CONDITIONS

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DISEASE & MANAGEMENT

Accommodative (Focusing) Dysfunctions

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Cataracts

Cornea Cross-Linking

Contact Lens & Eyeware

Convergence Excess (BV Disorder)

Convergence Insufficiency (BV Disorder)

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Developmental Disability

Diabetic Retinopathy

Diabetes

Double Vision

Dry Eye

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Electrophysiology

Eyelid Bump / Swelling

Eye Pain or Eyelid Pain

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Flashes or Floaters in Vision

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Glaucoma

Glasses & Eyeware

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Keratoconus Management

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Ischemic Optic Neuropathy

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Loss of Vision

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Macular Degeneration

Myopia Management

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Occupational Therapy

Ocularmotor Dysfunction

Ocular Prosthetics

Optic Neuritis

 

Red Eye

Retinal Tear & Detachment

Refractive Error

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Strabismus & Amblyopia

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Traumatic Brain Injury

Trauma

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Vision Disorders

Vision Rehabilitation

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MYOPIA MANAGEMENT

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OVERVIEW

The Center for Myopia Control specializes in optometric care of children and young adults with myopia. In addition to providing conventional glasses to clear vision, our services include options for controlling the progression of myopia.

 

We use specialty equipment and techniques to comprehensively evaluate the refractive errors, ocular size and shape of our patients’ eyes. These measurements – along with myopia progression history – are used to determine an optimum management strategy which may include specialty contact lenses or eye drops, outlined below.

DESCRIPTION

Myopia has become increasingly prevalent. In the US, levels of myopia have reached 50%, while in Asia they are at epidemic levels. Both genetics as well as visual habits contribute to the progression of myopia. If both parents are myopic, then their child is more than 5x more likely to develop myopia themselves. Other factors such as minimal amounts of time spent outdoors, increased time devoted to near activities (smartphones, laptops, etc), as well circadian rhythm may play a role.

TYPES OF MYOPIA MANAGEMENT

Corneal Reshaping or "Orthokeratology"

Ortho K refers to gas permeable lenses which are worn while sleeping and removed in the morning. They temporarily change the shape of the cornea to correct for low-to-moderate amounts of myopia without wearing glasses or contact lenses during the day. Wearing ortho-k lenses has been shown to reduce myopia progression by an average of 50%.



Multi-Focal Soft Contact Lenses

Multifocal contact lenses (center distance) are soft or gas permeable lenses which are traditionally used to help patients see clearly at near. They have also been used for the slowing of myopia progression, reducing it by an average of 50%.



Atropine Therapy

Atropine eye drops are traditionally used at higher concentrations to cause dilation of the pupil of the eye. It is also being used at lower doses to slow the progression of myopia in the eye. It is not certain the mechanism of action. Using atropine eye drops has been shown to reduce myopia progression by an average of 60%.



WHY TRY TO CONTROL MYOPIA GROWTH?

Once a child develops myopia, the average rate of progression is 0.50 diopters per year. Myopia has been associated with sight-threatening conditions such as cataracts, primary open angle glaucoma, and retinal detachments. The higher the amount of myopia, the greater the risk of these conditions. Therefore, reducing a person’s myopia progression also reduces their risk of these conditions. Myopia generally stops progressing in your late teens or early twenties.

There are treatments available which have been shown in studies to reduce a patient’s long-term myopia progression. While there is evidence for the techniques (listed below) and their ability to slow myopia, there is currently no FDA approved technique specifically for the indication of myopia control. All the techniques have been approved by the FDA, but not specifically for the slowing of myopia – as such, these are “off-label” uses of approved techniques. 

TREATMENTS

SERVICE AREAS PROVIDING TREATMENT

Cornea Center for Clinical Excellence