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Health

Why we now think the myopia epidemic can be slowed – or even reversed

Rates of near-sightedness are rising all over the world. But solutions to the epidemic are coming into focus and could be simpler than you think

By Graham Lawton

13 November 2024

×îÐÂÂ鶹ÊÓƵ. Science news and long reads from expert journalists, covering developments in science, technology, health and the environment on the website and the magazine.

Nash Weeraseker

I vividly remember getting my first pair of glasses as a child. My mum is very near-sighted and dispatched me to the optician every year. My older sister was diagnosed at around the age of 8 and I prayed I wouldn’t follow suit for fear of being made fun of, but by the time I was the same age, the world was becoming a blur. That year’s visit to the optician confirmed it, and I have worn glasses or contact lenses ever since.

Back then, in the late 1970s, it was quite unusual to need glasses at such a young age. Not any more. Over the past 30 years, there has been a surge in near-sightedness, or myopia, especially among children. Today, around a third of 5 to 19-year-olds are myopic, up from a quarter in 1990. If that trend continues, the rate will be about – or 740 million myopic young people.

That is more than an inconvenience. “Myopia is a disease,” says at the Johns Hopkins School of Medicine in Maryland, who co-chaired a recent . “It has wide-reaching ,” she says, not least the risk of going blind in severe cases. Increasingly, however, researchers think the epidemic can be slowed – or even reversed.

Most cases of myopia are axial, meaning the axis of the eyeball – the distance between the cornea at the front and the light-sensitive retina at the back – grows too long. This means that light entering the eye is focused in front of the…

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