Cause
Most
nearsightedness (myopia) is caused by a natural change
in the shape of the eyeball that makes it egg-shaped rather than round. This
causes light to focus
in front
of the retina
rather than directly on the
retina. Nearsightedness is usually inherited. A child
is likely to be nearsighted if one or both parents are nearsighted.
See more information about
eye
anatomy and function.
Many people have believed for a long time that too much close work,
such as reading or sitting too close to the television, causes nearsightedness.
One study suggested that people who have jobs that involve large amounts of
reading do indeed have higher degrees of nearsightedness.2
Other than the natural change in the shape of the eyeball, there
are a few rare causes of nearsightedness. These are:
- Pathological myopia, in which the back
of the eyeball continues to grow longer after reaching normal adult
size.
- Secondary myopia, which may develop as a result of
many conditions, including premature birth and a number of eye
diseases.
- Pseudomyopia, or sudden nearsightedness that rapidly
gets worse because of an underlying cause, such as uncontrolled
diabetes.
In some cases, nearsightedness may be caused by eye problems such
as cataracts and
keratoconus. Premature birth may increase the
likelihood that a baby or young child may become nearsighted, especially if the
baby has
retinopathy of prematurity (ROP).
People who are very nearsighted (severely myopic) have an increased
risk of
glaucoma and
retinal detachment. Retinal detachment happens because
the retina may be stretched if you have severe myopia.