The association between myopia and high intelligence has been the subject of much vexed debate in academic circles, particularly over the last two decades. This debate has risen from the observation that, over recent centuries, the prevalence of myopia amongst most populations has coincided with a marked increase in the average level of intelligence in these populations. The relationship between myopia and intelligence and theories surrounding this association is examined by the authors. Additionally, the various factors that confound the myopia and high intelligence debate, such as genetics, educational levels, ethnicity, and environmental factors were also explored by the authors. Whilst most studies found a positive correlation reaching statistical significance between myopia and high intelligence compared to emmetropes and hyperopes, further research is required to determine whether this association is causal.