What is Myopia (Nearsightedness) and Myopia Control?
Myopia occurs when the eye grows too long from front to back. Instead of focusing images on the retina—the light-sensitive tissue in the back of the eye—images are focused at a point in front of the retina. As a result, people with myopia have good near vision but poor distance vision. Several studies indicate that the prevalence of myopia is increasing worldwide, and researchers project that the trend will continue in the coming decades. “Myopia Control” is the term used to describe specific treatments to slow the progression of nearsightedness in children.
Why must we slow progression of Myopia?
Myopia rates have been on the rise, so much so that it is now considered an “epidemic.” In 2010, 30% of the world’s population had myopia and projections predict 50% by 2050. In 2050, 10% will have high myopia (-5.00D or worse). This is of great concern because a high myopic eye is at a much greater risk for sight threatening pathology. Conditions associated with high myopia are myopia macular degeneration, myopic retinopathy, retinal detachment, splitting of the inner layers of the retina, glaucoma, thinning in the periphery retina, cataract development, and vision impairment among a few. At Visionary Eye Center, we work to slow progression to protect your child’s eyes for the future.
How does one slow progression of Myopia?
There are four widely accepted types of myopia control treatments: orthokeratology (OrthoK aka CRT), atropine eye drops, distance-center multifocal contact Lenses, and bifocal eyeglasses. Dr. Westcott develops a treatment plan based on many contributing factors: age, parental myopia, ethnicity, time indoors vs outdoors, time spent on near work, general health, and refractive error. Each factor is considered, risk classification for progression discussed (low, moderate, or high), and appropriate treatment plan implemented. Please be aware, there is a lot of misinformation, and recommendations are made for methods that actually may INCREASE myopia such as “undercorrection,” where the doctor provides a lower prescription than needed. Dr. Westcott stays abreast on all current studies, and literature, practicing evidence based medicine (peer reviewed) to best serve the community.
Taking a Clearer Look at Myopia Control Options
IF Are you concerned about the progression of myopia (nearsightedness) in yourself or your loved ones? Discover a range of effective myopia control services that can help manage and slow down its advancement. From advanced contact lenses to innovative orthokeratology solutions, and even specialized eyeglasses and drop therapies, there are various strategies to explore.
Soft Contact Lenses and MiSight: Soft contact lenses, particularly the MiSight lenses, have gained attention for their ability to correct vision while also addressing myopia progression. These lenses offer a comfortable fit and can be worn daily, allowing for clear vision while simultaneously working to slow down the increase in nearsightedness.
Orthokeratology with Abiliti™ Lens by JNJ: Orthokeratology, or Ortho-K, involves the use of specially designed contact lenses, like the Abiliti™ lens by Johnson & Johnson. These lenses are worn overnight to gently reshape the cornea, providing clear vision during the day without the need for glasses or contacts. They have also shown promise in controlling myopia progression, making them a popular choice among those seeking non-invasive solutions.
Glasses with Off-Label Lens Use: While glasses are a common choice for vision correction, certain lenses, such as multifocal or bifocal lenses, can be used off-label for myopia control. These lenses alter how light enters the eye, potentially slowing the progression of myopia.
Eyezen Progressive or Bifocal Lenses: Eyezen lenses, available as progressive or bifocal options, are designed to provide comfortable vision for digital device usage while potentially aiding in myopia control. Their specialized designs help reduce eye strain and promote healthier visual habits, which can contribute to managing myopia.
Drop Therapy with Atropine: Atropine eye drops have shown promise in slowing myopia progression. When used under the guidance of an eye care professional, these drops can help relax the eye’s focusing mechanism, which may result in reduced myopia advancement over time.
Don’t let myopia dictate your vision’s future. Explore these myopia control options with the guidance of your eye care specialist to determine the best approach for your unique needs. Remember, early intervention can play a crucial role in managing myopia and promoting long-term eye health.
(Note: It’s important to consult with an eye care professional before starting any myopia control treatment to determine the most suitable approach for your specific situation.)
What is the “MiSight Coopervision Contact Lens Program?”
The MiSight® 1 day lens is clinically proven to slow the progression of myopia when initially prescribed for children 8-12 years old. MiSight 1 day contact lenses were clinically validated in a multi-year comprehensive study that enrolled children between 8 and 12. Over three years, MiSight reduced myopia progression by 59%, versus a single vision 1 day lens.
How does Misight 1 day work?
MiSight 1 day with ActivControl™ Technology helps slow the elongation of the eye and myopia progression, while fully correcting refractive error. Addressing axial elongation helps to reduce the risk of myopia-related vision complications later in life, including irreversible vision loss. Two treatment zones create myopic defocus with image focus in front of the retina, rather than behind it to slow axial elongation. Two correction zones correct myopia in all gaze positions.
The clinical study of MiSight 1 day lenses was the first to demonstrate sustained reduction in myopia progression with a soft contact lense over a three-year period.
MiSight also saw a 52% reduction in average axial lengthening.
Reference Articles & Literature to Support Therapies
The Role of the Parent in Myopia Managem
Myopia Management A Paradigm Shift
Myopia – When Children Cant See Far
The Benefits of Contact Lenses For a Child
How to Effectively Manage Myopia
Efficacy and safety of interventions to Control Myopia Progression in Children
MiSight Fact Sheet
Myopia Management Options Who, When, What, Where
Prevention of Progression in Myopia A Systemic Review
An Evidence Based update on myopia and interventions to retard its progresion
Patient Brochure Undersatnding Myopia
Myopia Control and Contact Lenses A Clinical Review
IMI – Myopia Control Reports Overview & Introduction
The Size of the Myopia Problem
A Review of Current Concepts of the Etiology and Treatment of Myopia
National Association of Nurses Position