The prevalence of myopia is escalating at an alarming rate, not only in Asia, but across the globe. This trend is set to continue, with 5 billion people expected to be affected worldwide by 2050. More worryingly, these prevalence rises appear to coincide with a myopic shift, whereby the degree of myopia in the population has been observed to have increased. This interactive presentation will explore the most important impacts of myopia, in terms of public health, as a risk factor for potentially blinding ocular pathologies, including cataract, glaucoma, retinal detachment and myopic maculopathy. Eye health professionals urgently need to reconsider their attitudes and clinical practice in relation to myopia which is no longer an optical convenience, but a modifiable risk factor for blinding disease.