Background: The prevalence of myopia is increasing globally, accelerated by the use of digital devices and near work. Ayurvedic ophthalmology describes Timira as a progressive vision disorder with environmental and lifestyle etiologies. This review reassesses Timira through the lens of modern environmental and lifestyle-related ophthalmology. Methods: A narrative synthesis of peer-reviewed literature (2010–2026) on myopia epidemiology, risk factors, prevention, and Ayurvedic concepts of Timira, including digital eye strain, outdoor time, and lifestyle interventions, was conducted-. Results: The global myopia prevalence is projected to reach 50% by 2050 [1,2]. Each additional hour of daily digital screen time is associated with 21% higher odds of myopia [3]. Spending ≥120 minutes outdoors daily reduces the onset of myopia by up to 50% [4,5]. Ayurvedic Timira correlates with modern myopia, sharing lifestyle and dietary risk factors [6,7]. Conclusions: Reassessing Timira through the lens of environmental and lifestyle ophthalmology offers integrated prevention and management strategies. Reduced near work, increased outdoor time, evidence-based- optical interventions, and Ayurvedic lifestyle modifications can synergistically control myopia progression.