Neglecting Spectacles- Could Forgoing Glasses Exacerbate Myopia Progression-

Does not wearing glasses make myopia worse? This is a common question among individuals who have been diagnosed with myopia, also known as nearsightedness. Myopia is a refractive error that causes distant objects to appear blurry, and it affects millions of people worldwide. While the answer to this question is not straightforward, it is essential to understand the relationship between wearing glasses and the progression of myopia.

Myopia typically begins in childhood and can worsen over time. It is often believed that wearing glasses can contribute to the progression of myopia, as the lenses correct the vision and may lead to overuse of the eyes. However, recent studies have shown that this may not necessarily be the case. In fact, some evidence suggests that not wearing glasses might even make myopia worse.

One reason for this belief is that myopia is often associated with increased eye growth. When a person with myopia wears glasses, the lenses provide a clear image without straining the eyes. This can lead to reduced accommodative effort, which is the process of the eye focusing on objects. Over time, this reduced effort may result in the eye growing longer, exacerbating the myopia.

On the other hand, not wearing glasses can lead to continuous accommodative effort as the eye tries to focus on distant objects. This increased effort can strain the eyes and contribute to the progression of myopia. Furthermore, not wearing glasses may also lead to poor vision quality, which can cause headaches and discomfort, further exacerbating the eye strain.

However, it is essential to note that not all individuals with myopia will experience the same outcomes. Some studies have shown that the rate of myopia progression can be reduced by wearing glasses, especially in children. Moreover, certain types of myopia management techniques, such as orthokeratology (Ortho-K) and multifocal contact lenses, have been shown to slow down the progression of myopia.

Ortho-K involves wearing special gas-permeable contact lenses during sleep, which temporarily reshape the cornea, providing clear vision without the need for glasses or contact lenses during the day. Multifocal contact lenses, on the other hand, have lenses with different prescriptions for distance and near vision, which can help control the progression of myopia by reducing the accommodative effort.

In conclusion, the question of whether not wearing glasses makes myopia worse is not a simple yes or no answer. While some evidence suggests that not wearing glasses may contribute to the progression of myopia, other studies indicate that wearing glasses, especially with myopia management techniques, can be beneficial. It is crucial for individuals with myopia to consult with an eye care professional to determine the best approach for their specific situation.