All about myopia in children

Written in association with: Ms Evgenia (Jen) Anikina
Published: | Updated: 10/12/2024
Edited by: Conor Lynch

Myopia, commonly referred to as nearsightedness, is a condition where distant objects appear blurry while close objects remain clear. This condition often begins in childhood and can progressively worsen over time. With increasing prevalence worldwide, especially in urban areas, understanding myopia progression and its prevention is crucial for maintaining long-term eye health in children.

Causes

The primary cause of myopia is the elongation of the eyeball, which affects the way light focuses on the retina. Genetics play a significant role; children with myopic parents are more likely to develop the condition.

 

However, environmental factors, such as prolonged near work-like reading or screen time and insufficient exposure to natural daylight, also contribute significantly to its onset and progression. Left unmanaged, severe myopia can increase the risk of complications later in life, including retinal detachment, glaucoma, and macular degeneration.

 

Prevention

Preventing or slowing myopia progression involves a combination of strategies targeting lifestyle changes and medical interventions. Encouraging children to spend more time outdoors is one of the simplest yet most effective methods.

 

Studies suggest that two hours of outdoor activity daily can significantly reduce the risk of myopia development. Limiting screen time and promoting regular breaks during close-up tasks, using the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds), can also help alleviate strain on the eyes.

 

Treatment

On the medical front, options like orthokeratology (Ortho-K) lenses, atropine eye drops, and specially designed multifocal or bifocal glasses have shown promise in slowing the progression of myopia. Ortho-K lenses, worn overnight, temporarily reshape the cornea, improving vision and potentially reducing myopia progression. Low-dose atropine drops, when administered under an ophthalmologist’s guidance, have also been effective in halting further elongation of the eyeball.

 

Routine eye check-ups are essential to detect myopia early and implement appropriate interventions. With a proactive approach combining lifestyle adjustments and medical treatments, parents can help mitigate the impact of myopia, ensuring their children maintain clear and healthy vision into adulthood.

By Ms Evgenia (Jen) Anikina
Ophthalmology

Ms Evgenia Anikina is an accomplished and highly-experienced consultant vitreoretinal surgeon based in London. Her specialities include, but are not limited to, vitreoretinal surgery, cataracts and age-related macular degeneration alongside diabetic retinopathy, secondary intraocular lens replacement, and retinal detachment.

She started her training career at the internationally-renowned University of Cambridge where she received her Bachelor's degree, Masters of Science degree and Master of Arts degree. Following this, she did her initial postgraduate training and registrar roles at multiple hospitals before Ms Anikina completed two fellowships at Moorfields Eye Hospital, London, to further advance her training in her speciality. She consequently completed a clinical research fellowship studying gene therapies for retinal dystrophies at University College London's Institute of Ophthalmology.

A holistic approach is important to Ms Anikina, as she puts listening to her patients' concerns first and creating a unique, customised treatment plan for each patient. Due to her training and expertise in not just the surgical retinal field but also medical retina, she is able to provide the best all-encompassing eye care to her patients. She currently works with her private clinics Clinica London and Spire Dunedin Hospital, as well as Royal Berkshire NHS Trust, working from Windsor and Reading.

At the moment, Ms Anikina is involved in running a local vitreoretinal service in Berkshire and continuing her involvement in medical education and research. She is the Royal College of Ophthalmologists Tutor for Royal Berkshire, directing all ophthalmic specialist training locally. She is the Chief Investigator for several local, national and international clinical trials focusing on retinal disease and its surgical management. 

Ms Anikina ensures her continual development and education by being a member of, and collaborating with, multiple professional organisations, associations and taking on national and international roles in her field.

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