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Wednesday, 10/6/2026 | 16:01 GMT+7

Why does myopia occur in adulthood?

A 32-year-old individual, who previously had good vision and never wore glasses, recently had an eye exam revealing a 1,5 diopter prescription for the right eye and 2 diopters for the left. Why does myopia appear in adulthood? (Thanh, Tay Ninh)

Myopia, or nearsightedness, typically begins in childhood and adolescence, with prescriptions often increasing rapidly during school years before stabilizing as the eye structure matures. However, it can also develop in adulthood, specifically between 18 and 40 years old. This adult-onset myopia is often linked to lifestyle factors and environmental conditions. Prolonged near vision tasks, such as extended computer or phone use, or working in poorly lit environments, significantly increase the risk.

Adult-onset myopia can also be attributed to changes in the eye's accommodative ability. In younger years, the eyes accommodate well, making mild myopia easily overlooked during routine vision screenings. As individuals age, this accommodative capacity gradually diminishes, leading to more noticeable blurred vision.

A medical professional prepares to measure refraction using an automated device. Illustration: Tam Anh General Hospital

Managing adult myopia focuses on ensuring clear vision and maintaining a good quality of life. When diagnosed with myopia, individuals must wear prescription eyeglasses or contact lenses, as advised by their doctor, to improve vision and alleviate excessive eye strain, which can lead to fatigue and headaches. For those seeking alternatives, various surgical options are available, including: lasik, smile, and phakic procedures. The choice of surgery depends on the individual's eye condition and detailed diagnostic assessments, with the doctor recommending the most suitable method.

To prevent the progression of myopia, it is essential to adopt healthy eye habits. Regularly rest your eyes after extended periods of near vision tasks, such as working on computers, using phones, or reading. Myopia is a common refractive error that does not resolve on its own and tends to worsen over time without proper management. Prevention strategies include using adequate lighting, maintaining correct posture while working or studying, and taking frequent breaks from close-up activities. Increasing outdoor activities can also mitigate the risk of myopia onset and progression, thanks to natural light exposure. Additionally, a balanced diet rich in vitamin A, lutein, and omega-3—found in eggs, fish, milk, and dark green vegetables—can help reduce dry and tired eyes often associated with extensive use of electronic devices. Regular eye examinations every 6-12 months are crucial for monitoring retinal health and detecting potential myopia-related complications early, such as retinal degeneration, glaucoma, and cataracts.

Dr. CKI Doan Thi Phuong Nhi

High-Tech Ophthalmology Department

Tam Anh General Clinic District 7

Readers can send questions about ophthalmic diseases here for doctors to answer
By VnExpress: https://vnexpress.net/vi-sao-can-thi-xay-ra-o-tuoi-truong-thanh-5084124.html
Tags: myopia refractive error adults adulthood

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