Myopia Control [get graphic from MiSight and edit title]
The Myopia Epidemic
Myopia (nearsightedness) is on the rise. With our children spending more time in front of screens and less time outdoors, myopia is fast becoming an epidemic. By the year 2050, it is estimated that 50% of the world’s population will be affected by myopia – about 5 billion people.
There are now treatments to slow the progression of myopia.
Our doctors are trained in myopia control using specialty contact lenses.
If there is any amount of myopia prior to age 11, myopia control strategies are strongly advised. For all children, at least 1-2 hours of outdoor time every day is recommended as it has been shown to be correlated with later onset and reduced progression of myopia. See the link at the end of this page with a myopia calculator showing how much your child’s myopia will progress without some form of control [get link to myopia calculators].
There are three main options for myopia control, depending on the unique lifestyle and visual requirements of each individual patient:
- Soft Multifocal Contact Lenses:
There are special types of soft contact lenses that work to limit the axial growth of the eye by focusing peripheral light in front of the retina. This has been shown to slow down eye elongation and therefore myopia. This method is called peripheral defocus. Because light still focuses accurately on the central retina, clarity of vision is maintained. Soft Multifocal contact lenses are worn during the day but removed each evening. We have a daily disposable lenses such as MiSight, which are now approved by the FDA for this purpose. Studies show that axial elongation (eye growth) is slowed by 46-87% with this method. Some of the most recent information comes from five-years of data from a landmark pediatric myopia management study. For more information click here…[Get MiSight graphic]
- Orthokeratology (Ortho K):
OrthoK can be thought of as the optical equivalent of dental braces. Treatment involves overnight wear of rigid gas permeable contact lenses that gently reshape the surface of the cornea while sleeping.Like Soft Multifocal Lenses, orthoK lenses create peripheral defocus and reduce the stimulus to eye elongation. The advantage to this treatment is that when waking in the morning, the contact lenses are removed and eliminate the need for daytime glasses! This is ideal for active kids who are involved in sports and other activities.The custom orthoK lenses must be worn every night to maintain the effect. Studies show that axial elongation is slowed an average of 43% with this method but more recent data show it is much higher. Newer lens designs have demonstrated up to 90% reduction in progression in some cases.OrthoK lenses are best used for patients with refractive error less than 4.00D of myopia, and ideally for patients as young as 7-10 years of age. The safety and efficacy of Ortho K lenses has been well documented.
The Role of Orthokeratology in Myopia Control: A Review Michael J. Lipson, O.D., F.A.A.O., F.S.L.S., Moya M. Brooks, M.D., and Bruce H. Koffler, M.D
The Safety of Orthokeratology—A Systematic Review Yue M. Liu, O.D., Ph.D., M.P.H. and Peiying Xie, M.D., Ph.D.
[Get images of OrthoK from Paragon CRT to place here]
- Atropine Eye Drops:
Studies found that 0.01 to 0.05% atropine drops, used at bedtime, decreases progression of myopia by 50-87%. Some side-effects of atropine may include blurred near vision, less accommodation (focusing ability at near distances), and pupil dilation resulting in light sensitivity. These effects are dose dependent and the concentration can be modified based on any symptoms your child may have. This treatment is recommended for children who are unable to wear contact lenses and is often used in conjunction with Soft Multifocals or OrthoK lenses. Atropine therapy requires off-label use (i.e. not FDA approved) and must be obtained from a specialty compounding pharmacies. Eye doctors have been using Atropine for many years with great success.
[Get graphic of child with eye drops]
Our Brilliant Futures program utilizes the MiSight 1-day disposable, soft contact lens that fits and feels like a usual contact lens. It not only corrects distance vision, like a typical contact lens or glasses, but has the added benefit of being clinically proven (and FDA approved in late 2019) to slow the progression of myopia.
Click here to learn more about this revolutionary FDA approved treatment program (Need link–separate page or same page???.