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Many Parents Shortsighted About the Importance of Myopia and its Management

Eye Clinic Optometrist Bondi Sydney Shortsightedness Myopia Management Treatment

Published: 25 June 2021 | Updated: 27 September 2026 | Author: Smart Vision Optometry

Editorial and clinical update — 28 September 2026: The original article/interview body below is retained in its editorial form, including its attributed quotations and narrative structure. Current evidence and clinical guidance are presented separately below and should be relied on where older wording or claims differ.

Nearsightedness Uncovered

As the number of children with myopia keeps growing at an epidemic rate, and impacting on an increasing proportion of younger children, some parents may not recognise the term myopia or understand the importance of managing it. Instead, they are accepting the common and less threatening description of “shortsightedness” for a far bigger and wider threat than that name suggests, according to Australian behavioural optometrist Jacqueline Gattegno.

Like a growing number of optometrists, she voices concern that the shortsightedness label constantly attached to information regarding the refractive error is possibly sugarcoating the very serious threat myopia holds in terms of its impact on people’s eyes and lives, and that this might lead to many children going through school and life either without knowing they are myopic, or being deprived access to ways to manage or control its progression.

Myopia Does More Damage Than Causing a Blur

Gattegno says that shortsightedness is commonly interpreted as just affecting distance vision to the extent that anything not close-by is seen as a blur, and that it requires no more treatment or control than a pair of single vision glasses that might help remove the blur in their distance vision. It is critical to understand that in progressive myopia, the eye can continue to elongate. This increases the risk of future eye health conditions, including cataracts, glaucoma, retinal detachment and vision loss.

She says this treatment was still considered adequate before the number of myopics started an upward curve a few decades ago, and rose still further this century. This upward curve led eye doctors and researchers to paying closer attention to the incurable and mysterious eye problem and the realisation that myopia involved a lot more than blurry distance vision. With it being identified as being linked to serious vision problems, the focus and variety of new ways to manage it have started to grow. Published models have projected substantial global growth in myopia; a forecast should not be read as a certain outcome or a prediction for an individual child.

The Myopia Threat

Depending on what level of myopia a child has, children can be looking at a future which is more than just blurred, Gattegno says. If it progresses into high myopia (and even if it stays at mild or moderate levels), it can affect their lives considerably by changing the way they see the world around them and how to react to it, and it may even take away their sight completely as they get older.

She says that in the short term, myopia can lead to problems with playing sport, learning, and behaviour at school, as well as impacting to a certain extent on other daily activities. It may also affect their self-image and feelings about their place in the world. But however serious these effects are, bigger threats can await them if the progression of myopia is not controlled. In later years they may be faced with the most destructive eye impairments, cataracts, glaucoma, non-age-related macular degeneration, and retinal detachment. 

HEAR: Ultra106.5FM Interview with Gary Rodney – Covid and Myopia: What you need to know!

For more information on eye health, visual skills and therapy, or to book an appointment, visit the Smart Vision website: Optometrists Sydney: Optometry Services For Children and Adults | Smart Vision; for specific information about Myopia treatment and prevention visit Myopia Prevention: Solutions, Control And Treatment In Sydney; and for detailed information about Myopia Treatment visit Orthokeratology In Sydney: The Non Surgical Alternative.

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Editorial update: understanding the risks

This article’s reporting of Jacqueline’s concerns and its original news structure are retained. The unidentified parent-survey percentage has been removed. Short-sightedness and myopia refer to the same refractive condition. Clear vision matters, while progression and eye-health risks need their own assessment.

Higher myopia is associated with greater risk of some eye conditions, but a complication or loss of sight is not inevitable. Uncorrected blur can make visual tasks harder; myopia alone does not diagnose a learning, behavioural or mental-health condition. Discuss specific difficulties rather than assuming their cause.

The IMI clinical management guidance supports an individual plan and follow-up. Read our related interviews on myopia-control options, eye-health risks beyond blur and nutrition and myopia. Outdoor activity with appropriate sun protection complements care; a checklist cannot guarantee prevention.

Frequently asked questions

Are myopia and short-sightedness different conditions?

No. They are different names for the same refractive condition. An examination is needed to establish the prescription and management needs.

Will my child always notice a vision problem?

Not necessarily. Ask about specific difficulties and arrange an assessment if concerns arise, rather than relying only on a child to describe blur.

Is one myopia treatment right for every child?

No. The choice depends on examination findings, individual needs, treatment risks and practical care requirements. Follow-up is part of the plan.

Further information and appointments

Explore our myopia assessment and management service. Contact the Bondi Beach practice or Mosman practice to discuss an appointment.

The original Ultra106.5FM interview with Gary Rodney and myopia planning checklist remain available as discussion resources. Further information is on our myopia website and orthokeratology website.

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