myopia treatment Mornington

Myopia Treatment Options To Slow The Progression

Myopia, also known as short-sightedness and nearsightedness, is one type of refractive error. It can occur alongside astigmatism, which is a type of refractive error involving multiple focal points of light through the eye, as well as in combination with presbyopia, the natural age-related deterioration of near focus. Research tells us that the prevalence of myopia is steadily increasing across the world, with projections predicting about 50% of the global population having some degree of nearsightedness by the year 2050.


What is Nearsightedness?

All refractive errors involve a fault in the coordination of the eyeball between its axial length (from front to back of the eye) and its refractive power (its ability to bend light to focus).

Nearsightedness occurs when the focusing power of the eye is too strong for its length. Alternatively, it can be thought of as the axial length of the eyeball is too long for its refractive power. Most cases of nearsightedness arise during school age and are due to a combination of genetic and environmental factors. However, adult onset myopia is not unknown.

myopia treatment in Mornington

Patients with nearsightedness will find that distant objects are blurry, such as when looking down the road while driving or trying to read the whiteboard while sitting at the back of the class. Conversely, near objects such as books and phones are likely to be easy to see clearly. The distance at which an object becomes blurry as it moves further away or comes clear as it moves closer will depend on a patient’s prescription – typically, the higher the prescription, the closer an object will need to be for it to be in focus. However, patients with a combination of myopia and astigmatism may find that objects are not quite clear at any distance.

We are still learning about myopia – what factors influence its development and progression, what myopia treatment strategies are most effective at preventing or slowing it down, and the health implications of having a myopic population. At this point in time we know that nearsightedness is related to an increased risk of multiple eye diseases, much more than simply being an inconvenient blur. Due to the elongated, stretched nature of a myopic eyeball, people with short-sightedness are at a higher risk of potentially sight-threatening diseases such as myopic maculopathy, retinal detachments, and glaucoma.


Myopia Treatment

Unfortunately, nearsightedness cannot be reversed or undone and the eye health risks that come with myopia are lifelong. However, apart from the eye health concerns that come with short-sightedness, the most obvious aspect that needs addressing is the blurry vision.

Traditionally, spectacles and contact lenses have been and will continue to be a popular solution for nearsightedness. However, as medical technologies advance, surgical procedures for the correction of refractive errors are gaining in popularity, providing a welcome independence for the inconvenience of glasses and contacts.

Myopia treatment is well served with refractive surgery as many of these methods are able to treat high levels of nearsightedness. The most suitable technique will depend on various factors such as the individual biometry of your eye, your prescription, your lifestyle, and even your age. Your surgeon will assess and discuss your suitability for treatments such as PRK (photorefractive keratectomy), LASIK (laser assisted in situ keratomileusis), ICL (intraocular contact lens), and one of the more recent innovations – SMILE® laser eye surgery.


SMILE® Laser Eye Surgery

SMILE® stands for small incision lenticule extraction and has been applauded in recent years due to its excellent safety profile and ability to provide great visual outcomes with reduced risk of complications.

During the SMILE® procedure, a femtosecond laser is used to create a pre-calculated, precisely shaped disc of tissue, known as a lenticule, within the corneal tissues. The cornea is the dome of transparent tissue at the front of the eye and is largely responsible for the total refractive power of the eye. The lenticule is then removed through a small keyhole incision at the surface of the cornea, resulting in an adjusted corneal curvature. The reshaping of this anatomical structure redirects the passage of light through the eye such that it ends up focusing where it should – on the retina for clear vision.

myopia treatment at MorningtonSMILE® laser eye surgery is considered a minimally invasive procedure, which carries some significant benefits. Lower risk of post-operative dry eye: As fewer corneal nerves are disrupted with the SMILE® technique, patients with pre-existing dry eye may find this a more appealing option.

Shorter recovery time: Because there is less disturbance to the corneal tissue, eyes that have undergone SMILE® are left with better biomechanical stability of the cornea, and as the delicate corneal epithelium is left intact, there is much less post-operative discomfort.

Reduced risk of trauma-related complications: One advantage of SMILE® over LASIK is that it does not require the formation of a corneal flap. In LASIK, corneal reshaping can only take place once the top layers of corneal tissue have been moved to the side in the form of a hinged flap. This flap is then repositioned but activities such as intensive physical activity, bumps to the head, or exposure to dirty environments can dislodge this flap or allow debris beneath it, causing inflammation.

Currently, SMILE® surgery can be utilised for patients with up to -10D of myopia.


If you suffer from nearsightedness, there are ways to slow its progression. Contact an on (03) 9070 3580 to schedule a consultation.



Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

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lasik eye surgery Mornington

LASIK Eye Surgery – Are The Risks Worth The Cost?

LASIK eye surgery for the correction of refractive error was first approved in the mid-90s. Ever since then, LASIK surgery has gained popularity around the world, performed millions of times for people looking to gain some independence from glasses and contact lenses. Though any sort of surgical procedure carries with it some risk of complication or adverse outcome, the success rates of LASIK eye surgery in Australia and the developed world are excellent, sitting close to 100%. If you’ve ever thought about taking steps to be able to leave those spectacles in the drawer all day, read on for what you need to know about LASIK surgery.


What is LASIK?

LASIK is short for laser assisted in situ keratomileusis. LASIK surgery is just one of the several techniques of refractive surgery readily available across Australia, which also include procedures such as PRK (photorefractive keratectomy), SMILE® (small incision lenticule extraction), and ICL (implantable contact lens). The ultimate goal of all these refractive surgical methods is to correct the way that light bends through the eye so that you can achieve clear vision without needing to put on glasses or insert contact lenses. For some, this results in sharp vision across all distances without the need for any optical aids; for others, this may provide perfect vision at either long distance or up close while the patient still prefers to wear glasses for certain activities.

lasik eye surgery in Mornington

Like all other refractive laser procedures, LASIK eye surgery works by reshaping the cornea, which sits at the front surface of the eye. The result of this is that light bends, or refracts, to focus at a sharp point on the retina at the back of the eye instead of falling behind this plane (as is the case in long-sightedness) or before the plane of the retina (as in short-sightedness).

LASIK surgery is a two-step procedure. The first step is to move aside the top layers of the cornea by forming a hinged flap of tissue, which is comprised of the epithelial layer of the cornea as well as a small part of the underlying stromal tissue. Some surgeons prefer to use a manual bladed instrument for this step while other specialists use a femtosecond laser tool. An excimer laser is then applied to the exposed stroma of the cornea in a process called photoablation, which involves the removal of selected areas of tissue that are calculated to correct the refraction of light through the corneal surface. After the excimer laser has completed its reshaping work, the flap of superficial corneal tissue is then repositioned and allowed to self-heal.


What is LASIK Used For? 

Long-sightedness (also known as hyperopia), short-sightedness (also called myopia), and astigmatism are all types of refractive error. Depending on the patient’s age and the magnitude of their refractive error, vision may be blurry only at certain distances, such as for objects far away for myopic patients, or can be blurry at all distances, such as for a hyperopic patient over the age of 50.

LASIK eye surgery can be used to address all these types of refractive errors up to certain limitations. These limitations are largely guided by the amount of corneal tissue available in each eye for the photoablation process as there must remain a minimum corneal thickness after the procedure to maintain the integrity of the eye’s surface. As a general rule, LASIK surgery can correct prescriptions of:

  • Myopia between -1.00 to -10.00 dioptres
  • Hyperopia up to +4.00 dioptres
  • Astigmatism up to -4.00 dioptres

lasik eye surgery at MorningtonPatients over the age of around 45 will typically start to experience another type of visual difficulty known as presbyopia, which is the natural age-related deterioration of near vision. Though not all presbyopic patients are appropriate candidates, LASIK eye surgery may be used to address both refractive error for distance vision as well as the presbyopia for reading vision.

This can be done with an arrangement known as monovision, which involves one eye being surgically corrected for distance vision and the other corrected for near vision; alternatively, a variation of LASIK surgery known as Presbyond can provided laser blended vision, where both eyes are surgically corrected with a degree of both long and short sight in each eye.

Some patients, due to various factors including corneal thickness, may fall outside the eligibility criteria for safe LASIK eye surgery. However, this does not necessarily mean they are unsuitable for refractive surgery altogether. LASIK surgery is just one of a number of refractive surgery techniques, all of which come with their own benefits and disadvantages. If you are considered unsuitable for LASIK eye surgery on the basis of thin corneas, your eye specialist may direct you to another technique more suitable for your eyes, such as PRK. Bear in mind that though LASIK surgery is not ideal for situations such as thin corneas or patients with hobbies or vocations that involve a risk of physical trauma, it does carry advantages in other aspects, such as a faster visual recovery time and less post-operative discomfort when compared to PRK.


What to Expect After LASIK Surgery

After LASIK eye surgery you will notice a significant improvement to your vision as soon as within 24 hours. There may be some dryness and irritation of the eye as it heals but your eye specialist and clinical team will provide you with post-operative care instructions, a protective eye shield, and a few eye drop medications to support recovery. Many patients feel well enough to return to work the day immediately after surgery, though this depends in part on the nature of their vocation.


If you have questions about LASIK eye surgery contact us on (03) 9070 3580 LASIK coordinator for more information and to determine if you’re a good candidate for eye surgery.



Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

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