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Can High Myopia Lead To Glaucoma? An Ophthalmologist Explains

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Portrait of Dr Desmond Quek
Dr Desmond Quek

April 2nd, 2019· 5 min read

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Myopia, also known as nearsightedness, is one of the most common optical deficiencies in Singapore.

To myopia sufferers, objects that are nearby look clearer than objects that are far away, which appear blurred. Myopia is so common that many of us don’t think about it as a medical condition. However, as we age, there is a risk that myopia may lead to glaucoma (increasing pressure that can damage optic nerves and lead to vision loss).

Ophthalmologist Dr Desmond Quek answered a Human reader’s question about how and why myopia can lead to glaucoma. Here's what he had to say.

The reason myopia causes glaucoma is unknown

glasses on a table

For the most part, the reason why myopia can lead to glaucoma is largely still a mystery.

One belief is that high myopia can cause the eyeball to stretch, weakening nerves and increasing the risk of nerve damage from pressure in the eye.

Another cites reduced blood flow to optic nerves. [1]

per cent of Singaporeans over 40 are at risk of glaucoma

a man hiking with backpack and glasses and camera

Dr Desmond noted that a study was conducted in Singapore, revealing that glaucoma affects around 3 per cent of the population over the age of 40. In addition, the risk of glaucoma can increase with age. [2]

Chinese Singaporeans are at a higher risk of glaucoma

a man looking at a watch

On top of this, the study found that Chinese Singaporeans with myopia have an even higher risk of developing glaucoma, compared to those without myopia. [3]

It also depends on the severity of myopia

glasses on an eye chart

Those with mild myopia (less than 300 degrees) are 2 times more likely to get glaucoma. Those with moderate myopia (300 to 600 degrees) are 5 times more likely to develop glaucoma.

Finally, people with severe myopia (more than 600 degrees) are 15 times more likely to get glaucoma. [4]

Family history can also play a part in the risk of getting glaucoma

two young chinese parents with glasses and a baby

Chinese with a family history of glaucoma were found to have a higher risk of developing the condition.

They were nearly 8 times more likely to experience glaucoma (even if it developed later in life). [5]

Early glaucoma may not reveal any symptoms

a man having an eye check

Get screened for glaucoma as early as possible if you suspect you might be at risk, especially if you have a family history of glaucoma or have severe myopia (or both).

This is because early and intermediate stages of glaucoma may not include any symptoms. Blurring of vision is often a late symptom that is irreversible so don't wait for it.

If you have considered the factors mentioned above and think you may have a high risk of developing glaucoma, get yourself screened for a proper diagnosis and assessment.

Seeking an ophthalmologist’s professional opinion on your current condition could play a big part in helping you prevent the worsening of any severe myopia that could lead to glaucoma. [6]

Would you like to ask any related health questions?

You can Ask A Doctor right away, or view the complete list of Human Sessions.

I hope that you've found this guide useful, and perhaps gained more insight into the application process. Most of the admissions-related information (admin and logistics wise) can be found on the official NUS Faculty of Dentistry website.

To help yourself out, you should take note of what people look for when they look for a dentist.

This article was written by Dr Desmond Quek and published on Wednesday, 25 January 2017. Human medically reviewed the article on Wednesday, 25 January 2017. The last update was made on Friday, 18 September 2020.

Disclaimer: Opinions belong to the author and not to the platform.

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