Diseases and Conditions

Nearsightedness

Symptoms

Nearsightedness symptoms may include:

  • Blurry vision when looking at distant objects
  • The need to squint or partially close the eyelids to see clearly
  • Headaches caused by eyestrain
  • Difficulty seeing while driving a vehicle, especially at night (night myopia)

Nearsightedness is often first detected during childhood and is commonly diagnosed between the early school years through the teens. A child with nearsightedness may:

  • Persistently squint
  • Need to sit closer to the television, movie screen or the front of the classroom
  • Seem to be unaware of distant objects
  • Blink excessively
  • Rub his or her eyes frequently

When to see a doctor

If your difficulty clearly seeing things that are far away (distance blur) is pronounced enough that you can't perform a task as well as you wish, or if the quality of your vision detracts from your enjoyment of activities, see an eye doctor. He or she can determine the degree of your nearsightedness and advise you of your options to correct your vision.

Seek emergency medical care if you experience:

  • The sudden appearance of many floaters — tiny specks that seem to drift through your field of vision
  • Flashes of light in one or both eyes
  • A curtain-like shadow over your visual field

These are warnings signs of retinal detachment, which is a rare complication of myopia. Retinal detachment is a medical emergency, and time is critical.

Regular eye exams

Since it may not always be readily apparent that you're having trouble with your vision, the American Academy of Ophthalmology recommends the following intervals for regular eye exams:

Adults

If you're at high risk of certain eye diseases, such as glaucoma, get a dilated eye exam every one to two years, starting at age 40.

If you don't wear glasses or contacts, have no symptoms of eye trouble, and are at a low risk of developing eye diseases, such as glaucoma, get an eye exam at the following intervals:

  • Every five to 10 years in your 20s and 30s
  • Every two to four years from 40 to 54
  • Every one to three years from 55 to 64
  • Every one to two years after age 65

If you wear glasses or contacts or you have a health condition that affects your eyes, such as diabetes, you'll likely need to have your eyes checked regularly. Ask your eye doctor how frequently you need to schedule your appointments. But, if you notice any problems with your vision, schedule an appointment with your eye doctor as soon as possible, even if you've recently had an eye exam. Blurred vision, for example, may suggest you need a prescription change, or it could be a sign of another problem.

Children and adolescents

Children need to be screened for eye disease and have their vision tested by a pediatrician, an ophthalmologist, an optometrist or another trained screener at the following ages and intervals.

  • Age 6 months
  • Age 3 years
  • Before first grade and every two years during school years, at well-child visits, or through school or public screenings

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