing,but going without using my stronger glasses definitely fixed the problem.. In fact can notice the changes over a few hours which will make my distance/near prescription go out of wack now...
My myopia did NOT progress after early adulthood. It got to -4 and stayed there for years. Ten years ago, they had to lower the prescription to -3.75, as I was overcorrected. With recent cataract surgery (age 72), the correction is -3.25. How common is it for myopia to continue to progress into senior years?
Usually, myopia stabilizes in the early 20s. Then gradually diminishes as people get closer to middle age and beyond. This occurs due to changes in crystalline lens flexure and refractive properties as the lens hardens and eventually turns into a cataract. Some people can have a myopic shift too as cataracts ripen, but this usually happens more suddenly over a few months. - After cataract surgery, changes to glasses prescriptions is pretty rare unless there are changes to the retina or cornea (such as swelling).
I have miyopia since 4th grade. I didn't wear any glasses or didn't visit any doctor. when i was in 10th grade in 2020, I had a -4.5iss vision. now I have -5.5 vision. I have been watching your video since then and have learned a lot of information. I would love to hear about why it happens and what the cure is!
Hey thank you so much! Crazy to hear you were getting by without any glasses till 10th grade. I certainly go over things in the next few videos, but in short, myopia progresses for several reasons. Genetics plays a role and so does the environment/lifestyle. Usually young kids who spend more time indoors and do more up-close work have a higher risk of myopia. There seems to be some signaling to collagen production that promotes eye growth. No fully understood yet. But there are have been some crazy advancements in the research in the last 2 decades. Out of curiosity, were you more of an indoor kid or did you spend more time reading up close or playing games and things?
@@DoctorEyeHealth Then i grow in the perfect environment to get myopia. My father and mother both have myopia and I grew up mostly indoors. And i didn't get any doctor's appointment because i knew the doctor would give me glasses. I was embarrassed about it 😭. I didn't wanna get glasses then understand no other way to lead my life, at that point i wasn't seeing anything.
I hope the topic of night lights and dim lights wile sleeping comes up a future video especially regarding children. Andrew Huberman had brought up this topic in a podcast.
I definitely have noticed more and more people with glasses since I was a kid. I still have good vision but can only imagine what this or any other vision impairments impact on a daily basis.
I'm 51 now and on my last eye test in December last year my optician said that my distance vision hasn't changed in 5 years. But my close up vision has gotten a lot worse. My glasses are as thick as yours too. But my prescription is -7.75 in my right eye and -8 in my left eye.
Happy to hear things have stabalized for you! Usually the near vision gets worse due to presbyopia, ruclips.net/video/FsvaX8KA1NA/видео.htmlsi=dQJZ8PjPaDD9Jtjt Otherwise, as people continue to age, the power of the nearsightedness may become less because the power of the lens changes with cataract development. So perhaps you have that to look forward to.
@@DoctorEyeHealth that's probably slowly developing over the past 10 years because one night 10 years ago I suddenly say glaring from lights at night in my right eye and two nights later it came to my left eye. Before that I didn't see glaring from lights. Also it wasn't until the past year that my near sight has gotten to a level where I've need to use reading glasses. I can still read my phone screen now though. But my near sightedness seems to fluctuate. Got months I couldn't read the battery percentage on my phone and tonight I can read it perfectly fine.
Thank you! Glad you liked it! Yes, the next few videos will go more over the treatments and recommendations! Let me know if you have any further questions though!
Thanks for the video. I have myopia with -8.00 with both plus 2.0 astigmatism both. I had one floater 10 years ago now I have 4 visible floater. Current age is 27 and my myopia increased 0.25 in a year. still progressing... Waiting your next vid to make progress slowly at least.
Wait, could you clarify this for me "the eyeball doesn't just grow stronger, needing a glasses prescription". Is this what is meant by having "strong" eyes. I thought this had to do with improving your muscles and convergence. Does this term actually mean something different?
Great review and I'm looking forward to the series. Question How do you find a good optometrist? A good ophthalmologist? I've had RK a long time ago and now have keratoconus. And yes I'm a geezer.. tnx
Hey thanks for asking! This is a really good question with a tough answer. For both professions, reviews are always there (however sometimes reviews of doctors and clinics have the same issues that restaurants have with reviews (some are fake)) When I look for an optometrist, if I do not know them personally, I do look if they have completed a residency - this at least tells me they have received advanced training in disease or in their subspecialty - they usually have seen more advanced cases. I also look for other credentials, such as being a fellow of the American academy of optometry (FAAO) or that maybe they are board certified by the American Board of Optometry (Dipl ABO), There are other certifications and accolades out there too. These extra letters won't guarantee your experience but at least gives me more confidence that they are experienced and driven to learn and be better doctors. Ophthalmologists - I would again look if they have completed a fellowship and received any accolades. Perhaps published beyond what they did in residency. Then of course, asked around and looked at reviews. Wish you the best, RK and keratoconus is not a good mix.
Had myopia since I was 7. Now have cataract surgery with corrective lens in right eye but noted to need reading glasses again. Stable for last 2 years per my ophthalmologist. Yes lots of floaters
I've been fitting Coope Vision Mi-sight myopia control contact lenses in the UK for a couple of years now and can honestly say they do work, I start fitting at about 8 years old and up to late teens.
I’m also not a fan of the doom music. Reduces credibility since that’s a marketing gimmick used widely. Anyway, I still didn’t hear the cause, other than maybe disproportionately reading/near work. Maybe everyone should use readers even if they can see well up close??
Hey! Thanks for the feedback. Yeah I tried something different with the moody music. I will go over the causes more in the next video. But I am finding from the comments people have a lot more questions so I may make some additional videos to answer all them too. Reading glasses for up close, have only a minimal effect. The posture of the ciliary body muscle does seem to play a role but it seems to be relatively minor compared to certain light and focus of light signals. It is going to be fun to make some of these videos haha
Well, in the past we had been more concerned as someone approaches -6. because that was a previously determined "severe myopia" cutoff used in some research publications. But now that we are learning more about myopia. Some doctors are worried about any amount of nearsightedness. Especially if over -0.50 to -0.75 (again, a cuttoff frequently used in research). The risk of the eye diseases mentioned increases dramatically with increased myopia power.
Research now shows that "there is no safe level of nearsightedness". Increasing from -1 to -2 brings the same percentage increase in risk of several eye diseases as growing from -6 to -7. For example, every increase of -1.00 increases the risk of myopic macular degeneration by 58 %. Professor Mark Bullimore has several studies covering this subject. Thus, though I am more concerned for a -8.00 than a -1.00 patient, I am concerned nonetheless when a patient with low nearsightedness walks in, and the earlier I can start myopia management, the better. Sincerely, an optometrist.
Hi And Thank You So Very Much For Sharing This I m So Protective Of My Eyes I'm Only Struggling With Dry Eyes And Blepharitis. MY Question To You Is Why Do I Have The Sensation Of Something Moving Around In My Eyes After Waking Up It Scares Me Is This Floaters? I Absolutely love Your Videos
I had been warned for years that I was at risk for retina detachment and told to watch for bright lights and floaters. When it happened, it was more subtle than I imagined. Left eye first in Nov 22 and right eye in Feb 23 before left eye had fully recovered. I thought that I might go blind.
Everything OK now? Thanks for sharing your experience! (I have some patients who never had any symptoms at all, I just caught the detachment during their routine exam).
@@DoctorEyeHealth Some peripheral vision loss, although I pass tests for peripherial vision. My irises don't dialate as much as they used to. Oddly enough, my dominant eye has changed. Used to be right eye dominant, now left eye dominant. It's funny how your brain can reprogram things.
Dr Joseph you are amazing my friend I been watching you for all most 4 years and you do explain every time to all of us how. The eyes are working I guess and what we can't do to protect them is much is possible thank you and God bless👍
Hello doctor Allen. I sent you comment on dry video. I am pasting the comment here. Hello Dr Allen thanks a million. I have been suffering from dry eye. Unfortunately no one paid attention to see how severe it was. About a year ago after going different tests they realized the damage. My fourth oblique nerve was damaged due to the cataract surgery. DR mentioned it's irreversible. I don't know how to send you all the findings of tests. I live in Vancouver Canada. I did IPL treatment every four weeks. But no good results. I have used Cequa prescription. No results. Can you please help me.
Hi! I rarely comment but I watch your vids. I'm near sighted but I started w/ astigmatism when I was eleven years old. I'm 63 now (my how time flies). My question is this: how is the progression of myopia related to eyeglass grade? In my case I've been mostly astigmatic and my eyeglass grade has been slow in getting higher over the years. It's hovered over 100 for most of my life. It only became 200+ in my late 40s I think. Early on I was told by the optometrist that I couldn't use contacts coz my grade was too low. I don't know if that's still true but I've gotten used to eyeglasses over the years. I've come to prefer them. I've always (as far as I can recall) had floaters but never to a bothersome degree. I can usually ignore or forget they're there (I don't see them unless I focus on seeing them). Then around age 55, I had a stroke (w/c I obviously recovered from) a couple of years later I started to get peculiar headaches w/c reminded me of my eyeglass grade so I had my eyesight/glasses checked. My grade reversed a few degrees such that my eyeglass lenses no longer agreed with my sight. My eyesight apparently improved. So I had new eyeglass lenses made. My grade hasn't changed so far. Historically, my eyesight "degrades" slowly. My eyeglass lenses have always been thin and light while those around me who were younger than me had thick and heavy eyeglasses. Lastly, I didn't know myopia is now a pandemic of worldwide proportions🤞
Hey! Really appreciate you leaving a comment (and watching). In our youth, as myopia progresses and the axial length of the eye grows longer, the power of the glasses becomes more negative. This process slows down in our late teens to early 20s (although some people do still progress beyond their 20s). As we get into our 40s and beyond, presbyopia sets in and we become reliant on bifocals/reading glasses/progressives to see up close (Due to hardening of the crystalline lens inside the eye). Then as we continue to age, the refractive power of the crystalline lens changes and the power of the glasses may become less. People usually become slightly more farsighted or need a strong Plus to their powers. Then, if cataracts progress to more advanced state, the eyes can undergo a large Myopic shift, where in the matter of just a few months the person can jump several of diopters more nearsighted, but this change is due to the crystalline lens power and not the axial length of the eye. Hope that helps. Thanks again.
@@DoctorEyeHealth Thanks too! You provided good detailed information (to a level I didn't expect-surprisingly good too). Actually, what was surprising (to me) was that you replied at length and in a knowledgeable tone. How refreshing! Nothing in relation to my eyesight/glasses was ever explained like you just did. Also, your vids are quite informative and your talking voice is very clear and diction is precise. It's a rare combination. I hope you do continue and more success but do relax and unwind regularly too.
I am a 33 year old adult and myopia is still growing and nobody can tell me why. I am now -10 and -9 and I am scared as fuck. I know there are many treatment options now for kids like the drops and Orthok but really hoping this series will include some adult progression prevention strategies as well
Hm is the opposite true for hyperopes when they need stronger and stronger plus power that their eyeballs shorten? Or do they also get longer (wouldn't make sense though since plus power doesn't move the focus point further back like minus does)? Yeah the future doesn't look bright.
Usually, for hyperopes, they can be born with smaller eyes but the changing power of their glasses occurs due to changes to their accommodative posture (the flex of their eye muscles) and then the refractive power of the crystalline lens with age. Most hyperopes are walking around flexing their eye muscles like crazy.
Blue light is a bit of a puzzle. I have some friends who do research on it and it seems monkeys raised in blue light - can sometimes become myopic but other times go the opposite way. More research is needed. But we know red light might have the potential to slow it down and maybe prevent it. But also needs more research :-)
you should not do lasek. The way doing lasek they vacuum your eye so that put pressure on eye that can cause retinal detachment. I am with -8.25 myopia and that's what my doctor said.
Hey! Thanks for asking. Usually, myopia progression slows down in the early to mid 20s. Some people do still progress but not as common. -11 is pretty high of a power to get LASIK specifically, it can and has been done but there are alternative procedures which could be recommended, such as PRK or ICL (I am looking into ICL myself).
With that high prescription your risk of various eye diseases is increased exponentially, unfortunately. I would recommend annual eye exams to keep check of your retinas. Regarding LASIK, that's a very high prescription, much tougher than say a -2.00. "The shorter putt is easier to sink". It is likely that they won't be able to correct you to 0.00, leaving you with residual nearsightedness and very flat corneas, which might become harder to fit contact lenses on. I'd look into an ICL procedure instead.
Hi, I'm 23 years old with a myopia of -3.00 and 0.75 astigmatism in both eyes. Can I often take off my glasses to read my smartphone or read a book for hours every day without worsening my myopia or astigmatism for the long-term ? 🙏
Really good question! A person with myopia may choose to remove their glasses and see up close. However, this may or may not reduce the risk of myopia progressing. In fact, there are some studies on young children that show kids who don't wear glasses at all for their myopia actually progress in myopia faster. Thankfully, myopia usually slows down in someone's early 20s. Have you ever had interest in Ortho-K contact lenses? perhaps that could be an option for you.
Thank you very much for your response but I do not prefer to wear lenses I just wanted to know if this practice increases the risk of worsening diopters of my myopia and/or my astigmatism reading smartphone Many hours every days pls? Thanks... @@DoctorEyeHealth
Are you familiar with Optimal Eyesight by Esther Joy van der Werf? I haven't been able to look into it yet, but it is the information my daughter is using to address her 9 year old son's myopia. I'm not allowed to discuss my concerns about her not getting him prescription glasses, to allow him to see more clearly in the distance, but was told that she's following protocols in this book.
not very related, but I'm currently suffering from a certain form of light-contrast sensitivity (photophobia maybe) where my eyes struggle to look at bright things such as bright colors on the screen, in certain cases, makes it hard for me to focus as an artist. Added the fact that my eyes have been incredibly dry lately too. I was wondering if this would require any urgent assistance like tinted lenses or some form of eyedrop?
Hey thanks for asking! It depends on the cause of the light sensitivity. There are several conditions that can cause this, both inside the eye as well as some neurological things (even some medications). Have you seen this video? ruclips.net/video/ikQUUoyyZIY/видео.htmlsi=o-sl8a7RzDCsfiC0
OK, complicated question: My son had crossed eye surgery at 6 mths of age, both eyes. He was diagnosed as myopic at that time, pretty severe myopia. Then at 13 months developed complete blindness due to cataracts, both eyes. He is now 38, and has been aphakic since the cataract surgeries. Does this still affect him now in any way? He also has corneal edema from the earlier surgeries...
Hey thanks for asking! Sorry to hear your son faced such challenges early on in life. I imagine that must have been hard on you too. The risk factors for myopia really have to due to the axial lengthening of the eye. So even though he has had these other surgeries (and his glasses power may be in the plus due to the aphakia), if the eyeballs length is long, then he may still be at risk of other complications. Hope that helps answer your question.
@@DoctorEyeHealth Thank you, then I'm glad that he sees a specialist every six months for the edema. Hopefully, they will catch any problems that may arise.
When I use mobile phone in lying position (e.g., in bed) after some minutes I get headache and feel that my eyes are strained. Why does this happen only in lying position, and is it a common thing?
Uncorrected astigmatism can lead to eyestrain. An easy answer would be to fix it with glasses, contact lenses or some form of refractive surgery. How bad is your vision?
@@DoctorEyeHealth my vision sometimes blurry but I can see good but the problem is my head hurts when I see so much light and reading books and sometimes my eyes dry experience this since I was a child sorry for my English
Thanks as always. I'm curious about the effectiveness of the Omega-3 in EvoTears eye drops. Does the Omega-3 in these drops offer any real benefit for overall Omega-3 absorption, or is it primarily included as a marketing claim to address and sell better dry eye symptoms? - thanks!
I have myopia plus one eye is far sighted the other far but like you glasses helps eye floaters awful a very informative video kinda scary yet why I always get regular eye exams
I have been near sighted since I was 5. I am now 67 yrs old. I also have bad astigmatism so my glasses are on the thick side. Plus now I am far sighted too with age so I wear bifocals. I have the triple trifecta lol
Sir i m 17 and suffering from floaters.I face mild flashes in very dark, floaters . I went to doctor but she said nothing to worry. I m scared . Pls help me....
So this myopia pandemic affect only children? Because an adult eye is already developed and reached its full potential. And can screens affect astigmatism as well?
Really good question! Myopia usually slows down in the early to mid 20s but there is about 10% of people who continue to progress in the adult years. I will cover this more in the next few videos. Screens and near work do play a role in the development of nearsightedness, astigmatism is more of a genetic thing and even has some play with lens development inside the eye and eyelid tension.
@@DoctorEyeHealth so astigmatism is inevitable since is in our genetic code, hmm interesting. So how people with astigmatism see? I've searched RUclips but I only see from 1 diopter and above. I cant find a video with 0.25 and 0.5 as well. It's because is not noticeable, can it get better or worse as we age? Love your videos by the way, you are doing a really good job!
I've a slight blur spot on bottom left (close to nose) of my right eye. Is that a cause for concern? I had lasik about 10 years ago? is that due to the scar?
I've undergone Trans PRK ( -4 Cy - 1.25 & -4 Cy - 1.25 ) now ican see 20/20 vision. My question - in future i may get the sight ( myopia ) again? due to cylindrical power? Please answer doctor Ji
Why would my eye prescription never change. I had perfect vision until puberty. Then what seemed like just a few months I became nearsighted. I have had the same prescription for 40 years. Is that normal?
My suspicion is that it’s either modern illnesses or pharmaceuticals. I got sick one winter as a teen for several weeks. Mono and bronchitis and strep. I took antibiotics, cough and cold medicines, etc. About two months later I noticed my vision blurred dramatically. I’ve worn glasses/contacts ever since.
This was scary. 😭 Good to know though. It's probably too late for me. I already have very bad myopia. In the last few years I have developed floaters too. I guess the next step is bleeding inside the eyes. 😞 And if treatment requires access to a good eye doc I'm screwed, because I don't have that. 😭
Hey, thankfully, lacquer cracks and bleeding in the eye is rare, But is a sad thing I have had to manage in a few of my patients with high myopia. Sorry to scare, I just want to express the gravity of what is going on. Has your prescriptions stabilized over the years?
Hey, these videos has to be so dramatic and scary in order to collect views, don't get so stressed out because someone said that you'll get this and that disease. And Doc should also have some sense to not scare people as these conditions like bleeding in eye and glucose are rare.
Hi! Doctor, I am 16. it's been few months that i realised I have Nearsightedness. After i went to do a medical check up. Doctor told me I have Right eye -0.50 sphere Right eye -0.50 sphere I am confused, 1)Do I need glasses? 2) can my eyesight power back to normal?
No wonder why when I was a cashier I see teenagers and young adult wear glasses and eyes glasses propaganda it every where near public transportation and internet ads😢
Thanks for the informative video. Offtopic: can you train your eyemuscles? I have a lazy eye and i feel like its getting worse and worse. I keep losing focus on that eye. I have to concentrate and "flex" to not have that problem. Mostly happens when im looking at the phone. Does taping the "good" eye work for grownups? Im 34 years old.
So there is training for eye muscles - we call it Vision Therapy or Vision rehabilitation. It is something you will want to consult with a local professional and specialist about, because if you do the wrong exercises it could make things worse.
Thanks for asking! Our eyes tend to develop fast during childhood and adolescence, but slows down in our late teens and early 20's. Some people do still develop worsening myopia in their 20s but I am not fully aware why this happens. Could be genetic risk.
Not yet, we are working on it. I am setting up meetings with several companies to ask them about their products directly as some of their websites are not straightforward.
I have both short sightedness, also called Myopia and Colour Blindness. My Mother has Stickler, resulting in both my Sister and I also having Stickler. One of the symptoms of Stickler is short sightedness. So, is Shortsightedness genetic? Yes, yes it is. Further to that, while neither of my Mother or Sister are colourblind, my Mother carries the recessive gene. And my Father, and my Grandmother before him, was colourblind. My Sister got the recessive gene from my Mother, and I got the active gene from my Father. Hence why I am colourblind. There is no Myopia Pandemic, myopia has always existed. Most people on Earth may have the gene either from one or both parents that results in myopia. Genes are strange things. Trying to make out that suddenly there is a Pandemic called Myopia is ridiculous in the extreme. Both my Mother and my Father had Glaucoma. My Father died completely blind as a result. My Mother had eye stents that have reduced the pressure. But it is reasonable to assume that at some point I may develop Glaucoma as well. The trick is regular eye tests, so it is picked up quickly and treated. Never take your vision for granted, even if you do not have myopia, even if you are not long sighted, even if you are not colourblind. Get regular eye tests, so that any issues can be dealt with promptly.
Hi doctor its me again i would like to know if I can improve my visual acuity with my condition of congintinal nystagmus and keratctnous with -10 and -11 with 5 to 4 astigmatism and i am planning to travel to south korea for my treatment I get to know about co-wave procedure any thoughts on this also Evo icl or toric icl doesn't cure astigmatism to 5 astigmatism it's a different lenses artifix or something I was able to see 20/40 and 20/60 can I improve to 20/20 in both eyes thankyou doctor
Hey! Thanks for sharing! Yes, I do know about Co-wave (corneal wavefront), and ECO icl/Toric ICL (I'm actually looking into getting ICL myself). A high prescription may be improved with refractive surgeries, and even keratoconus has been treated with refractive surgeries such as PRK (However, usually treated with corneal crosslinking alongside it). The concern in a case with nystagmus is that depending on the type and cause of the nystagmus, the movements of the eyes may limit the visual acuity. What have your doctors/surgeons recommended?
I was recommended mostly icl and i was told I was a candidate for lasek and cxl and trek+cxl and buy I was concerned by most of the doctors saying it might go worse with the side effects like dry eyes cause I already have dry eyes but not all the time only few days a month I feel gritty dry irritating sensation in the eyes i don't exactly know may be caused by keratctnous Do you think I can proceed with lasek or prk or trek surgery with cxl my cct is 450 so I am looking for you opinion also forgot to mention it's vertical nystagmus congintinal one thankyou for your quick response doctor
What was your favorite part of this video?
Stay tuned for the next 2 videos on what causes myopia to get worse and treatment options for slowing down myopia progression.
Learning eyes continue to grow during adulthood!
Do you recommend getting ortho K lenses? If so, would they also be harmful to use long-term if most if not all contact/ortho K lenses contain PFAS?
I have high myopia -8 with astigmatism but my spectacles correct it only till 6/12 not to 6/6 why so???
And how to improve it to 6/6
Don’t scare me like that then make me wait for the ways to prevent it 😭
Sorry about that! I'm working on the next ones! Should be coming next week.
@@DoctorEyeHealthplease make a help asap video I noticed the same 😢😢
@@DoctorEyeHealth Can you speak to whether nasal cortosteroids make this worse or progress faster, as allergists seem to make it seem like it is no big deal, I noticed a big change when I started - that and peri-menopause
Mainly due to lack of sun exposure to body, Getting enough sun prevent eye from growing non stop and becoming elongated.
Thanks for sharing! Awesome attention from the doctor and all the staff at the clinic! 👏🏻
I didn't just accept myopia when I got diagnosed at age 13 like you. I wanted an explanation but still haven't really gotten one. Mostly just my suspicions checked by some common sense but I don't have a medical background so I'll probably never really get satisfied answers. I was convinced I spending too much time inside reading books which caused me to get near sighted. I get that not everyone that spends time inside doing up close work gets near sighted and I wish I had been one of those people but it just doesn't make sense that my perfectly functioning eyes would effectively stop working at such a young age when they were otherwise perfectly healthy. You might think that when I started getting near sighted and suspecting that this was all related to my behavior that I would adjust my behavior to protect myself but I didn't. I really really liked getting lost in another world reading fantasy books and even my optometrist was telling me it was my genes and there was nothing I could do to fix it. Changing a behavior you really enjoy takes a lot of motivation and mixed signals didn't cut it. But I'm convinced that if I at least spent more time outside instead of reading or playing video games it would have saved or at least mitigated the myopia. I've read some stuff online that adults can actually reverse the effects and shorten the eye but I don't think I have it in me to alter my behavior that much. I think wearing plus lenses when reading up close for long periods of time might help a little but I think the big thing is spending lots of time outside in the daylight. But just speculation. If I have kids I'll insist they spend lots of time outside for sure.
Primates in zoos who have indoor cages tend to be nearsighted, whereas primates who spend much of their time outdoors are not nearsighted. It looks like you're correct.
I have had progressive myopia since I was little, receiving my first pair of very thick glasses at the age of 3. I am now 66 and legally blind. I have had surgeries to repair holes and tears in the retina of both eyes when I 23, 2 macula hole repairs in the right eye (1998 & 2006) and 1 in the left eye (2001). Cataract surgery in both eyes in 2001 & 2002 respectively. Vision has gotten progressively worse over the past 8 years.
What were your glasses prescription at each age?
I'm 42 and was diagnosed this year at the same time as being declared sight impaired/partially sighted and they'll think it'll progress. I already have had a double RD and one eye has no useable vision.
prays
I believe I was born myopic as I could not see distant things my dad pointed out to me; I think he thought I was a bit daft. As soon as I started school I was referred for spectacles and have worn them ever since, my prescription finally stabilising at -13. Without spectacles my far point is 60 mm and my near point 48; everything outside this is blurred.
In my 60s I had both retinas detach, one with a hole and tear the other tore into strips. 3 ops totalling nearly 10 hours in theatre but my sight was saved.
I was recommended to take beta carotene, lutein and zeoxanthin, so I do every day and I am eternally grateful to my surgeon.
Look forward to your next videos. Thank you.
Hey thanks for sharing this! I am happy to hear your surgeries were a success!
I was really worried about my eye sight at the age of 56, had progressing myopia and started to experience signs of glaucoma. Then I started to take NAC and later also astragalus which resulted not only in slightly more energy but also extremely slow improvement in my eye sight, especially with my night vision but my myopia improved as well. Several years ago I started to take C60 which appeared to accelerate my improvements, such as color vision at night and finally I was discarding my pair of glasses, although my vision is not perfect. Two weeks ago I finally decided to start experimenting with near infra red light. It appeared to improve my residual myopia even further.
It was a relief that they stopped bugging me with ever more expensive glasses and I am no more dependent on a very well organized branch of health industry. I also decided to do everything in my power not to depend on prescription drugs, this includes antibiotics.
Hey thanks for sharing this, can you explain the Astragalus and c60? I am not super familiar with that.
@@DoctorEyeHealth Astragalus is an ancient herbal remedy used in Traditional Chinese Medicine, C60 is a brand new substance created by scientist when studying the light spectra in the atmosphere of red giant stars. The UN (or maybe the EU) wanted to learn about the toxicity of the substance, so a university in Paris conducted a famous rat experiment which did not show any toxicity but appeared to extend the life of the laboratory rats and they did not get diseases of the old age. Many people started to self-experiment with the substance, myself included. There were blogs documenting the experience of people. Unfortunately these blogs disappeared from the internet and also the original documentation of the rat experiment was also removed. No reason given.
I was lucky enough to discover it while some information was still available, which made me think that stem cell production was increased. That could explain the success in improving degenerative conditions. Most frequently mentioned conditions were the vision, skin health, arthritis, and so on.
Thank you for NOT removing my comment, it might help some people.
How do you use red light?
@@anastasiavarianichenko9026 It is not exactly RED light, but infrared. Ordered a security camera infra red light source, keep it a few inches from my closed eyes. The radiation causes a mild, barely noticeable heat sensation, for about three minutes. I am just trying to figure out how to use it among the huge amount of contradicting information. I also was looking into the early morning Sun, when it was red, and it was causing the same mild heat sensation. It is too early to judge the effects on me, but it appears to be beneficial. I was never able to focus this perfectly since discarding my glasses, under ideal lighting conditions, at a large distance.
What’s NAC ?
when i was a teenager, an eye doctor told me (very myopic) to never take up boxing, as a punch to my eye would separate my retina. 50 years later, it happened, my retina separated one day when i was hiking up a mountain. got to the top, and i had a hundred floaters in one eye. So, yes, this IS a potential problem for near sighted people.
Oh scary! I know I have fears of that on occasion (im almost -6). What did you do? Hike back down and call the eye doctor I hope?
Is it a potential for someone with -8
A few years ago I realized I couldn't see far away well or drive anymore without problems, and I got my first glasses for myopia at 22. The thing though is that this happened essentially overnight. When I was 21 I was perfect, could see EVERYTHING. All of a sudden BAM, I couldn't ready any signs driving anymore. My dad makes fun of me because I'm only at a mere -0.75 but he doesn't seem to be concerned that this suddenly happened in the first place at all, regardless of how bad my vision actually is. Over time it will probably get worse and I don't want any of the things in this video happening to me. People have to take this more seriously, especially when it suddenly happens to young/younger people like me. For a period of time from the age 21-23 I didn't have a job and I always stayed home on the computer so I think this really contributed to the myopia suddenly, and with people being indoors on screens more I think this is a way bigger issue than people think.
I have myopic macular degeneration. This was the best explanation I have ever gotten on. What’s going on. I am legally blind at this point. My vision is getting progressively worse. I wish I would’ve had access to some of these things earlier. Many years ago, I checked into getting laser surgery, but at that point, my eyes were, too stretched out for anyone to try it. I still feel that I’ve been able to get that. I would not be in the position. I’m in now. It made me realize just how blessed I was when I had vision that was correctable with contacts or glasses.
My big concern now is my children and grandchildren and trying to prevent them from going down the same road I have traveled. I have four siblings and only one other has the same issues I do. My brothers eyes have never been real bad thankfully. And my sister had laser surgery many years ago.
Thankfully, my nature is such that I just plow on. I am thrilled that I am still independent and can do most things. I have a loving supportive family. But, at times, it can be so frustrating. Thank you for shutting light on so many issues. I really enjoy your videos and I’m looking forward to the two upcoming ones
Thank you so much for sharing your story! It always breaks my heart a little to hear people struggling but I must applaud you on having such an amazing attitude. Really, that accounts for so much.
As far as your family, best thing to do is to share with them your concerns, encouraging young ones to spend more time outside, and to see their local eye doctors - especially if they have a doctor locally who specializes in myopia management. Wishing you and the family the best.
Myopia is something my dads side of family all have had and I’ve been dealing with since I was a kid. I’ve never thought about it this way.
This has nothing to do with myopia but I was working up a patient for my ophthalmologist today and he had severe glaucoma and had NLP (No light perception) in both eyes. I was just sitting there just asking about the patients drops he uses.. because that's all I could do. When your eye is at that point, death of the optic nerve, theres nothing that is going to fix it.
I just felt so bad while talking to him. I've had CF (counting fingers) HM (Hand Motion) and LP (Light Perception) before, they haven’t completely lost vision, it's close but they still have some sort of vision in one eye most of the time. But man, I'm not a fan of glaucoma or doctors who specialize in it.
Love the graphics and nicely paced explanations. Thanks.
Thank you! Yes, I am trying to commission more animations to help better show what is going on inside the eye. Our animator is one of the best in the eye industry.
Another phenomenal informative video, thank you so much. Myopia is indeed becoming pandemic and I'm looking forward to your next video discussing risk reduction tips!
Glad you enjoyed it! Thank you so much for your help! More videos on the subject to come!
I have shared this video everywhere. I wish I had had this knowledge even 10 years ago when I was -3.75; today I'm 36 and -5.5. I didn't care much about myopia and just exchanged lenses :/
I’ve had Myopic Macular Degeneration since I was 18 when I lost the central vision in my right eye. My left eye has been injected with Lucentis and Eyelea for the past 14 years due to bleeds. I’m in my 50’s and now registered as Sight Impaired. Myopia is a serious condition. Luckily, I live in the UK where treatment is available to me on the NHS.
Hey thanks for sharing this. I am thankful that you have had such good care. Wishing you the best.
I have progressive high myopia and have had the dx this year. I'm post double RD and registered sight impaired and will worsen as I'm losing peripheral and now losing central too. I am very high though at -12.5 in my good eye with 6/18 best corrected and HM in my bad eye. But it is what it is. I'm cane training and just doing all I can to slow it.
Cause and effect. I wonder how this compares to the increase use of computers, tablets and cellular phones.
And books and tvs. If you look back, “bookworms” were routinely told to go outside and play. We have routinely been looking in the distance for most of our lives. Now we’re flipped it. Think of how smart people are portrayed as wearing glasses, that’s because we’ve been nose deep in a book since we began to read.
It's true, well documented that people with higher education tend to develop higher degrees of myopia.
There is a role in the increased use of digital devices, research is pointing to near work in general, not just tablets and phones. However, we tend to hold phones closer to our faces then books - so that might play a role. Otherwise, just being inside more also plays a role.
Of course, when most people work on computers and most kids and teens staring at screens half the day.
It does play a role! Out of curiosity, how did you break into the travel channel niche? I hear that is tough on RUclips
@DoctorEyeHealth It is tough, especially since we only travel 2 or 3 times a year. I was mainly doing it as a hobby. I work in eye care full time 😉
I’m 28 and I’ve had 20/20 and 20/25 my entire life but still had a random PVD that turned into a retinal detachment with a macular pucker at 27! Doctors couldn’t figure out what caused it and I’m now left with 20/60 vision in one eye and a quickly progressing cataract. There’s absolutely no eye health education taught to people until it’s too late if there’s no previous vision impairments!
Oh wow! That breaks my heart to hear. Did they offer correction for the pucker?
@@DoctorEyeHealth they removed it/peeled it off…? But unfortunately straight lines remain curved in the one eye.
Me with Myopia & eye floaters 😩
Coke glasses since age 9 got worse and worse my whole life. Retinal detachment in left eye in 2008. Laser to repair retina in right eye 2007. Cataract surgery in both eyes July/August 2024. Still recovering. Lots of floaters. Very dry eyes. 20/20 vision now- but my eyes are still sore after 4 weeks and the dry eyes are horrible. Not feeling great. 🤠💕
Does the fact that as people we are staring at computer, phone or tv screens more than ever before contribute to this concern?
And also i was told my retina is completely fine but I do have floaters im kind of love this process of know more about my eye in past few months due to my eyes condition
Happy to hear the retina is doing well!
Same here but I do have few floaters.
my brother and sister are both myopic, had glasses when they were kids, and both had glaucoma manifest in their early 30s and have been on the eyedrops since then. Thankfully their eyesight has been preserved by their eye doctors. I used to always be farsighted and my eye pressure has not gone up and I'm already in my 60s.
Do you think staring at Smart Phones for hours on end might be part of the problem?
I've had myopia for 43 years - I've also had real problems with one eye - why has absolutely no eye doctor ever seen fit to mention any of this .....? Thank you for telling me
Now how does this information help you?
I am experiencing symptoms I should probably raise - I had no idea
A few years ago I noticed a weird, bright star-shape in my vision. Fortunately I was told to get this checked out immediately. The vitreous was pulling my retina right in the back of my eye. They waited on surgery. Then the other eye started doing this too. I had to have surgery to fix it. I had one eye did in May of that year and the other in September. I had to stay face down and use lots of different eye drops for 2 weeks after each surgery. It was miserable, but better than going blind. I still have little blind spots and twisted spots in my vision that I think will never heal. Also, that surgery speeds up the formation of cataracts. So I've also had cataract surgery.
I was always more into reading than in playing outside. I wish I'd known better as a kid and had exercised my distance vision more. I wasn't worried when I needed glasses at seven. But it would have been better if I'd kept my eye shape and avoided the danger altogether.
My retinal test came back all good, but my eyesight keeps getting worse every 2-3 years (-10, -11). I noticed that it happened when I've done excessive reading (books) and looking at my phone for a few weeks (plus, I work with a computer. My husband tells me it's impossible that's the problem because he's always on his computer too, and he has no problem.
I can't wait to see the follow-up videos.
"If it's not a problem for me it sure can't be a problem for you" Is an awful outlook in life. We are not all the same and that's good.
hmm, interesting. My vision got worse all of a sudden. I thought I had diabetes or some thing but felt great. Anyways I went to optician and got a new prescription and glasses(I'm myopic). The new glasses worked amazingly. U had literally never seen better. However over course of a few months my distance vision got worse and worse as my near vision accommodation got better and better. Went to the otician and told them whats up. They recommended a new distance prescription lol. I said no. Anyways I recalled around the time my vision changed I had started reading in bed a few hours a day before sleeping with my glasses on which strained muscles in eye for near vision accommodation. Thinking this might be the cause I stop reading with my glasses which I didn't need for reading anyway, within a few weeks my eyes had relaxed back to good far vision with normal prescription with my near accommodation ability decreasing. Not sure if it was maybe a quasi myopia or my eye's lenses slowing being squished into a new state due to the focusing muscles constant squeezing them to be better at near focusing,but going without using my stronger glasses definitely fixed the problem.. In fact can notice the changes over a few hours which will make my distance/near prescription go out of wack now...
The joys of eyesight. I hope I am not living into older age, I am already suffering in horrible ways excluding all these.
I don't have severe myopia but after 6-7 years my eyesight did get worse and I worry that the myopia might progress faster than usual.
Hopefully things stabilize for you!
@@DoctorEyeHealth Thank you
My myopia did NOT progress after early adulthood. It got to -4 and stayed there for years. Ten years ago, they had to lower the prescription to -3.75, as I was overcorrected. With recent cataract surgery (age 72), the correction is -3.25. How common is it for myopia to continue to progress into senior years?
Usually, myopia stabilizes in the early 20s. Then gradually diminishes as people get closer to middle age and beyond. This occurs due to changes in crystalline lens flexure and refractive properties as the lens hardens and eventually turns into a cataract. Some people can have a myopic shift too as cataracts ripen, but this usually happens more suddenly over a few months. - After cataract surgery, changes to glasses prescriptions is pretty rare unless there are changes to the retina or cornea (such as swelling).
I have miyopia since 4th grade. I didn't wear any glasses or didn't visit any doctor. when i was in 10th grade in 2020, I had a -4.5iss vision. now I have -5.5 vision. I have been watching your video since then and have learned a lot of information. I would love to hear about why it happens and what the cure is!
Hey thank you so much! Crazy to hear you were getting by without any glasses till 10th grade.
I certainly go over things in the next few videos, but in short, myopia progresses for several reasons. Genetics plays a role and so does the environment/lifestyle. Usually young kids who spend more time indoors and do more up-close work have a higher risk of myopia. There seems to be some signaling to collagen production that promotes eye growth. No fully understood yet. But there are have been some crazy advancements in the research in the last 2 decades. Out of curiosity, were you more of an indoor kid or did you spend more time reading up close or playing games and things?
@@DoctorEyeHealth Then i grow in the perfect environment to get myopia. My father and mother both have myopia and I grew up mostly indoors. And i didn't get any doctor's appointment because i knew the doctor would give me glasses. I was embarrassed about it 😭. I didn't wanna get glasses then understand no other way to lead my life, at that point i wasn't seeing anything.
I hate this, but good to know
Yeah its a tough issue. Thanks for watching!
I hope the topic of night lights and dim lights wile sleeping comes up a future video especially regarding children. Andrew Huberman had brought up this topic in a podcast.
I definitely have noticed more and more people with glasses since I was a kid. I still have good vision but can only imagine what this or any other vision impairments impact on a daily basis.
I'm 51 now and on my last eye test in December last year my optician said that my distance vision hasn't changed in 5 years.
But my close up vision has gotten a lot worse.
My glasses are as thick as yours too. But my prescription is -7.75 in my right eye and -8 in my left eye.
Happy to hear things have stabalized for you! Usually the near vision gets worse due to presbyopia, ruclips.net/video/FsvaX8KA1NA/видео.htmlsi=dQJZ8PjPaDD9Jtjt
Otherwise, as people continue to age, the power of the nearsightedness may become less because the power of the lens changes with cataract development. So perhaps you have that to look forward to.
@@DoctorEyeHealth that's probably slowly developing over the past 10 years because one night 10 years ago I suddenly say glaring from lights at night in my right eye and two nights later it came to my left eye. Before that I didn't see glaring from lights.
Also it wasn't until the past year that my near sight has gotten to a level where I've need to use reading glasses.
I can still read my phone screen now though. But my near sightedness seems to fluctuate. Got months I couldn't read the battery percentage on my phone and tonight I can read it perfectly fine.
Such an interesting video!! Thank you so much for doing this ❤, and I’m looking forward for the next videos about what can be done about it 😮
Thank you! Glad you liked it! Yes, the next few videos will go more over the treatments and recommendations! Let me know if you have any further questions though!
Thanks for the video. I have myopia with -8.00 with both plus 2.0 astigmatism both. I had one floater 10 years ago now I have 4 visible floater. Current age is 27 and my myopia increased 0.25 in a year. still progressing...
Waiting your next vid to make progress slowly at least.
Wait, could you clarify this for me "the eyeball doesn't just grow stronger, needing a glasses prescription". Is this what is meant by having "strong" eyes. I thought this had to do with improving your muscles and convergence. Does this term actually mean something different?
Great review and I'm looking forward to the series. Question
How do you find a good optometrist? A good ophthalmologist? I've had RK a long time ago and now have keratoconus. And yes I'm a geezer..
tnx
Hey thanks for asking! This is a really good question with a tough answer.
For both professions, reviews are always there (however sometimes reviews of doctors and clinics have the same issues that restaurants have with reviews (some are fake))
When I look for an optometrist, if I do not know them personally, I do look if they have completed a residency - this at least tells me they have received advanced training in disease or in their subspecialty - they usually have seen more advanced cases.
I also look for other credentials, such as being a fellow of the American academy of optometry (FAAO) or that maybe they are board certified by the American Board of Optometry (Dipl ABO), There are other certifications and accolades out there too.
These extra letters won't guarantee your experience but at least gives me more confidence that they are experienced and driven to learn and be better doctors.
Ophthalmologists - I would again look if they have completed a fellowship and received any accolades. Perhaps published beyond what they did in residency. Then of course, asked around and looked at reviews.
Wish you the best, RK and keratoconus is not a good mix.
Thank you for this series. Looking forward to watching further videos✨
Had myopia since I was 7. Now have cataract surgery with corrective lens in right eye but noted to need reading glasses again. Stable for last 2 years per my ophthalmologist. Yes lots of floaters
Smart phones, plain and simple. Invest in reading glasses that keep your vision at a slight blur when looking at electronic screens.
I've been fitting Coope Vision Mi-sight myopia control contact lenses in the UK for a couple of years now and can honestly say they do work, I start fitting at about 8 years old and up to late teens.
I’m also not a fan of the doom music. Reduces credibility since that’s a marketing gimmick used widely.
Anyway, I still didn’t hear the cause, other than maybe disproportionately reading/near work.
Maybe everyone should use readers even if they can see well up close??
Hey! Thanks for the feedback. Yeah I tried something different with the moody music.
I will go over the causes more in the next video.
But I am finding from the comments people have a lot more questions so I may make some additional videos to answer all them too.
Reading glasses for up close, have only a minimal effect. The posture of the ciliary body muscle does seem to play a role but it seems to be relatively minor compared to certain light and focus of light signals. It is going to be fun to make some of these videos haha
I’m wondering, at what prescription strength do you as a doctor start becoming concerned for your myopic patient?
Well, in the past we had been more concerned as someone approaches -6. because that was a previously determined "severe myopia" cutoff used in some research publications. But now that we are learning more about myopia. Some doctors are worried about any amount of nearsightedness. Especially if over -0.50 to -0.75 (again, a cuttoff frequently used in research).
The risk of the eye diseases mentioned increases dramatically with increased myopia power.
Research now shows that "there is no safe level of nearsightedness". Increasing from -1 to -2 brings the same percentage increase in risk of several eye diseases as growing from -6 to -7. For example, every increase of -1.00 increases the risk of myopic macular degeneration by 58 %.
Professor Mark Bullimore has several studies covering this subject.
Thus, though I am more concerned for a -8.00 than a -1.00 patient, I am concerned nonetheless when a patient with low nearsightedness walks in, and the earlier I can start myopia management, the better.
Sincerely, an optometrist.
Due to lack of sun exposure, since everyone is spending a lot of time indoors.
It does play a part!!!
Hi And Thank You So Very Much For Sharing This I m So Protective Of My Eyes I'm Only Struggling With Dry Eyes And Blepharitis. MY Question To You Is Why Do I Have The Sensation Of Something Moving Around In My Eyes After Waking Up It Scares Me Is This Floaters? I Absolutely love Your Videos
Hey thank you so much. Is the sensation only visual? or is the sensation a physical one? Like you feel something moving on the eyeball?
@@DoctorEyeHealth Hi And Thank You For Responding It Is A Sensation I Get After Applying Eye Drops In The Morning
BENDICIONES , DIOS LO BENDIGA .
USTED EXPLICA TODO EN INGLÉS ,
Y YO HABLO ESPAÑOL , Y NO LE ENTIENDO NADA .
BENDICIONES .
5:14 interesting insight into myopia vs optic nerve
Yeah! There are several theories out there but I found this one super compelling.
Wow, this was a horror movie. Good info but the cliff hanger was big.
Haha yeah I took a different tone with this one. Next video tomorrow
I had been warned for years that I was at risk for retina detachment and told to watch for bright lights and floaters. When it happened, it was more subtle than I imagined. Left eye first in Nov 22 and right eye in Feb 23 before left eye had fully recovered. I thought that I might go blind.
Everything OK now? Thanks for sharing your experience! (I have some patients who never had any symptoms at all, I just caught the detachment during their routine exam).
@@DoctorEyeHealth Some peripheral vision loss, although I pass tests for peripherial vision. My irises don't dialate as much as they used to. Oddly enough, my dominant eye has changed. Used to be right eye dominant, now left eye dominant. It's funny how your brain can reprogram things.
How did I ever miss these clinical trials and research participation?
Do you have any videos on addressing diplopia, myopia, and hyperopia within a single prescription? Thanks for the information in the video.
Dr Joseph you are amazing my friend I been watching you for all most 4 years and you do explain every time to all of us how. The eyes are working I guess and what we can't do to protect them is much is possible thank you and God bless👍
Hello doctor Allen. I sent you comment on dry video.
I am pasting the comment here.
Hello Dr Allen thanks a million. I have been suffering from dry eye.
Unfortunately no one paid attention to see how severe it was. About a year ago after going different tests they realized the damage. My fourth oblique nerve was damaged due to the cataract surgery. DR mentioned it's irreversible. I don't know how to send you all the findings of tests. I live in Vancouver Canada.
I did IPL treatment every four weeks.
But no good results. I have used Cequa prescription. No results.
Can you please help me.
Hi! I rarely comment but I watch your vids. I'm near sighted but I started w/ astigmatism when I was eleven years old. I'm 63 now (my how time flies). My question is this: how is the progression of myopia related to eyeglass grade? In my case I've been mostly astigmatic and my eyeglass grade has been slow in getting higher over the years. It's hovered over 100 for most of my life. It only became 200+ in my late 40s I think. Early on I was told by the optometrist that I couldn't use contacts coz my grade was too low. I don't know if that's still true but I've gotten used to eyeglasses over the years. I've come to prefer them. I've always (as far as I can recall) had floaters but never to a bothersome degree. I can usually ignore or forget they're there (I don't see them unless I focus on seeing them). Then around age 55, I had a stroke (w/c I obviously recovered from) a couple of years later I started to get peculiar headaches w/c reminded me of my eyeglass grade so I had my eyesight/glasses checked. My grade reversed a few degrees such that my eyeglass lenses no longer agreed with my sight. My eyesight apparently improved. So I had new eyeglass lenses made. My grade hasn't changed so far. Historically, my eyesight "degrades" slowly. My eyeglass lenses have always been thin and light while those around me who were younger than me had thick and heavy eyeglasses.
Lastly, I didn't know myopia is now a pandemic of worldwide proportions🤞
Hey! Really appreciate you leaving a comment (and watching).
In our youth, as myopia progresses and the axial length of the eye grows longer, the power of the glasses becomes more negative. This process slows down in our late teens to early 20s (although some people do still progress beyond their 20s). As we get into our 40s and beyond, presbyopia sets in and we become reliant on bifocals/reading glasses/progressives to see up close (Due to hardening of the crystalline lens inside the eye). Then as we continue to age, the refractive power of the crystalline lens changes and the power of the glasses may become less. People usually become slightly more farsighted or need a strong Plus to their powers.
Then, if cataracts progress to more advanced state, the eyes can undergo a large Myopic shift, where in the matter of just a few months the person can jump several of diopters more nearsighted, but this change is due to the crystalline lens power and not the axial length of the eye.
Hope that helps. Thanks again.
@@DoctorEyeHealth Thanks too! You provided good detailed information (to a level I didn't expect-surprisingly good too). Actually, what was surprising (to me) was that you replied at length and in a knowledgeable tone. How refreshing! Nothing in relation to my eyesight/glasses was ever explained like you just did. Also, your vids are quite informative and your talking voice is very clear and diction is precise. It's a rare combination. I hope you do continue and more success but do relax and unwind regularly too.
I am a 33 year old adult and myopia is still growing and nobody can tell me why. I am now -10 and -9 and I am scared as fuck. I know there are many treatment options now for kids like the drops and Orthok but really hoping this series will include some adult progression prevention strategies as well
Noooo, you left us with a cliffhanger 😢
Hm is the opposite true for hyperopes when they need stronger and stronger plus power that their eyeballs shorten? Or do they also get longer (wouldn't make sense though since plus power doesn't move the focus point further back like minus does)?
Yeah the future doesn't look bright.
Usually, for hyperopes, they can be born with smaller eyes but the changing power of their glasses occurs due to changes to their accommodative posture (the flex of their eye muscles) and then the refractive power of the crystalline lens with age.
Most hyperopes are walking around flexing their eye muscles like crazy.
Blue light damage. To much time around led lighting?
Blue light is a bit of a puzzle. I have some friends who do research on it and it seems monkeys raised in blue light - can sometimes become myopic but other times go the opposite way. More research is needed. But we know red light might have the potential to slow it down and maybe prevent it. But also needs more research :-)
I’m at -11 in my 30s.. should I be worried? I’m getting mixed advice from doctors on whether or not to do lasik
you should not do lasek. The way doing lasek they vacuum your eye so that put pressure on eye that can cause retinal detachment. I am with -8.25 myopia and that's what my doctor said.
Hey! Thanks for asking. Usually, myopia progression slows down in the early to mid 20s. Some people do still progress but not as common. -11 is pretty high of a power to get LASIK specifically, it can and has been done but there are alternative procedures which could be recommended, such as PRK or ICL (I am looking into ICL myself).
With that high prescription your risk of various eye diseases is increased exponentially, unfortunately. I would recommend annual eye exams to keep check of your retinas.
Regarding LASIK, that's a very high prescription, much tougher than say a -2.00. "The shorter putt is easier to sink".
It is likely that they won't be able to correct you to 0.00, leaving you with residual nearsightedness and very flat corneas, which might become harder to fit contact lenses on.
I'd look into an ICL procedure instead.
Hi, I'm 23 years old with a myopia of -3.00 and 0.75 astigmatism in both eyes. Can I often take off my glasses to read my smartphone or read a book for hours every day without worsening my myopia or astigmatism for the long-term ? 🙏
Really good question!
A person with myopia may choose to remove their glasses and see up close. However, this may or may not reduce the risk of myopia progressing. In fact, there are some studies on young children that show kids who don't wear glasses at all for their myopia actually progress in myopia faster.
Thankfully, myopia usually slows down in someone's early 20s. Have you ever had interest in Ortho-K contact lenses? perhaps that could be an option for you.
Thank you very much for your response but I do not prefer to wear lenses I just wanted to know if this practice increases the risk of worsening diopters of my myopia and/or my astigmatism reading smartphone Many hours every days pls? Thanks...
@@DoctorEyeHealth
Are you familiar with Optimal Eyesight by Esther Joy van der Werf?
I haven't been able to look into it yet, but it is the information my daughter is using to address her 9 year old son's myopia.
I'm not allowed to discuss my concerns about her not getting him prescription glasses, to allow him to see more clearly in the distance, but was told that she's following protocols in this book.
Its very scary but good to know I can’t wait the next video
not very related, but I'm currently suffering from a certain form of light-contrast sensitivity (photophobia maybe) where my eyes struggle to look at bright things such as bright colors on the screen, in certain cases, makes it hard for me to focus as an artist. Added the fact that my eyes have been incredibly dry lately too. I was wondering if this would require any urgent assistance like tinted lenses or some form of eyedrop?
Hey thanks for asking! It depends on the cause of the light sensitivity. There are several conditions that can cause this, both inside the eye as well as some neurological things (even some medications). Have you seen this video? ruclips.net/video/ikQUUoyyZIY/видео.htmlsi=o-sl8a7RzDCsfiC0
@@DoctorEyeHealth Ahh I see, I'll check out the video and see if there are correlations that can hopefully get me closer to the core issue, thanks!
Thank you for sharing this information with us !
OK, complicated question: My son had crossed eye surgery at 6 mths of age, both eyes. He was diagnosed as myopic at that time, pretty severe myopia. Then at 13 months developed complete blindness due to cataracts, both eyes. He is now 38, and has been aphakic since the cataract surgeries. Does this still affect him now in any way? He also has corneal edema from the earlier surgeries...
Hey thanks for asking! Sorry to hear your son faced such challenges early on in life. I imagine that must have been hard on you too. The risk factors for myopia really have to due to the axial lengthening of the eye. So even though he has had these other surgeries (and his glasses power may be in the plus due to the aphakia), if the eyeballs length is long, then he may still be at risk of other complications. Hope that helps answer your question.
@@DoctorEyeHealth Thank you, then I'm glad that he sees a specialist every six months for the edema. Hopefully, they will catch any problems that may arise.
When I use mobile phone in lying position (e.g., in bed) after some minutes I get headache and feel that my eyes are strained. Why does this happen only in lying position, and is it a common thing?
Thank you Doctor, this is very important to know about.
So short sightedness is called Myopia? Or is it a different condition? I’ve needed glasses for short sightedness since I was 11.
Yes! Same thing. Nearsighted = short sighted = myopia.
@@DoctorEyeHealth Oh lord now I fear getting any older 😐 I shall be eating my carrots!!
Can I ask If you have eye strain and astigmatism is it required glasses? Please answer 😢
Uncorrected astigmatism can lead to eyestrain. An easy answer would be to fix it with glasses, contact lenses or some form of refractive surgery.
How bad is your vision?
@@DoctorEyeHealth my vision sometimes blurry but I can see good but the problem is my head hurts when I see so much light and reading books and sometimes my eyes dry experience this since I was a child sorry for my English
So well done...thank you...
Appreciate you watching! Thank you
Awll pray to the most high for guidance
Me who Got Myopia 4 months ago: 😕
Thanks as always. I'm curious about the effectiveness of the Omega-3 in EvoTears eye drops. Does the Omega-3 in these drops offer any real benefit for overall Omega-3 absorption, or is it primarily included as a marketing claim to address and sell better dry eye symptoms? - thanks!
I have myopia plus one eye is far sighted the other far but like you glasses helps eye floaters awful a very informative video kinda scary yet why I always get regular eye exams
I have been near sighted since I was 5. I am now 67 yrs old. I also have bad astigmatism so my glasses are on the thick side. Plus now I am far sighted too with age so I wear bifocals. I have the triple trifecta lol
Sir i m 17 and suffering from floaters.I face mild flashes in very dark, floaters . I went to doctor but she said nothing to worry. I m scared . Pls help me....
Yes please very good my opthamologistt refuses to give me atropine .
Any reason why?
So this myopia pandemic affect only children? Because an adult eye is already developed and reached its full potential. And can screens affect astigmatism as well?
Really good question! Myopia usually slows down in the early to mid 20s but there is about 10% of people who continue to progress in the adult years. I will cover this more in the next few videos.
Screens and near work do play a role in the development of nearsightedness, astigmatism is more of a genetic thing and even has some play with lens development inside the eye and eyelid tension.
@@DoctorEyeHealth so astigmatism is inevitable since is in our genetic code, hmm interesting. So how people with astigmatism see? I've searched RUclips but I only see from 1 diopter and above. I cant find a video with 0.25 and 0.5 as well. It's because is not noticeable, can it get better or worse as we age? Love your videos by the way, you are doing a really good job!
Can we prevent permanent eye sight?
I've a slight blur spot on bottom left (close to nose) of my right eye. Is that a cause for concern? I had lasik about 10 years ago? is that due to the scar?
I really can't say. I think it would be best for you to see a local eye doctor about it.
I've undergone Trans PRK ( -4 Cy - 1.25 & -4 Cy - 1.25 )
now ican see 20/20 vision.
My question - in future i may get the sight ( myopia ) again?
due to cylindrical power?
Please answer doctor Ji
Why would my eye prescription never change. I had perfect vision until puberty. Then what seemed like just a few months I became nearsighted. I have had the same prescription for 40 years. Is that normal?
Watching this video with my glasses 🕶️🫣 real scary stuff
what is your opinion about ortho k?It's famous now and i really want to try it
My suspicion is that it’s either modern illnesses or pharmaceuticals. I got sick one winter as a teen for several weeks. Mono and bronchitis and strep. I took antibiotics, cough and cold medicines, etc. About two months later I noticed my vision blurred dramatically. I’ve worn glasses/contacts ever since.
This was scary. 😭 Good to know though. It's probably too late for me. I already have very bad myopia. In the last few years I have developed floaters too. I guess the next step is bleeding inside the eyes. 😞 And if treatment requires access to a good eye doc I'm screwed, because I don't have that. 😭
Hey, thankfully, lacquer cracks and bleeding in the eye is rare, But is a sad thing I have had to manage in a few of my patients with high myopia.
Sorry to scare, I just want to express the gravity of what is going on.
Has your prescriptions stabilized over the years?
Hey, these videos has to be so dramatic and scary in order to collect views, don't get so stressed out because someone said that you'll get this and that disease. And Doc should also have some sense to not scare people as these conditions like bleeding in eye and glucose are rare.
I have -8.00 vision. Any recommendations
Hi! Doctor, I am 16. it's been few months that i realised I have Nearsightedness. After i went to do a medical check up. Doctor told me I have
Right eye
-0.50 sphere
Right eye
-0.50 sphere
I am confused,
1)Do I need glasses?
2) can my eyesight power back to normal?
How bad do your eyes have to be to get all of those side affects. I’m nervous I have -8 plus
No wonder why when I was a cashier I see teenagers and young adult wear glasses and eyes glasses propaganda it every where near public transportation and internet ads😢
Thanks for the informative video. Offtopic: can you train your eyemuscles? I have a lazy eye and i feel like its getting worse and worse. I keep losing focus on that eye. I have to concentrate and "flex" to not have that problem. Mostly happens when im looking at the phone. Does taping the "good" eye work for grownups? Im 34 years old.
So there is training for eye muscles - we call it Vision Therapy or Vision rehabilitation. It is something you will want to consult with a local professional and specialist about, because if you do the wrong exercises it could make things worse.
@@DoctorEyeHealth thanks doc, I will look into it 👍
I was ok till high school. I am about to reach 37 my glass measurement didn’t change much. Why is that?
Thanks for asking! Our eyes tend to develop fast during childhood and adolescence, but slows down in our late teens and early 20's. Some people do still develop worsening myopia in their 20s but I am not fully aware why this happens. Could be genetic risk.
@@DoctorEyeHealth actually it explains it kind of. High school is still development age.
did you make the video of your red light recommendations?
Not yet, we are working on it. I am setting up meetings with several companies to ask them about their products directly as some of their websites are not straightforward.
@@DoctorEyeHealth thanks so much! i appreciate you!
I have both short sightedness, also called Myopia and Colour Blindness. My Mother has Stickler, resulting in both my Sister and I also having Stickler. One of the symptoms of Stickler is short sightedness. So, is Shortsightedness genetic? Yes, yes it is. Further to that, while neither of my Mother or Sister are colourblind, my Mother carries the recessive gene. And my Father, and my Grandmother before him, was colourblind. My Sister got the recessive gene from my Mother, and I got the active gene from my Father. Hence why I am colourblind. There is no Myopia Pandemic, myopia has always existed. Most people on Earth may have the gene either from one or both parents that results in myopia. Genes are strange things. Trying to make out that suddenly there is a Pandemic called Myopia is ridiculous in the extreme. Both my Mother and my Father had Glaucoma. My Father died completely blind as a result. My Mother had eye stents that have reduced the pressure. But it is reasonable to assume that at some point I may develop Glaucoma as well. The trick is regular eye tests, so it is picked up quickly and treated. Never take your vision for granted, even if you do not have myopia, even if you are not long sighted, even if you are not colourblind. Get regular eye tests, so that any issues can be dealt with promptly.
blue cut lens is good or not for myopia
I wouldn't recommend it at this time.
thanks for the info
Hi doctor its me again i would like to know if I can improve my visual acuity with my condition of congintinal nystagmus and keratctnous with -10 and -11 with 5 to 4 astigmatism and i am planning to travel to south korea for my treatment I get to know about co-wave procedure any thoughts on this also Evo icl or toric icl doesn't cure astigmatism to 5 astigmatism it's a different lenses artifix or something
I was able to see 20/40 and 20/60 can I improve to 20/20 in both eyes thankyou doctor
Hey! Thanks for sharing! Yes, I do know about Co-wave (corneal wavefront), and ECO icl/Toric ICL (I'm actually looking into getting ICL myself).
A high prescription may be improved with refractive surgeries, and even keratoconus has been treated with refractive surgeries such as PRK (However, usually treated with corneal crosslinking alongside it). The concern in a case with nystagmus is that depending on the type and cause of the nystagmus, the movements of the eyes may limit the visual acuity. What have your doctors/surgeons recommended?
I was recommended mostly icl and i was told I was a candidate for lasek and cxl and trek+cxl and buy I was concerned by most of the doctors saying it might go worse with the side effects like dry eyes cause I already have dry eyes but not all the time only few days a month I feel gritty dry irritating sensation in the eyes i don't exactly know may be caused by keratctnous
Do you think I can proceed with lasek or prk or trek surgery with cxl my cct is 450 so
I am looking for you opinion also forgot to mention it's vertical nystagmus congintinal one thankyou for your quick response doctor