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What Causes Myopia to Worsen?


The progressive nature of myopia, commonly known as nearsightedness, often leads individuals to question, “What causes myopia to worsen?” The intricacies of this refractive error’s progression can be attributed to various factors, both internal and external. A comprehensive exploration provides clarity and guides preventive measures.

what causes myopia to worsen

Understanding Myopia

Myopia is a condition where the eyeball is elongated, or the cornea possesses too much curvature. This results in light focusing in front of the retina, causing distant objects to appear blurry. With the prevalence of myopia on the rise globally, understanding its progression becomes paramount.

Several factors come into play, each with varying degrees of influence:

  1. Genetics: A predominant factor, individuals with myopic parents are at a higher risk of developing and experiencing worsening myopia.
  2. Environmental Influences: The modern digital age, characterized by prolonged screen time, has been linked to the rise in myopia rates. Limited exposure to outdoor environments during developmental years may exacerbate the condition.
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Lifestyle and Behavioral Factors

As society becomes increasingly digital, lifestyle factors significantly impact myopic progression:

  1. Prolonged Close-Up Work: Spending extended hours on computers, smartphones, and reading can strain the eyes, potentially accelerating myopia.
  2. Limited Outdoor Exposure: Several studies suggest that spending time outdoors during childhood might help reduce the onset and progression of myopia. Natural light exposure and the act of focusing on distant objects outdoors could have protective effects against myopia.
  3. Incorrect Prescription: Using eyeglasses or contact lenses with outdated or incorrect prescriptions can strain the eyes, contributing to worsening myopia.

Dr. Rajesh Khanna MD, a renowned figure at Khanna Vision Institute, emphasizes the importance of regular eye check-ups. Early detection and appropriate corrective measures can slow down myopia’s progression and protect ocular health.

Biological and Health-Related Causes

Beyond environmental and behavioral influences, internal biological factors also play a role:

  1. Age: Myopia typically begins in childhood, with the most rapid progression occurring between the ages of 8 and 15. The eye naturally grows during childhood, but in myopic children, this growth can lead to elongation of the eyeball.
  2. Hormonal Changes: The teenage years, marked by significant hormonal changes, can sometimes see a spike in myopic progression.
  3. Health Conditions: Diseases like diabetes can impact vision and lead to changes in refractive errors. Proper management of such conditions is essential to prevent rapid myopic shifts.
  4. Medications: Some medications have side effects that can influence myopia or other refractive errors.

Prevention and Management

Given the multifaceted causes of myopic progression, a combined approach to prevention and management is essential:

  1. Regular Eye Examinations: Early detection allows for timely interventions. Dr. Rajesh Khanna MD often advises annual or bi-annual check-ups, especially for those with a family history of myopia.
  2. Balanced Screen Time: Taking regular breaks during prolonged screen usage, following the 20-20-20 rule (looking at something 20 feet away for 20 seconds every 20 minutes), can reduce eye strain.
  3. Outdoor Activities: Encouraging children to spend time outdoors can have potential protective effects against myopic onset and progression.
  4. Orthokeratology: This involves wearing specially designed rigid contact lenses overnight to reshape the cornea temporarily. It has been shown to slow down myopic progression in some individuals.


The progression of myopia is influenced by a myriad of factors. While genetics lay the foundation, environmental, lifestyle, and health-related factors further navigate its course. Through informed choices, regular eye care, and guidance from experts like Dr. Rajesh Khanna MD, the progression can be monitored and managed effectively.

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