Myopia Management

Myopia is more likely to get worse if it starts at an early age. At Hynes Optometrists, we closely monitor our patients for this deterioration.

What is Myopia?

Myopia (short-sightedness) usually starts in childhood and requires spectacles or contact lenses to see clearly. It affects approximately 30% of the world’s population and its prevalence has been forecast to affect about 50% of the world’s population by 2050 ¹. Myopia is more likely to get worse if it starts at an early age. At Hynes Optometrists, we closely monitor our patients for this deterioration.

If you have ever wondered what it would be like to be myopic, this vision simulator will help:

https://coopervision.co.uk/eye-health-and-vision/childhood-short-sightedness/myopia-simulator

It is most commonly the growth in the length of the eye that causes myopia.

We can now reduce the rate a child becomes more myopic with the following management options:

Soft Contact Lenses ^2-4
Overnight Orthokeratology (Ortho-K) lenses ^6,7
Spectacle lenses ⁵

These options have shown to reduce eye length growth by about 50% over 2-3 years ^2-7.

Ortho-K Lenses

For those that have dry eyes, are into water sports or who do not like to wear any lenses during the day, we usually recommend Ortho-K lenses. These correct the myopia while you sleep. Simply sleep in the lenses, remove them in the morning and wake up to clear sharp natural vision. Ortho-K lenses can correct up to -4.00D of myopia and can also correct astigmatism (a blur caused by the eye being shaped more like a rugby ball than a football). The suitability of these lenses is dependent on the curvature of the eye which we will need to measure before recommending them. Follow this link for more information on Ortho-K lenses:

https://youtu.be/RTXt64_MsNs

References:

1 Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. 2016;123(5):1036-42.
2 Chamberlain P, et al. A 3-year randomized clinical trial of MiSight® lenses for myopia control. Optom Vis Sci. 2019;96(8):556–567.
3 Sulley A, et al. Wearer experience and subjective responses with dual focus compared to spherical, single vision soft contact lenses in children during a 3-year clinical trial. Poster presented at AAO 2019, San Francisco, Calif.
4 Chamberlain P, et al, Further comparison of myopia progression in new and established myopia control treatment (MiSight® 1 day) groups. Presentation at BCLA 2019, Manchester, England.
5 Lam CSY, Tang WC, Lee RPK, Chun RKM, To CH. A randomized clinical trial for myopia control – use of myopic defocus spectacle lens. 8th International Congress of Behavioral Optometry (ICBO), 26- 29 of April 2018. Sydney, Australia. 8Sankaridurg P1, Tilia D1, Morton M1, Weng R1, Jong M1, Zhu F2. Guidelines for Myopia Management.
6 Stabilizing Myopia by Accelerating Reshaping Technique (SMART) – 2015 Robert L Davis, S Barry Eiden, Edward S Bennett, Bruce Koffler, Lisa Wohl and Michael Lipson.
7 Stabilizing Myopia by Accelerating Reshaping Technique (SMART) – 2015 Robert L Davis, S Barry Eiden, Edward S Bennett, Bruce Koffler, Lisa Wohl and Michael Lipson.

Myopia Management

What is Myopia?

Soft Contact Lenses

Ortho-K Lenses

Spectacle Lenses

Essien eye Care

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