Is nearsightedness genetic?

Many aspects of vision are genetic, including some of the risk for refractive error. And genetics definitely play a role in whether a child will develop myopia. A child with two short-sighted parents can have a six times greater risk of myopia than a child with no short-sighted parents. 

In fact, researchers have found over 200 genes related to myopia and refractive error. Many of them were found very recently. A 2018 study uncovered 161 previously unknown genetic factors associated with short-sightedness. 

However, heredity is not the only factor in developing myopia.

The number of people with myopia is rising rapidly. Currently, more than one third of the world's population has myopia. The number is even higher in some East Asian countries, where at least 80% of young adults are short-sighted.

Researchers with the Brien Holden Vision Institute predict that more than half of people worldwide will have myopia by the year 2050. Genetics and heredity alone can't account for such a dramatic increase. 

However, environmental factors might be a part of the answer. Specifically, people have been spending less time outdoors and more time indoors. 

Short-sightedness is a refractive error, not an eye disease. It usually occurs because the eyeball grows too long from front to back during childhood. This is the eye's axial length. 

If the eye is too long, light doesn’t come to a clear focus on the retina. This is why short-sighted people can see clearly up close, but distant objects look blurry. 

Experts now believe that environmental factors can influence the development of myopia. The most important of these factors may be spending time outside in sunlight. 

Sunlight stimulates the natural production of dopamine. Dopamine slows down growth in the axial length of the eyes, and too much axial growth can cause myopia. This means that more sun exposure can be a great tool to reduce a child's chances of developing myopia. 

Another important factor is prolonged near work. Near work is any visual task that requires focusing up close, like reading. Other examples of near work are focusing on computer screens, tablets and smartphones.  

There is evidence that prolonged near work increases the risk for myopia. Some studies have also found that prolonged near work may increase myopia progression. 

The research linking near work to myopia progression in children is not conclusive but it does suggest that near work activities outside of school should be done in moderation. Encouraging kids to take regular vision breaks during all near work could reduce their chances of myopia progression. 

Myopia usually begins during childhood. If it is progressive myopia, it can continue to get worse until early adulthood, often children who are becoming short-sighted aren't aware their vision is declining.

To monitor your child's vision, schedule an eye test at the beginning of each school year with an optometrist near you.

Page published on Tuesday, 17 March 2020

Page updated on Friday, 11 August 2023

Medically reviewed on Thursday, 3 March 2022