Who is to blame for declining eyesight? — A chat with Yuanyuan’s mom about eye care for her bookworm.

视力下降谁之过?——与圆圆妈妈聊小书虫的眼睛保健
 
   
Over the years, I’ve met many book­worms online, most of whom I’ve known for a long time but nev­er met before. How­ev­er, these book­worms have long since become a part of my life with­out me even real­iz­ing it.
   
A few days ago, I received a let­ter from the moth­er of Yuanyuan, a lit­tle book­worm. It touched me deeply, so I’m post­ing the let­ter here to share with every­one. Yuanyuan’s moth­er wrote to say that Yuanyuan and Xiaoyin are in the same grade. Thanks to their read­ing, they have excel­lent grades in school and their read­ing has devel­oped very well. They are real book­worms. But not long ago, dur­ing an unin­ten­tion­al phys­i­cal exam­i­na­tion, it was dis­cov­ered that she was near­sight­ed. Her moth­er and father were very wor­ried, espe­cial­ly her father, who felt that it was all “the fault of read­ing.” Yuanyuan’s moth­er also asked me to tell the par­ents of lit­tle book lovers, “I sin­cere­ly hope that chil­dren who enjoy read­ing will have a pair of bright big eyes and appre­ci­ate this beau­ti­ful nat­ur­al world. Par­ents should pay atten­tion to this as ear­ly as pos­si­ble, and don’t be like me. When I think about it, it’s too late.”
   
My reply is as fol­lows:
 
Hel­lo, Yuanyuan’s moth­er!
   
I’m so glad to hear from you! It’s also nice to hear about Yuanyuan’s recent sit­u­a­tion :)
   
How­ev­er, eye prob­lems are indeed wor­thy of atten­tion. We recent­ly invit­ed Dr. Su, a Tai­wanese oph­thal­mol­o­gist who spe­cial­izes in both Chi­nese and West­ern med­i­cine, to Bei­jing for a dis­cus­sion, pri­mar­i­ly to ask him about chil­dren’s vision devel­op­ment.
   
Cur­rent­ly, chil­dren (espe­cial­ly ele­men­tary school stu­dents) in main­land Chi­na, Hong Kong, and Tai­wan are expe­ri­enc­ing severe vision loss. How­ev­er, over­all, these chil­dren’s read­ing habits are also not very promis­ing, so, broad­ly speak­ing, we don’t need to direct­ly link exces­sive read­ing with vision loss. Accord­ing to oph­thal­mol­o­gists, the root cause of chil­dren’s vision loss is “exces­sive close-up work,” which includes study­ing at school, doing home­work, watch­ing TV, using the com­put­er, and, of course, read­ing (usu­al­ly out­side of class). But among these many “cul­prits,” what per­cent­age of this work is actu­al­ly spent read­ing? It’s like­ly very lit­tle, pri­mar­i­ly because chil­dren have so lit­tle time to them­selves each day.
   
Of course, this depends on the spe­cif­ic sit­u­a­tion. For exam­ple, if a child already spends more than eight hours in school fre­quent­ly using their eyes at close range, even if they spend an addi­tion­al hour read­ing, it will still have a sig­nif­i­cant impact on their eye health over­all. How­ev­er, even if you can reduce the read­ing time from one hour to half an hour, it will hard­ly make much of a dif­fer­ence.
   
At Dr. Su’s sug­ges­tion, we also had Xiaoy­in’s eye­sight checked. The results revealed that she does have a ten­den­cy toward myopia in one eye, but fur­ther obser­va­tion and fol­low-up exam­i­na­tions are need­ed to deter­mine whether she needs glass­es. How­ev­er, Xiaoy­in’s moth­er’s side of the fam­i­ly is most­ly near­sight­ed, so there’s a chance it’s hered­i­tary. So while we don’t expect Xiaoyin to be com­plete­ly immune to the risk of myopia, we’re still try­ing to at least avoid the pos­si­bil­i­ty of “pseudomy­opia.”
   
But tak­ing Xiaoy­in’s school as an exam­ple, I feel like they spend too much time in class and on exer­cis­es (some­times even skip­ping breaks), and then come home with almost an hour of home­work. While we strict­ly lim­it TV and com­put­er time (no more than half an hour per day), for a lit­tle book­worm, even an hour of read­ing a day would­n’t be too much to ask. So, over­all, I feel it’s real­ly dif­fi­cult to keep chil­dren’s “close-up work” with­in a “mod­er­ate” range.
   
But I think there are a few things Dr. Su reminds me that are par­tic­u­lar­ly worth shar­ing:
   
First, from the per­spec­tive of Tra­di­tion­al Chi­nese Med­i­cine, eye health is part of over­all health, a win­dow into over­all well-being. There­fore, pro­tect­ing your eyes fun­da­men­tal­ly involves main­tain­ing over­all phys­i­cal and men­tal health.
   
Sec­ond­ly, we should make some adjust­ments to the prob­lem of “close-range eye work” as much as pos­si­ble, and pro­vide more oppor­tu­ni­ties for work that can con­tin­u­ous­ly change the dis­tance of the eyes, that is, to keep the eyes relaxed func­tion­al­ly (sim­i­lar to the prin­ci­ple of mydri­a­sis). We often say that the eyes should be kept look­ing into the dis­tance fre­quent­ly, which is the rea­son. How­ev­er, chil­dren in cities now lack such oppor­tu­ni­ties. Oph­thal­mol­o­gists strong­ly rec­om­mend that chil­dren do more sports that can help with this. It is said that play­ing table ten­nis is the most effec­tive, fol­lowed by bad­minton. As a joke, table ten­nis play­ers don’t wear glass­es, haha. The prin­ci­ple is that dur­ing exer­cise, the eyes will con­stant­ly and quick­ly adjust to the dis­tance. There­fore, we plan to give Xiaoyin the oppor­tu­ni­ty to prac­tice table ten­nis more, main­ly for the eyes:)
   
Third, chil­dren’s eye habits are par­tic­u­lar­ly impor­tant. The time spent on close-up work should not be too long. The pos­ture when read­ing should be appro­pri­ate, and the light source should be appro­pri­ate. It is best to have mul­ti­ple light sources indoors (for exam­ple, using ceil­ing lights and table lamps at the same time). Teach chil­dren some basic eye care knowl­edge, etc.
   
Fourth, if “pseudomy­opia” is indeed dis­cov­ered, there is no need to wor­ry. Just seek nor­mal med­ical cor­rec­tion and try to improve your child’s eye envi­ron­ment and habits.
   
In short, I’m also con­stant­ly learn­ing. I believe that chil­dren who love read­ing will be suc­cess­ful, but a suc­cess­ful life does­n’t nec­es­sar­i­ly mean a hap­py life. We real­ly hope to help chil­dren live more nat­u­ral­ly and freely, but when we think about it, the ones who need to change the most are us, haha!
   
I have been think­ing about this issue recent­ly, and I would like to share some of my thoughts, hop­ing that they will be of some help to you.
 
To add:
   
By the way, there is also an arti­cle about Ping­shu to share, the URL is as fol­lows:
    http://www.hongniba.com.cn/bbs/article.aspx?board=@__5&id=3243
   
Lis­ten­ing to books with your ears is also a way to replace using your eyes:)
Xiaoy­in’s father