Myopia Management
An evidence based approach to the control and management of myopia (short sight)
The myopia management clinic was introduced as a result of the increasing body of evidence that exists with the use of specialist contact lenses in short sighted (myopic) children.
Specifically, certain types of multifocal contact lenses and Orthokeratology (Ortho-K) have been shown to reduce the rate of lengthening in the myopic eye of children in a number of studies.
The management of myopia will undoubtably become increasingly important as the prevalence of myopia increases across the world.
Additionally, as certain sight threatening ocular pathologies such as retinal detachment, myopic macular degeneration and glaucoma are linked with high levels of myopia this work has even greater importance; prevention is superior to cure.
We have embraced these findings and are delighted to offer effective solutions to not only correct children's eyesight but also offer a protective effect in the progression of myopia.
We are also one of only a small number of practices that offer axial length measurement with the gold standard Zeiss IOLMaster Optical Biometer. Measuring the axial length of the eye is widely regarded as best practice when both initiating a myopia management strategy and following up the efficacy of the prescribed treatment plan.
Myopia Management: Current Strategies
1. Multifocal Contact Lenses
There now exist two CE approved multifocal soft contact lenses in the UK for myopia control. The Coopervison MiSight and the VTI NaturalVue. Both of these lenses are available at James Ernest Optometry.
2. Orthokeratology (Ortho-K)
Orthokeratology (Ortho-K) involves wearing a custom designed and manufactured contact lens at night. The gentle corneal reshaping process not only corrects myopia (short sight) but also manages myopia progression. We are experienced Ortho-K practitioners and have successfully fitted Ortho-K lenses to both children and adult patients.
2. Myopia Management Spectacle Lenses
The Miosmart from Hoya is a groundbreaking spectacle lens proven in randomised clinical control trials to substantially reduce the progression of myopia in children. Utilising the patented Defocus Incorporated Multiple Segments (DIMS) technology, the lens looks like a conventional single vision spectacle lens. However, the multiple array of small 3.5 Dioptre lenslets in the lens periphery are what make the lens so effective in retarding myopic progression.
3. Environment Modification
There is strong evidence that spending time outdoors has a protective effect with regards to myopia progression. During the initial consultation phase, the child's lifestyle is explored, particularly the amount of close work carried out. A structured management plan is put forward with regular outdoor activity.