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Myopia (Nearsightedness) Surgery Treatment Clinic


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Shree Ramkrishna Netralaya... The Eye care center collaborated with Carl Zeiss the 1st Myopia Clinic in Mumbai/ West India/ Maharashtra on July 8, 2023 for the noble initiative.

Myopia or near-sightedness is a condition in which close objects appear clear but distant objects appear blurry. It is one of the major public health concerns around the world, with a prediction that nearly 50% of the global population will be myopic by 2050.

Myopia is caused by a combination of genetic and environmental factors. Other factors include prolonged near work, insufficient time outdoors, and family history. Post-COVID-19 period kids have seen more time being spent on digital screens, phones, laptops, and tablets for their school homework. This excessive screen time for a long duration can cause Myopia.

Different types of treatments are available but in today's time, the best and the easiest methods available are Pharmacological Therapy and special spectacle glasses. These glasses are available in India for the last one year, and when used by children the number stops increasing. In fact, studies suggest that using glasses can stop the progression of Myopia by 55%-60%. This is how we can control Myopia and tame it.

ZEISS has this comprehensive Myopia Spectacles glasses which will control the Myopia Progression 55%-60%. This special glass will be dispensed in the Myopia Clinic concept as one of the treatments. To early detection and treatment for children,

ZEISS has also taken the initiative to support the Shree Ramkrishna Netralaya eye care center to launch Myopia Clinic to control Myopia progression in India.

What is Myopia?

Myopia (Nearsightedness) refers to a condition where the distance vision is blurred. As a result the child has to wear minus powered glasses to see clearly. Myopia usually starts in School going children and increases rapidly in the age group of 5-15 years. High myopia is associated with risks of retinal problems, early onset cataract and glaucoma.

Symptoms of Myopia:

The condition occurs when the eyeball is too long or the cornea (the front part of the eye) has too much curvature, causing light to focus in front of the retina instead of directly on it. Some common symptoms of myopia include:

1. Blurred distance vision.

2. Squinting.

3. Eyestrain.

4. Headaches.

5. Difficulty with night vision.

6. Holding objects close.

7. Difficulty in sports and outdoor activities.

8. Fatigue during close work.

Myopia Examination Flow:

History Taking & Questionnaire to assess risk factors:

Gathering relevant information about the patient's medical history and lifestyle factors through a questionnaire to understand potential risk factors associated with myopia development and progression.

Vision Assessment and Refraction:

The process of testing visual acuity and determining the appropriate lens prescription to correct myopia.

Basic Squint Evaluation:

A basic assessment of strabismus or squint to determine if there is any misalignment of the eyes, which may impact vision and require further evaluation.

Cycloplegic refraction after Dilatation & Retina Evaluation:

Cycloplegic refraction involves using eye drops to temporarily paralyze the eye's focusing mechanism, allowing for more accurate refractive measurements, while a retina evaluation checks for any abnormalities in the back of the eye.

Generation of Myopia Report:

A comprehensive report detailing the patient's myopia condition, test results, and treatment recommendations will be generated for reference and follow-up.

Treatment Recommendation by Doctor:

Based on the diagnosis and severity of myopia, the doctor will suggest suitable treatment options, which may include corrective lenses, atropine drops, orthokeratology, or other interventions.

Special Tests like Axial Length, Advanced Squint Evaluation, Orthoptics where needed:

In cases requiring specialized assessment, additional tests such as measuring the axial length of the eye, evaluating complex squints, or assessing eye coordination (orthoptics) may be performed.

Treatment Options available for control of Myopia :

Myopia Treatments are as follows:

Specialized spectacles (DIMS/HALT/Myocare): Customized glasses designed to slow down myopia progression in children.

Bifocal / Progressive glasses: Eyeglasses with different prescriptions in the upper and lower parts of the lenses to address near and distant vision.

Low-dose atropine drops: Eye drops containing a low concentration of atropine to help slow down the progression of myopia in children.

Orthokeratology: The use of specially designed gas-permeable contact lenses to reshape the cornea temporarily, providing clear vision without glasses or lenses during the day.

The aim of Myopia clinic at SRN is to identify children with myopia and treat them effectively so that they have clear vision and prevent the progression of myopia to high powers.


How common is Myopia ?
  • Myopia, or nearsightedness, is a common vision problem worldwide. Its prevalence has been increasing in recent years, particularly in certain regions and populations. According to global estimates, approximately 30% of the world's population has myopia. However, the prevalence varies among different countries and age groups.
  • The increase in myopia prevalence is believed to be influenced by various factors, including genetic predisposition, environmental factors, lifestyle changes, and prolonged near work activities such as reading or using electronic devices. Spending less time outdoors and reduced exposure to natural light during childhood and adolescence have also been associated with a higher risk of myopia development.
  • It's worth noting that myopia can develop at any age, but it often starts during childhood or teenage years and may progress until the early twenties. Regular eye exams are important, particularly for children, to detect and monitor the condition early on and implement appropriate interventions if needed.
  • Overall, myopia is a widespread condition that affects a significant portion of the global population. As the prevalence continues to rise, it highlights the importance of proactive measures to address and manage myopia, such as promoting outdoor activities and maintaining good eye care practices.
Symptoms of Nearsightedness Eyes ?

The most common symptom of myopia, or nearsightedness, is difficulty seeing distant objects clearly while having relatively clear vision for close-up tasks. Here are some common symptoms experienced by individuals with myopia:

  • Blurred distance vision : Distant objects appear blurry and out of focus, while near objects remain clear. This is the primary symptom of myopia and can vary in severity depending on the degree of nearsightedness.
  • Squinting : Squinting is a natural response to try and improve focus by reducing the amount of light entering the eye. People with myopia may squint to see distant objects more clearly temporarily.
  • Eye strain and fatigue : Straining the eyes to compensate for blurred vision can lead to eye strain, fatigue, and discomfort, especially during activities that require focusing on distant objects for prolonged periods, such as driving or watching a movie in a theater.
  • Headaches : Frequent headaches, particularly after engaging in visual tasks requiring distance vision, can be a symptom of myopia. Struggling to see clearly can cause eyestrain, which can lead to headaches.
  • Difficulty seeing at night : Myopia can make it more challenging to see clearly in low-light conditions, such as during nighttime driving or in dimly lit environments. Glare and halos around lights may also be more noticeable.
  • Need for frequent prescription changes : If you find yourself needing updated eyeglass or contact lens prescriptions frequently, it could indicate progressive myopia. Myopia can worsen over time, requiring stronger corrective lenses.

It's important to note that these symptoms can also be indicative of other vision problems, so it's crucial to have a comprehensive eye examination performed by an optometrist or ophthalmologist to receive an accurate diagnosis. If you experience any of these symptoms or have concerns about your vision, it is recommended to seek professional eye care to determine the cause and appropriate management options.

How is myopia Eyes diagnosed ?

Myopia, or nearsightedness, is diagnosed through a comprehensive eye examination performed by an optometrist or ophthalmologist. The diagnostic process typically involves the following steps :

  • Visual Acuity Test : The eye care professional will assess your visual acuity by asking you to read letters or symbols on an eye chart. This test measures how well you can see at various distances and provides an initial indication of potential myopia.
  • Refraction Test : To determine the exact prescription needed to correct your vision, a refraction test is conducted. You will be asked to look through a device called a phoropter and provide feedback on which lenses improve your vision. By systematically adjusting the lenses, the eye care professional can determine the specific power (diopters) required to correct your myopia.
  • Retinoscopy : This test involves shining a light into your eyes while using a handheld instrument called a retinoscope. By observing the reflection of light from your retina, the eye care professional can estimate the refractive error and determine the degree of myopia.
  • Autorefractor : An autorefractor is an automated instrument that measures your eye's refractive error. It uses a beam of light to analyze the way it is bent as it enters your eye. This test provides an objective estimation of your refractive error, aiding in the determination of the correct prescription.
  • Evaluation of Eye Health : The eye care professional will examine the health of your eyes, including the structures at the front (cornea, iris, and lens) and the back (retina, optic nerve). This may involve using specialized equipment such as a slit lamp microscope or ophthalmoscope to evaluate the overall health of your eyes and rule out any underlying eye conditions or complications.
  • Additional Tests : Depending on your specific situation, additional tests may be performed to gather more information. These tests can include measuring the curvature of the cornea (keratometry), assessing the thickness of the cornea (pachymetry), or evaluating the shape and structure of the eye's anterior segment (anterior segment imaging).

By combining the results of these tests and examinations, the eye care professional can provide a definitive diagnosis of myopia and determine the appropriate treatment options, such as prescribing eyeglasses, contact lenses, or discussing refractive surgery if necessary.

Regular eye examinations are important to monitor the progression of myopia, especially in children, as early detection and intervention can help manage and control its development.

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