Myopia (short sight)

Myopia is a very common cause of blurred vision, affecting lots of people.

What is myopia?

Myopia, also known as being near‑sighted or short‑sighted, is a condition that causes objects from far away to appear out of focus.

An estimated five billion people, or half the global population, could be affected by short‑sightedness by 2050.

What is the meaning of myopia? Well, a person with short‑sightedness will be able to see things up close quite clearly, like when they’re reading. But for tasks that require distance vision, like driving or watching TV, their vision is blurred. This is the opposite of hypermetropia – also known as long‑sightedness – where people can see objects far away clearly but struggle to see things nearby.

Causes of myopia

Myopia usually occurs when the eye is too long. When this happens, the distance between the cornea (the clear window at the front of the eye) and the retina (the light‑sensitive tissue at the back of the eye) is too far. This means that light entering the eye is focused before it reaches the retina, which causes blurred vision. Myopia can also happen when the cornea (the clear covering of the front of the eye) is too steeply curved.

There’s research to suggest that, to compensate for the blurriness, the eye can elongate to try and capture the stray light rays on the retina too. This can cause the eye to change shape which can increase myopia over time, especially in children as they grow.

Diagram illustrating the anatomy of the human eye, focusing on the lens and its function in refracting light to focus on the retina.

Myopia happens when the eyeball grows a bit too much, stretching so that the distance from front to back is longer than it should be.

There is a huge amount of research into what causes myopia, from the shape of someone’s cornea to the lens's thickness inside the eye. Research suggests that hereditary factors are the most impactful. You are more likely to develop short‑sightedness if one of your parents has it. However, the picture of who will or will not develop myopia is unclear – just because one of your parents has myopia, that doesn’t mean you will necessarily have it as well.

Research is also being done to explore environmental factors that can lead to this condition such as extended close‑up activities and increased screen time.

Articles related to myopia

Myopia landscape in focus: A global and regional concern
This exploration provides a unique perspective on the state of eye health in Australia and efforts undertaken to address the growing concern of myopia.

Changes in prevalence and treatment rates of myopia
Discussing factors contributing to the global rise, analysing incidence shifts, and highlighting myopia management practices among optometrists,

Optometrists ring alarm bells on excessive screen time
There’s an alarming incidence spike of Myopia amongst children, with time on digital screens as a major contributing factor.

Symptoms of myopia

The most common symptom of myopia is struggling to see things in the distance. Before diagnosis, people with myopia may experience the following when trying to focus on far‑away objects:

  • Eye strain

  • Squinting

  • Headaches (caused by eye strain and squinting)

What Myopia looks like

Move the slider on our vision simulator to see how vision without glasses or contact lenses changes as short‑sightedness increases. Numbers represent prescription (Dioptres).

  • 0
  • ‑1
  • ‑2
  • ‑3
  • ‑4
  • ‑5
  • ‑6

Disclaimer: For advice and further information about short‑sightedness you should consult an eye care professional. This Vision Simulator should be treated as information only and does not represent advice. The images presented are artistic interpretations of short‑sightedness as experienced without glasses or contact lenses.

Vision simulator reproduced with permission from CooperVision Inc. and its subsidiaries.

Diagnosing myopia

Short sight is usually detected during a comprehensive eye test, which will test your vision as well as examining your eye health in detail.

During your appointment, your optometrist will ask you about your eyesight and whether you’re experiencing any symptoms. They’ll then carry out a range of tests to check your vision and eye health, before discussing treatment options.

An optometrist using diagnostic equipment examines a female patient in a modern clinic, focusing on eye health.

Complications

Most cases of myopia are fairly mild and can be easily treated. However, people with severe myopia could be at risk of developing other eye conditions such as:

Cataracts – a common condition which cases blurred or cloudy vision.

Glaucoma – an eye disease which damages the optic nerve, causing blurry vision.

Retinal detachment – a serious eye condition which can affect your vision and potentially lead to vision loss.

Treatments for myopia

So, can myopia be cured?

Although there is not a cure for myopia, the good news is that it can easily be corrected with the use of glasses or contact lenses with a minus lens power or refractive surgery. This means the lens has a concave shape (curved inwards), which helps to improve your focus ‑ the further away from zero the number is, the more correction is needed.

Plenty of research is also being carried out into future treatments for myopia, including red‑light therapy and increasing the amount of time you spend outside.

Tips for myopia management

If you have myopia, wearing glasses or contact lenses is the best way to manage your condition day to day.

Depending on your prescription, it may be that you need to wear glasses or contact lenses all the time, or just when you need them for clear distance vision e.g. when you’re driving or watching a film. It's also fairly common to have different levels of correction needed for each eye, so your optometrist may provide different prescriptions for your right and left eye.

You may also be able to get laser eye surgery to correct your vision (this treatment option is only suitable for adults, not children). Your optometrist will be able to help you choose the right option for you.

Having regular eye tests –every two years – will also help you stay on top of your condition and will allow your optometrist to monitor your vision and see if your myopia is getting worse or if you’re developing any complications.

Alongside the above, there are several changes you can make that could decrease the chances of your myopia worsening. These include:

  • Limiting your screentime to avoid eye strain

  • Making sure you’re not holding books or your phone too close to your face

  • Taking breaks from screens and close tasks such as reading

  • Spending time outdoors

  • Working or reading in well‑lit environments

 Three women enjoying a meal and conversation at an outdoor restaurant table, laughing and interacting joyfully.  

Did you know?

Eye tests are bulk billed to Medicare so there are no out of pocket expenses for you*.

Myopia in children

Progressive myopia happens when the condition gets worse rapidly. This affects young children in particular, so it’s important to start myopia management treatment as soon as possible. As well as the symptoms listed above, children with myopia might experience or show signs of the following:

  • Difficulty seeing in into the distance/ holding objects close to the face

  • Headaches

  • Excessive blinking

  • Fatigue and lack of concentration

  • Clumsiness

  • Eye rubbing

If you are concerned about myopia in your child, then the best step is to take them for an eye test. Children can be tested at any age, even if they can’t read or talk yet.

While the optometrist will use the well‑known letter chart with older children, with younger children's eye tests they can show them pictures or shapes. They can also assess how long or short‑sighted your child is simply by shining a light into their eye using a technique called retinoscopy.

In terms of managing your child’s condition, children with myopia can have their vision corrected with normal glasses or contact lenses.

For children who have short‑sightedness, a practice called ‘myopia management’ might also be an option. This involves using specialist contact lenses or glasses lenses designed to minimise myopia progression specifically in children.

A girl and a woman smile at their reflection in a mirror. The blonde woman points to her eye, while the young girl attempts to apply a contact lens.

Which one you choose will very much depend on what your child prefers, and which option your child is going to wear for the recommended wearing schedule. Your optometrist talk you through both options and help you to pick the best one for your child.

More ways to manage your child’s myopia

Here are some things you could do to help reduce the risk of your child’s myopia progressing and getting worse:

  • Encourage them to spend time outdoors, at least two hour a day

  • Limit their time using screens

  • Take breaks from close tasks, such reading a book very close to the face

  • Help them get a good nights’ sleep

Two young girls play at a beach building with sand toys. They are wearing colourful dresses and sunglasses.

Conclusion

Myopia is a common eye condition that affects lots of people. Most people with myopia will typically experience blurry vision and other mild symptoms such as headaches or eye strain, but some may go on to develop other eye conditions like glaucoma.

While there’s no cure, myopia can easily be managed in adult and children using glasses or contact lenses.

Having your eyes tested regularly will help make sure you get the right diagnosis and advice to manage your condition and take care of your eyesight.

About the Author

https://images.ctfassets.net/uuaxywrybmpn/7LwgjpG2ba9V71qeeBKs1t/8fd838c5503335d2a09d20d64f38b0aa/Specsavers-Stories-Michael-Angerame-1-copy-768x576.jpg

Michael Angerame

Bachelor of Vision Science/Master of Optometry

Michael Angerame graduate from Deakin University in 2017, having completed the Bachelor of Vision Science/Master of Optometry. Michael completed many years with Specsavers as an optometrist in the eastern suburbs of Melbourne as well as Melbourne CBD. In 2021 Michael began a new role, Optometry Development Consultant – Professional Services, where he supports optometrists across ANZ and enhances the patient journey.

FAQs for Myopia

Find out more

  • Why do I need an eye test?

    Eye tests play a huge part in making sure your eyes stay healthy.

    Check your vision
  • A friendly optometrist giving an eye tests to a man

    Your store visit explained

    At Specsavers we are focused on caring for your eyes and giving you the best possible vision.

    What to expect in‑store
  • A friendly optometrist giving advice to a woman in the test room

    More on eye tests

    An eye test is not just about getting glasses – it is a vital health check for your eyes.

    All about eye tests