Treatment

The standard goal of treating nearsightedness is to improve vision by helping focus light on your retina through the use of corrective lenses or refractive surgery. Managing nearsightedness also includes regular monitoring for complications of the condition, including glaucoma, cataracts, retinal tears and detachments, and damage to central retinal areas.

Prescription lenses

Wearing corrective lenses treats nearsightedness by counteracting the increased curvature of your cornea or the increased length of your eye. Types of prescription lenses include:

• Eyeglasses. This is a simple, safe way to sharpen vision caused by nearsightedness. The variety of eyeglass lenses is wide and includes single vision, bifocals, trifocals and progressive multifocals.
• Contact lenses. These lenses are worn right on your eyes. They are available in a variety of materials and designs, including soft and rigid, gas permeable in combination with spherical, toric and multifocal designs. Ask your eye doctor about the pros and cons of contact lenses and what might be best for you.

Refractive surgery

Refractive surgery reduces the need for eyeglasses and contact lenses. Your eye surgeon uses a laser beam to reshape the cornea, which results in a decreased nearsighted prescription. Even after surgery, you may need to use eyeglasses some of the time.

• Laser-assisted in situ keratomileusis (LASIK). With this procedure, your eye surgeon makes a thin, hinged flap into your cornea. He or she then uses a laser to remove inner layers of your cornea to flatten its domed shape. Recovery from LASIK surgery is usually more rapid and causes less discomfort than other corneal surgeries.
• Laser-assisted subepithelial keratectomy (LASEK). The surgeon creates an ultra-thin flap only in the cornea's outer protective cover (epithelium). He or she then uses a laser to reshape the cornea's outer layers, flattening its curve, and then replaces the epithelium.
• Photorefractive keratectomy (PRK). This procedure is similar to LASEK, except the surgeon completely removes the epithelium, then uses the laser to reshape the cornea. The epithelium is not replaced, but will grow back naturally, conforming to your cornea's new shape.

Talk with your doctor about the possible side effects, as this procedure is not reversible. Refractive surgery is not recommended until your nearsighted prescription is stable.

Treatments to slow or stop progression of nearsightedness

Researchers and clinical practitioners continue to seek more-effective approaches to stop nearsightedness from getting worse over time. Therapies that show the most promise to date include:

• The topical medication, atropine. Topical atropine drops are commonly used to dilate the pupil of the eye, often as part of eye exams or before and after eye surgery. Atropine eyedrops in various doses may also help slow the progression of nearsightedness. The exact mechanism for this effect is unknown.
• Increased time outside. Spending time outdoors during adolescence and your early adult years may decrease the lifetime risk of nearsightedness. Researchers think exposure to the sun's ultraviolet (UV) rays may change the molecular structure of the sclera and cornea and help maintain a normal shape.
• Dual focus contact lenses. A new type of dual focus contact lens has been shown to slow the progression of nearsightedness in children between 8 and 12 years old.
• Orthokeratology. In this procedure, you wear rigid, gas permeable contact lenses for several hours a day until the curvature of your eye evens out. Then you wear the lenses less frequently to maintain the new shape. If you discontinue this treatment, your eyes return to their former shape. There is evidence that this lens does slow down the elongation of the nearsighted eyeball, which decreases myopia.