Is rapid worsening of myopia normal in the late 20s?

Question

Hello doctor,

I have essentially been a blur since elementary school due to my severe myopia. Recently, it seems to be worsening at an alarming rate.

In the past year alone, my vision has deteriorated to the point where I am practically blind without my contacts or glasses. Now, I need very thick prescription lenses just to make out basic shapes and words. My main question is whether this rapid progression of nearsightedness is normal as I approach my late 20s, or if it could indicate something more serious that I should have checked out immediately. I have heard that myopia can potentially lead to complications like retinal detachment or vision loss if not properly managed.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

I understand your concern about myopia, which can indeed be quite frustrating, as one feels nearly blind without glasses or contact lenses. You have mentioned that you are 43 years old, and typically, myopia does not progress significantly at this age. Given that you have a thick prescription, I am assuming your power is above -4 or -5. While rapid progression at your age is rare, it is not unheard of. The significance of such changes depends on both the magnitude of the change and the time frame. A change of 0.5 or 0.75 diopters is normal if your prescription is in the range of -5 or higher. However, if your prescription has suddenly increased from about -1 or -2 to -4 or -5, this warrants further investigation.

Changes in the shape of the cornea, the front part of the eye, can occur under certain conditions and should be evaluated by an ophthalmologist. Additionally, if your prescription is very high, your retina needs to be checked, as conditions like retinal detachment and the formation of neovascular membranes or maculopathy are more common in high myopes. While the deterioration in your vision may understandably be concerning, if your vision is still good with your glasses, I would not be overly worried. However, I recommend that you see an ophthalmologist in person for a dilated eye exam to rule out any serious issues and provide peace of mind.

I hope this guidance helps you. Please do not hesitate to reach out if you need further assistance.

Thank you.