PRESCRIPITION LENSES

For over three centuries, myopic patients have been receiving treatment that is the exact opposite of what they should be getting. Single-vision distance lens corrects blurred distance vision, but causes the eyes to exert more focusing effort at near, resulting in increased myopia. Consequently, distance glasses should only be used for distance vision. A prescription that minimises near point strain would be beneficial for close work.

The use of convex or ‘plus power’ lens reading glasses for close work can not only minimise further elongation of the eyeball but also improve vision by relaxing the focusing muscle. This method has been shown to halt the development of myopia and, in some cases, return children to normal vision, provided that the myopia is still at a beginning stage.

In 2005, research with chickens showed that when a minus lens is prescribed, the choroid (which is one of the layers in the retina) thins, thus contributing for the eyeball elongating. It changes the anatomy of the retina almost instantly. The study also shows that plus lens thickens the choroid, which is one of the reasons why they are effective in myopia prevention.

Several research studies have also been carried out on the effect of bifocal lenses on myopia progression in children. A randomised trial conducted in 2010 with 145 myopic Chinese-Canadian children over 24 months saw 38% less myopia progression in children wearing bifocals than in those wearing single-vision lenses. Another study carried out four years later found similar results (less 35% myopia progression). Bifocal lenses allow clear distance vision through the top portion of the lens while the bottom portion contains the reading power, which reduces or eliminates the accommodative effort associated with myopia.