What are the best treatment options for high myopia with high astigmatism?

Doctor's Answer

I agree that you are definitely eligible for LASIK refractive surgery if your corneas are thick enough or implantable contact lens (ICL) if your corneas are thin. Both refractive procedures should be done after the age of 21 years old or when your degree is deemed stable and no longer changing.

At the same time, I wanted to share that I have seen many young patients with degree as high as yours who have other retinal problems such as asymptomatic retinal holes/tears/schisis, glaucoma, cataract and myopia degeneration without knowing. My advice would be to have an annual eye check with a good retinal doctor to pick up any retinal problems that can be treated, early rather than late. The risk of a sudden retinal detachment is higher in those with high myopia.

Seek ways to maintain the health of your eyes and retina, while you are young! This also prevents your myopia from progressing further. Some quick tips:

1. Have good reading habits including posture and lighting!

2. Don't rub your eyes as that exacerbates astigmatism!

3. Take frequent breaks (5mins break every 45 minutes)!

4. Avoid excessive screen-time, or use a blue light filter to cut down eye fatique!

Hope that helps!

Dr Claudine Pang

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