Management

Having an in-depth conversation with a myopic child and their parents can help you get a sense of the myopia management intervention that may be most suitable. Probing questions can help you determine the most appropriate options based on lifestyle and life-stage that are likely to offer the best outcomes.

This Myopia Moment gives you an overview of questions to ask and what to consider based on the responses from the child and parent.

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This Myopia Moment gives you a brief overview of the proven, effective clinical interventions available to manage progressing myopia and how to choose an intervention based on your knowledge about the child and his/her family.
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The Risks and Benefits of Myopia Control

Bullimore, M. Ophthalmology (2021)
Article discussing whether the potential benefits of slowing myopia progression – by reducing the risk of various pathologies – outweigh the potential risks connected with myopia management.

A 3-year Randomized Clinical Trial of MiSight Lenses for Myopia Control

Chamberlain, P. et al. Optometry and Vision Science (2019)
Study evaluating the efficacy of MiSight contact lenses in slowing myopia progression in children.

High myopia-partial reduction orthokeratology (HM-PRO): study design

Charm J, Cho P. Contact Lens & Anterior Eye (2013)
Study looking at the impact of Orthokeratology use in children as a method to manage myopia.

Soft contact lenses with positive spherical aberration for myopia control

Cheng X et al. Optometry and Vision Science (2019)
Study investigating whether soft contact lenses with positive spherical aberration can slow myopia progression in children aged 8 to 11 years-old (primarily Asian).

Effect of bifocal and prismatic bifocal spectacles on myopia progression in children: three-year results of a randomized clinical trial

Cheng D et al. JAMA Ophthalmology (2014)
Study looking at the impact of bifocal spectacle wear in children as a method to manage myopia.

Retardation of myopia in Orthokeratology (ROMIO) study: a 2-year randomized clinical trial

Cho P et al. Investigative Ophthalmology & Visual Science (2012)
Study looking at the impact of Orthokeratology use in East Asian children as a method to manage myopia.

Five-year clinical trial on atropine for the treatment of myopia 2: myopia control with atropine 0.01% eyedrops

Chia A et al. Ophthalmology (2016)
Study looking at the efficacy of Atropine use in East Asian children as a method to manage myopia.

Atropine for the treatment of childhood myopia

Chua WH et al. Ophthalmology (2006)
Study looking at the efficacy of Atropine use in Asian children as a method to manage myopia.

Effect of low-addition soft contact lenses with decentered optical design on myopia progression in children: a pilot study

Fujikado T et al. Clinical Ophthalmology (2014)
Pilot study investigates the effect of low-addition soft contact lenses with decentered optical design on the progression of myopia in Japanese children.

Topical Atropine in the Control of Myopia

Galvis V et al. Medical hypothesis discovery and innovation in ophthalmology (2016)
A research review of current published research on the impact of Atropine, at various concentration levels, as a method to manage myopia in children.

Defocus Incorporated Multiple Segments (DIMS) spectacle lenses slow myopia progression: a 2-year randomised clinical trial

Lam, C. et al. British Journal of Ophthalmology (2018)
Study looking into the whether ‘defocus incorporated multiple segments’ spectacles impacts progressing myopia in Chinese children.

IMI – Interventions Myopia Institute: Interventions for Controlling Myopia Onset and Progression Report

Wildsoet CF et al. Investigative Ophthalmology & Visual Science (2019)
White paper reviewing evidence behind currently available clinical interventions for managing myopia: optical, pharmacological, environmental and surgical.

Effect of High Add Power, Medium Add Power, or Single-Vision Contact Lenses on Myopia Progression in Children

Walline J. et al. JAMA Ophthalmology (2020)
Study looking at whether multifocal contact lenses can slow myopia progression in children.

Interventions to slow progression of myopia in children

Walline, J. Cochrane Systematic Reviews (2020)
Article analysing the results from a series of studies to evaluate the efficacy of different clinical interventions with the aim of slowing myopia progression.

Corneal reshaping and myopia progression

Walline J. British Journal of Ophthalmology (2009)
Study looking into the efficacy of using overnight wear contact lenses to reshape cornea in an effort to slow myopia progression (orthokeratology).

Atropine 0.5% eyedrops for the treatment of children with low myopia: a randomized controlled trial

Wang YR et al. Medicine (Baltimore (2017)
Randomized study looking at the impact of Atropine (0.5% dosage) use in children as a method to manage myopia.

Low-Concentration Atropine for Myopia Progression (LAMP) Study: a randomized, double-blinded, placebo-controlled trial of 0.05%, 0.025%, and 0.01% atropine eye drops in myopia control

Yam J et al. Ophthalmology (2019)
Randomized study looking at the impact of Atropine (different dosage levels) use in children as a method to manage myopia.