The Silent Epidemic: Myopia in Children and Its Dangers** **

July 25, 2024, 11:34 am
Cleveland Clinic
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In the age of screens, our children are paying a price. Myopia, or nearsightedness, is skyrocketing among the youth. In Singapore, a staggering 65% of 12-year-olds are myopic. This isn’t just a statistic; it’s a wake-up call. The rise of high myopia, defined as -6 diopters or worse, is alarming. Ten years ago, only 10% of children faced this issue. Now, that number has surged to 20%. The implications are dire. High myopia can lead to retinal detachment and, ultimately, blindness.

Imagine your child’s eye as a camera. In a healthy eye, light focuses perfectly on the retina, creating a clear image. But in a myopic eye, the camera lens is misaligned. The image falls short, leading to blurred vision. This misalignment isn’t just a nuisance; it can stretch the eye, causing it to elongate. Think of it as a balloon being inflated. The more you stretch it, the thinner the surface becomes. Eventually, it can tear. That’s retinal detachment.

Why is this happening? Blame it on our modern lifestyle. Children are glued to screens, from smartphones to tablets. The Singapore Eye Research Institute points to these near-work activities as culprits. Genetics also plays a role. If parents are myopic, their children are at risk. But contrary to popular belief, reading in dim light or sitting too close to the TV doesn’t cause myopia.

The onset of myopia often begins in primary school. Children are diagnosed during routine health screenings. But there’s a troubling trend: kids are developing myopia at younger ages. Some are even referred to eye clinics at just four years old. This early onset raises concerns about long-term eye health.

What happens when myopia progresses? The risks multiply. High myopia can lead to severe eye diseases in adulthood, including myopic macular degeneration, cataracts, and glaucoma. These conditions can severely impair vision. Research shows that reducing myopia by just 100 degrees can significantly lower the risk of these diseases.

So, what can parents do? Prevention is key. Encourage outdoor play. Studies suggest that spending time outside can slow myopia progression. Limit screen time and promote breaks during near-work activities. A simple rule: after 20 minutes of close work, look at something far away for 20 seconds. This helps relax the eye muscles.

There are also medical interventions. Specialized contact lenses and glasses can help control myopia. For instance, the DIMS lenses have shown to reduce myopia progression by at least 50%. These lenses work by creating defocused light in the peripheral retina, signaling the eye to slow its growth.

Atropine eye drops are another option. Low-dose atropine has been proven effective in slowing myopia progression. Parents should consult with pediatric ophthalmologists to explore these options.

But what if retinal detachment occurs? The signs are critical. Watch for floaters, flashes of light, or a shadow obscuring vision. These symptoms require immediate medical attention. If caught early, retinal detachment can be treated with surgery. Options include vitrectomy or scleral buckling. Post-surgery, regular follow-ups are essential to monitor for complications like amblyopia or cataracts.

The future of our children’s vision is at stake. As myopia rates climb, awareness and action are crucial. Parents must be vigilant. Encourage healthy habits and seek professional advice. The goal is clear: protect our children’s vision for a brighter future.

In conclusion, myopia is more than a vision problem; it’s a public health crisis. The statistics are sobering, but they also present an opportunity for change. By understanding the risks and taking proactive steps, we can help our children see the world clearly. The journey starts with awareness and ends with action. Let’s not wait until it’s too late. The eyes of our children depend on it.