This author suggests that myopia is related to psychogenic factors involving an unconscious representation of, and defense against tension. Further, the argument is made that such tension directly causes the extra-ocular muscles of the eyeball to tighten, ultimately creating the errors of refraction, which define the condition known as myopia. The author makes the case that the specific nature of the tension has to do with an interruption in the separation-individuation process that has occurred, in which the myopic individual experiences separation anxiety, and is now “required” to stay close to the mother for fear of abandonment. Apparently, the only way myopes are then able to achieve some sort of psychological distance is through the development of high-level abstract conceptualization abilities. In addition to separation fears, this author notes that myopes exhibit significantly higher levels of castration anxiety as compared with normal-sighted individuals, matched in IQ. Tables showing empirical findings supporting the above psychoanalytic interpretations are provided for the readers review.