Are we being a bit short-sighted here?

Blog vol 3. 4. Are we being a bit short-sighted here?


“Short sightedness has become an epidemic.”  That is the title to a recent article in The Economist.  


As I was growing up, all my older siblings wore glasses, so I wasn’t too surprised when, at 14 years old, a kindly optometrist asked, “which is better, one or two?, ”and I came away with a different perspective…


Trees have leaves, there are blades of grass, wow.


Research shows that there is a large genetic component to myopia, as my family will attest. 


Research also shows that environment also plays a key role in myopia. Nature or nurture?


Both. The problem with myopia is more than just having to wear glasses or contacts, but increased risk of retinal detachment and maculopathy (problems, especially as you age).


Changing our genetic code is very difficult and not necessarily desirable; modifying our environment is somewhat easier. An Economist article on myopia (see here) points out that the emphasis in a lot of Southeast Asian countries has been on the environmental component of myopia development in children. This is something to consider.


Some tips:


Get your child’s eyes checked, a full eye exam, as early as 6 months of age.


Watch for symptoms: squinting, eye turns, or headaches.


Reduce screen time; have your children hold their screens out further.


Get them outside.


Regular eye exams to track possible myopia development. There is a window of time, from about 6 to 15 years of age where myopia can be slowed down.

If myopia is developing quickly, then myopia control is available in the form of atropine drops, or specialty spectacle lenses and contact lenses. Your optometrist will discuss options and the best fit for your child and family.


As the Economist article states, daylight and outdoor light play more of a role in keeping myopia under control than previously thought. So put the screens down, and enjoy the great outdoors (with UV block, of course).


Have a myopia arresting summer.




Til next week,

 


 the good doctor


The good doctor take a deeper look at how gut health is connected to eye tissues.
By Dr. Mark Germain April 29, 2026
Blog vol 6.40. The Gut and the Eyes. One of my biggest jobs is to keep abreast of new research and advances in eye health. Most recently, we have seen new stem cell research, gene therapies, as well as new drugs for dry and wet macular degeneration. In January of this year, there was an article in the journal, Cell Death and Disease, that looked at cell apoptosis, specifically with the photoreceptors of the eye. (Read the article here ). Apoptosis is the genetic programming of deliberate and constructive cell death, allowing for the maintenance of healthy structures and systems in the body. Some estimates have the body replacing 50 to 70 billion cells daily by this process. Necrosis, on the other hand, is unplanned cell death caused by injury, toxins, or other negative outside factors; this causes inflammation and disrupts the body’s balance of things. There are stressors that speed up cell turnover. The study looked at photoreceptors in the retina and were able to demonstrate cellular recovery, even in late stages of apoptosis, recovery not breakdown. When certain stressors were reduced, by working with the mitochondria, there was recovery of the photoreceptor cells. How? Mitophagy, the mitochondria’s own process of programmed breaking down and then repurposing the recycled components for new ones. This mitochondrial repair helps to reverse the sequence of apoptosis for the photoreceptors. Mitochondria, how cool. How is this helpful for our eyes? Conditions like retinitis pigmentosa or macular degeneration directly involve the photoreceptors and may be slowed or reversed by helping the mitochondria. So, let’s take care of those mitochondria. There is some evidence for nutritional support for the mitochondrial system. The nutrient, Urolithin A (UA), which is a compound made in our gut from fiber found in pomegranates, berries, and nuts is the only clinically proven substance known to trigger mitophagy, made in the gut no less. Vitamin B3 is critical for mitochondria function, however vitamin B3 based supplements are still to be clinically tested for their support of cell recovery. Nutrients Coenzyme Q10 and L-carnitine are known to help the mitochondria generate energy, and interestingly, infrared light therapy has also been shown to benefit mitochondrial function. Again, food for thought. The gut and its function needs a lot of research. How do probiotics and nutrient precursors affect eye tissues? It is so interesting that the gut can be a factor in eye health. Maybe adding Urolithin A as a supplement is wise, along with the antioxidants in Lutein and Zeaxanthin we use to combat photoreceptor degeneration. Will keep you posted on any new developments.  The good doctor
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