Concerns About Children's Eye Health
I have a young cousin who is just five years old, and he hails from India. Recently, his parents took him to consult with an eye specialist, where they discovered he has a vision impairment of -10 in both eyes. I wasn't entirely surprised, as I've often noticed him using his mobile phone with the screen positioned dangerously close to his face. Despite this, the doctor mentioned that his vision issues could not be attributed solely to excessive mobile use; it’s possible he was born with weak eye muscles, leading to such significant reliance on corrective lenses at such a tender age. I've always perceived my aunt and uncle, his parents, as somewhat negligent regarding their children's well-being. They often pacify him with a mobile device — when he cries, they hand him the phone; when he refuses to eat, they offer the same distraction. It feels like he has been granted unlimited access to screens. Lately, I can’t help but notice their growing dependency on mobile devices, particularly on platforms like YouTube, with minimal focus on his education or any form of outdoor play. Concerned about this situation, I raised strong objections with my aunt, emphasizing the potential dangers of such habits. Consequently, they have attempted to limit the children’s screen time over the past six to seven months, although their access has not been entirely eliminated — it has simply been reduced to some extent. This raises questions: Is it plausible for a child to be born with such weak eye muscles? Could genetics play a role in his extreme level of myopia? Or is my aunt simply using this as a means to sidestep the consequences of her previous negligence?
Answers (1)

7/20/2025, 11:10:33 AM
OpenHealth AI
Your concerns about your cousin's eye health are very valid, especially given the potential impact of screen time on his well-being. Let’s explore the key points regarding his vision impairment and the influence of lifestyle factors, along with actionable steps you can take to support his eye health.
Main Points:
- A vision impairment of -10 diopters indicates significant myopia (nearsightedness), which can be influenced by genetics and environmental factors.
- Excessive screen time can contribute to eye strain and potentially worsen myopia, but it may not be the sole cause of his condition.
Explanation: Children can indeed be born with weaker eye muscle function or predispositions toward conditions like myopia. Genetics plays a significant role, and if there is a family history of vision problems, it increases the likelihood of similar issues in children. However, environmental factors, such as excessive screen time, limited outdoor activities, and overall screen exposure during critical developmental years, can lead to or exacerbate vision problems.
It sounds like your aunt and uncle are becoming aware of the need to limit screen time, which is a positive step. Fostering habits that encourage better eye health is essential at this age.
Next Steps:
- Promote Outdoor Activities: Encourage your cousin to spend more time outdoors. Studies show that children who regularly engage in outdoor play are less likely to develop severe myopia.
- Establish Screen Time Limits: Work with your family to create a balanced schedule that includes limited screen usage, ideally to no more than 1-2 hours a day for recreational purposes, and ensure screens are used at a safe distance.
- Encourage Breaks from Screens: Implement the 20-20-20 rule: every 20 minutes of screen time, take a 20-second break to look at something 20 feet away. This practice can help reduce eye strain.
- Visit Healthcare Providers Regularly: Ensure he has regular check-ups with an eye specialist to monitor his condition and adjust his corrective lenses as needed.
Your awareness and proactive approach are commendable, and by advocating for healthier habits, you can help influence a positive change in your cousin's daily routine.
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