What method is myopia treated best in children?

Abstract: scleral reinforcement in children is also a method to treat myopia. Children with high myopia under the age of 6 are more common in congenital and hereditary, and often belong to myopia. These children often have low vision and poor corrected vision., For the treatment of children’s myopia, ophthalmologists remind parents that once they find that children habitually keep a close distance or squint at things, they should go to a professional ophthalmic hospital or an institution with medical optometry conditions for examination in time, and determine the best treatment scheme according to the optometry results. Do not delay and miss the best treatment opportunity. Since the eye development of children under the age of 12 is not mature, the possibility of false myopia cannot be ruled out. For visual impairment of children under the age of 12, glasses must be worn carefully. Once it is determined that the child is suffering from true myopia, glasses can be fitted. So how to treat children’s myopia better? (1) lens correction} children must grasp mydriasis, optometry, audition, lens frame selection and corrected vision when they are equipped with medical optometry. At the same time, they should actively recheck and observe the changes of children’s vision. If there are signs of amblyopia, they should be treated as soon as possible. Wearing glasses is the most basic measure to correct children’s myopia. For mild myopia that does not affect life and study, it is not emphasized to wear glasses immediately. For moderate and severe myopia, due to the obvious decline of long-range vision, uncorrected will inevitably affect life and study, and glasses must be worn. Before matching glasses, we should first make clear the true degree of myopia by examining the difficult light. For teenagers, optometry should be carried out under ciliary muscle paralysis to control the regulatory effect and eliminate pseudomyopia. The principle of glasses should be the lowest lens that can also correct the vision of myopia to the best vision. (2) eye drops} we often see various advertisements of “eye drops for myopia”, the main component of which is atropine. Expert opinion: atropine eye drops can flatten the lens and reduce the diopter by relaxing the ciliary muscle. In this way, it can treat the changes such as convex lens and increased diopter caused by the continuous spasm and contraction of the ciliary muscle, and correct the pseudomyopia to the emmetropia state, but it has no effect on the treatment of true myopia. And in the case of uncertain liquid medicine quality and reliability, it is best not to use it. (3) corneal shaping (OK lens) is equipped at night and removed during the day, and the movement is not affected; beautiful; It can correct myopia less than 600 degrees and astigmatism less than 150 degrees; It can be worn by people over 8 years old with less age limit. (4) various therapeutic instruments. In recent years, there are many types of myopia therapeutic instruments in the market. The design principle is to stimulate the eyes in some way in order to improve the function of ciliary muscle. Expert opinion: there is no objective basis for whether the instrument design for the treatment of myopia has reached the predetermined goal. When measuring the curative effect, vision is the standard, and there are many factors affecting vision examination, such as opening and closing eyes, forced adjustment and random adjustment, which can cause changes in vision, Therefore, there is no objective and accurate method to evaluate the actual effect of the instrument. (5) scleral reinforcement in children scleral reinforcement in children is also a method for the treatment of myopia. High myopia in children under the age of 6 is more common in congenital and hereditary, and often belongs to myopia. These children often have low vision and poor corrected vision. For progressive myopia, posterior scleral reinforcement in children can be considered. Clinically, using this method to treat high myopia can not only prevent the deepening of myopia, but also sometimes improve naked vision. (6) excimer laser myopic surgery after excimer laser surgery for myopia, the visual quality of patients can be more perfect. Perfect and individualized surgical methods, Q-value optimization, wavefront aberration guidance and corneal topography guidance were used in clinical excimer laser myopia surgery. At the same time, excimer laser surgery is safe in the treatment of myopia. Excimer laser is an ultraviolet cold laser, which has no penetration into the deep layer of cornea. The operation is only carried out on the corneal surface, does not enter the inner eye, and does not change the structure of the eye, so it will not cause any damage to the eye. Not only the best corrected visual acuity was obtained, but also the postoperative vision was clearer and more comfortable. So that many patients can get rid of the shackles of glasses and find their due light. Excimer laser myopia surgery is an accurate method to treat myopia, but this method is not suitable for children.