Myopia cases are increasing among children and young people in SP – 12/13/2022 – Equilíbrio e Saúde

Rafael, 9, needed to undergo completely different shops till he discovered a pair of glasses in the colours he needed, however when he put the blue and yellow accent on his face, he did not take it off. The concern of “wanting ugly” was overcome and he accepted the prognosis of myopia, a illness that elevated among children and youth as much as 19 years outdated in the town of São Paulo.

According to a survey launched this Tuesday (13) by the Municipal Health Department, the municipal community registered 866 cases of the illness in this inhabitants in 2019, whereas 260,587 consultations had been carried out. As of September 2022, 2,026 cases have been recognized in a universe of 222,754 queries – a rise of a minimum of 134%, which ought to enhance contemplating your entire 12 months.

For consultants, the rise in cases of myopia – problem seeing far-off, roughly talking – is said to display screen use, which has intensified throughout the Covid-19 pandemic, together with distance studying and isolation. Such was the case with Rafael and his sister Julia, 6.

“With the epidemic, he was in entrance of the display screen on a regular basis, together with at bedtime, lunch and dinner, and I made a decision to take him to the ophthalmologist to see if every part was high-quality. When we received there, he was 1 12 months outdated, 25 levels Myopia and she had 0.5”, remembers her mom Fernanda Vicola Barbosa.

At the session, the ophthalmologist stated that the brothers had been extra prone to the illness as a result of Fernanda and her husband had been nearsighted and that display screen time was a precipitating issue.

“Our eye continues to kind throughout childhood, it isn’t born prepared, and in this growth it’s influenced by the surroundings and the actions we do”, explains Ricardo Paletta Guedes, president of the Brazilian Society of Ophthalmology.

In this sense, the discount of outside play and hours in entrance of video video games, tablets and cell telephones, which solely require shut commentary, is actually altering the way in which young people see the world.

“When children spend fewer hours uncovered to the sunshine of the exterior surroundings, the photoreceptor constructions are not stimulated and the attention grows extra, which favors myopia”, feedback doctor Luisa Hopker, president of the Brazilian Society of Pediatric Ophthalmology.

The rise of the illness in children and adolescents has been cited as a problem by the World Health Organization and was the topic of a survey launched final 12 months by the Brazilian Council of Ophthalmology. At that point, about 70% of ophthalmologists consulted by the entity stated they’d recognized illness development in children throughout the epidemic.

Michel Bernard Claude Laray, proprietor of an optician specializing in children, additionally famous the rise. “Since final 12 months now we have observed an evolution. We serve 5, six-12 months-olds who are already in two or three grades”, he experiences.

This phenomenon is alarming as a result of it has appeared earlier and earlier and as a result of, as the attention grows in childhood, its diploma additionally will increase. This development favors a better diploma of myopia in grownup life and will increase the chance of extra severe eye illnesses, resembling glaucoma and retinal detachment.

“30 years in the past, it was uncommon to search out children with a level of myopia above six. Today, I see children aged eight and with 11 levels of myopia”, compares Guedes.

According to medical doctors, signs of the illness embrace complications, itchy eyes, grimacing when making an attempt to see one thing at a distance, and problem studying the blackboard in the classroom. But these indicators are not at all times there. Fernanda remembers that Rafael and Julia, for instance, had been in a position to learn road indicators with out problem, so they didn’t arouse suspicion.

Guedes claims that the kid is simple to adapt and, typically, he thinks that the issue he experiences is regular, so he doesn’t remark. Moreover, there are cases in which the myopia in one eye seems stronger than the opposite and, if there isn’t a work to look at every individually, the illness could go unnoticed. Hence the significance of observe-up with consultants.

The suggestion, in addition to a watch examination in the maternity ward, is to take the kid for an entire ophthalmological examination by the age of two. Then, at age 5 and, from age seven, have an annual session.

“It will not be sufficient to go to the optician to get glasses or simply to search out a physician once you really feel very unhealthy. The excellent is to have a preventive examination every year or earlier than, if there’s a criticism”, guides the ophthalmologist. .

In the general public community, the entry level for evaluation is the fundamental well being unit, which is able to present care via a household well being crew physician. As wanted, the affected person is directed to an ophthalmologist and, if complicated examinations are required, he’s despatched to accredited clinics.


To scale back the probabilities of illness, Hopker factors out that children want a minimum of 1 hour and 40 minutes of outside actions a day.

The physician additionally emphasizes the necessity to observe the rules of the Brazilian Society of Pediatrics relating to most display screen time relying on age and respecting a distance of 33 to 38 centimeters between digital tools and the face.

Regarding the prognosis and use of glasses, she factors out that it is very important combine children into the choice course of and encourage them to make use of the useful resource. And do not forget that there are new eye drops and lenses that assist sluggish the development of the illness and are prescribed in some cases.

According to Lairé, the frames are additionally extra fashionable, and now there are mild, resistant and colourful children’s fashions like these chosen by Raphael.

“Today he would not go with out his glasses”, says his mom.

Age-appropriate display screen use suggestions

  • Children under 2 years of age: Avoid publicity to screens, even passively
  • Between 2 to five years: Spend a most of 1 hour a day in entrance of a display screen, supervised by supervisors
  • Between 6 and 10 Years outdated: Screen time needs to be restricted to at least one to 2 hours per day, at all times supervised by a mum or dad or guardian
  • For all ages: No screens throughout meals and disconnect one to 2 hours earlier than mattress

Source: Brazilian Society of Pediatrics


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