OVERVIEW OF MYOPIA
Myopia, also called near- or short-sightedness, is a refractive defect of the eye in which collimated light produces image focus in front of the retina when accommodation is relaxed.
EFFECTS
Those with myopia see
nearby objects clearly but
distant objects appear
blurred. With myopia, the
eyeball is
too long, or the
cornea is
too steep, so images are focused in the
vitreous inside the eye rather than on the
retina at the back of the eye. The
opposite defect of myopia is hyperopia or "farsightedness" or "long-sightedness" — Normal vision. This is where the cornea is
too flat or the eye is
too short.
.

TREATMENT
Mainstream ophthalmologists and optometrists most commonly correct myopia throu

gh the use of
corrective lenses, such as
glasses or contact lenses. It may also be corrected by
refractive surgery, such as
LASIK. The corrective lenses have a
negative optical power (i.e. are
concave) which compensates for the excessive positive diopters of the myopic eye. In some cases,
pinhole glasses are used by patients with low-level myopia. These work by reducing the blur circle formed on the retina.
Normal vision With myopia
MYOPIA IN SINGAPORE
Myopia is an ocular disorder of major public health and socioeconomic significance in many
East Asian urban cities. In Singapore, the prevalence of myopia is one of the
highe
st worldwide, affecting
28% of school children at the start of their primary education and
70% of those completing
university education.
Four of
10 adult Chinese people older than 40 years old have myopia. Of greater concern is that a substantial proportion of Singaporeans have
high myopia, usually defined as a refraction of -6.0 D or higher.
One in 10 adults has high myopia, compared to
1 in 50 in most
Western populations. There is also increasing evidence that both prevalence and severity of myopia may be increasing.
Myopia has been associated with diminished quality of life, visual function and lower utility values. The utility values of myopic high school children in Singapore are also lower.
Beyond the medical implications myopia incurs significant socioeconomic costs. Direct cost related to the correction of myopia, including refractive eyewear and surgery, is estimated to be in excess of SGD$150 million a year. There are also substantial indirect costs related to treatment of myopia complications, such as retinal detachment and contact lens-related corneal ulcers.
More and more children suffer from myopia
GUESSED CAUSES
Racial differences in myopia prevalence between different countries and, in Singapore, between different racial groups, point towards a genetic predisposition to myopia. In a recent study in Singapore, higher rates of myopia were seen in Chinese compared to Indian and Malay school children, despite controlling for education. This points to a strong genetic role.
Besides, compared with other countries, several environment risk factors for myopia, including higher educational attainment, higher socioeconomic status and high amount of near-work activities, are well-developed in children and adult populations.
We are now living in an environment that all you see everyday are nearby. Sitting in front computers. Buildings all around. For small kids, they are spending more time than before on close objects - books, video games, TV, and even computers—the apparent improving standard of living actually gave rise to diminishments in quality of life!
There are new tech to cure myopia, such as laser eye surgery. However, it is of high-risk. True myopia is irreversible. What we need most is prevention. Myopia affects a significant proportion of people of all ages in Singapore. Tackling this problem will necessarily require a
multi-disciplinary approach involving laboratory scientists, clinicians, ophthalmologists and other public healthcare providers.
Zhujie (27)