Myopia Control

Myopia management is a system of treatments to slow the progression of myopia (nearsightedness). Though research is ongoing to understand their full mechanism of action, these treatments can induce changes in the structure and focusing system of the eyes inhibit growth and prevent refractive change.

Why Should You Be Interested In Myopia Management?

Studies have shown that the younger a child is when they develop myopia, the greater risk they have for the myopia progression. In addition to the greater risk for early cataracts, glaucoma and detached retinas, they will need to more frequently update their glasses prescription. As a child transitions from low myopia (<3 diopters), to moderate (3-6 diopters) or high myopia (>6 diopters) the farthest they can see clearly without glasses shrinks from 10 feet, to one foot or less. Most importantly, every diopter less of myopia reduces risk of visual impairment by an additional 20%! visit mykidsvision.org

There are several types of treatments that have shown promising results for myopia management. Each treatment option provides a 60% reduction in myopia progression on average. There is limited data on combining therapies, but early research suggests improved control when used simultaneously. Treatment is recommended for a minimum of two years and a maximum of until myopia is no longer expected to progress (typically age 18). The drops are then discontinued, and the patient is monitored closely for a year to look for progression. If progression occurs, another two-year treatment program is recommended.

1. DILUTE ATROPINE EYE DROPS

When dosed appropriately, there are no side effect from the drops. The recommendation is to use one drop in each eye at bedtime in a dilute form. If symptoms arise (blurred vision or light sensitivity), the dose is lowered. If adequate control is not achieved without symptoms, the dose is increased.

2. MULTIFOCAL CONTACT LENSES

These are special contact lenses that have different powers in different zones of the lens. The child wears the contact during the day and removes at night. We are proud to be certified fitters of the MiSight® daily disposable contact lens. It is the only soft contact lens FDA approved for myopia management in children 8-12 years old.

3. ORTHOKERATOLOGY

These are high-oxygen, gas-permeable contact lenses that are worn overnight while sleeping. They behave like a retainer and reshape the front lens of the eye (the cornea) overnight. Upon waking, the lenses are removed and one can see clearly without the use of glasses or daytime contact lenses.

Myopia Management Program

After an in-depth comprehensive eye examination, we develop a treatment regimen for your child based on their specific needs. It may involve dilute atropine drops, multifocal contact lenses, orthokeratology or a combination of treatment options. Office visits are billed annually with all necessary follow up care included. Drops and contact lenses are billed individually as outlined below.

First year follow up schedule:

  • Week 1 office visit to ensure proper ocular health. Corneal topography performed as needed.
  • 3-, 6-, and 9-month progress exams to check for myopia progression by refractive error and axial length using refraction and A-Scan ultrasound techniques.
  • Multifocal contact lenses/orthokeratology include the necessary training for wear and care. orthokeratology also includes a 1-day progress exam to ensure proper treatment.
  • Any additional visits deemed necessary by the doctor will be included at no additional cost.
  • Excluded visits include the annual eye wellness exam and medical office visits unrelated to the myopia management program (I.e allergy, infection, etc)

Subsequent yearly follow up schedule:

  • 3-, 6-, and 9-month progress exams to check for myopia progression by refractive error and axial length using refraction and A-Scan ultrasound techniques.

Location

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OFFICE HOURS

Our Regular Schedule

Monday:

7:00 am-7:00 pm

Tuesday:

7:00 am-7:00 pm

Wednesday:

10:00 am-7:00 pm

Thursday:

7:00 am-7:00 pm

Friday:

7:00 am-5:00 pm

Saturday:

8:00 am-3:00 pm

Sunday:

Closed