Driving change in myopia management - Q&A with Elizabeth Lumb
In this article:
Our Q&A format is designed to explore a particular clinical topic, intervention, product or research paper with an expert. Here, we talk to optometrist Elizabeth Lumb about the evolution of myopia management over the past six years, through two 'lenses' - as CooperVision's Director of Global Professional Affairs, Myopia Management, and through the very personal experience of her now 12-year-old niece, Maddy.
How have you seen the field of myopia management change in the past five years?
How do these observations mirror the experience you've witnessed of your niece, Maddy?
When was Maddy diagnosed with myopia?
Do you think that these mixed messages on myopia have influenced eye care professionals?
Thankfully, the UK College of Optometrists Guidelines were updated in 2022 to be more in line with the evidence, removing this as a barrier for colleagues in my country. Even so, much more can be done to ensure that myopia management is initiated at the ages and for the degrees of myopia for which the biggest impacts are possible.8 For the short-term benefits of a more stable refraction, and for the long-term preventative eye health perspective, ECPs really need to get started and stay the course in myopia management.
How does Maddy's story illustrate this point about getting started and staying the course in myopia management?
Maddy's experience highlights that even with proactive intervention, the 'medicine' doesn't work if it's not taken. The important lesson is that compliance with full-time wear is crucial for optimal outcomes to slow myopia. Evidence for both spectacle9 and contact lens10 interventions illustrate this.
What signs do you see of change being driven in myopia management?
The evidence-base for interventions is also growing. Numerous interventions have published two-year and three-year outcomes1 and the MiSight 1 day study is now the world's longest single clinical trial in myopia management, with six-year data published11 and seven-year data reported.12 The evidence-base gives ECPs increasing reassurance of efficacy of these treatments for children with myopia.
Maddy is now 12 and loves wearing her MiSight 1 day contact lenses, seeing the benefits of them for her vision, hobbies and lifestyle as well as to slow her myopia progression.
*FDA Indications for use (US only): MiSight® 1 day (omafilcon A) soft (hydrophilic) contact lenses for daily wear are indicated for the correction of myopic ametropia and for slowing the progression of myopia in children with non-diseased eyes, who at the initiation of treatment are 8-12 years of age and have a refraction of -0.75 to -4.00 diopters (spherical equivalent) with ≤0.75 diopters of astigmatism. The lens is to be discarded after each removal.
Availability of interventions with regulatory indications to slow progression of myopia varies by country. CooperVision does not endorse off label prescribing of interventions for myopia control.
About Elizabeth Lumb
Elizabeth Lumb is Director of Global Professional Affairs for Myopia Management with CooperVision, working with regional marketing and professional affairs teams delivering professional education and training programs as well as driving publication planning in support of the myopia management interventions available including MiSight® 1 day, orthokeratology and SightGlass Vision. Liz is based in the UK and is an optometrist with a first class honours degree from The University of Manchester and is a fellow of the British Contact Lens Association. She joined CooperVision in 2015 with the integration of Sauflon, where she was Professional Relations Manager.
This content is brought to you thanks to unrestricted educational grant from
- Brennan NA, Toubouti YM, Cheng X, Bullimore MA. Efficacy in myopia control. Prog Retin Eye Res. 2020 Nov 27:100923. (link) [Link to Myopia Profile paper review]
- Zadnik K, Sinnott LT, Cotter SA, Jones-Jordan LA, Kleinstein RN, Manny RE, Twelker JD, Mutti DO; Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error (CLEERE) Study Group. Prediction of Juvenile-Onset Myopia. JAMA Ophthalmol. 2015 Jun;133(6):683-9. (link)
- Gifford KL, Richdale K, Kang P, Aller TA, Lam CS, Liu YM, Michaud L, Mulder J, Orr JB, Rose KA, Saunders KJ, Seidel D, Tideman JWL, Sankaridurg P. IMI - Clinical Management Guidelines Report. Invest Ophthalmol Vis Sci. 2019 Feb 28;60(3):M184-M203. (link)
- Chamberlain P, Peixoto-de-Matos SC, Logan NS, Ngo C, Jones D, Young G. A 3-year Randomized Clinical Trial of MiSight Lenses for Myopia Control. Optom Vis Sci. 2019 Aug;96(8):556-567. (link) [Link to Myopia Profile Science Review]
- Wolffsohn JS, Calossi A, Cho P, Gifford K, Jones L, Li M, et al. Global trends in myopia management attitudes and strategies in clinical practice. Cont Lens Anterior Eye. 2016 Apr;39(2):106-16. (link)
- Wolffsohn JS, Calossi A, Cho P, Gifford K, Jones L, Jones D, et al. Global trends in myopia management attitudes and strategies in clinical practice - 2019 Update. Cont Lens Anterior Eye. 2020 Feb;43(1):9-17. (link)
- Wolffsohn JS, Whayeb Y, Logan N. Global trends in myopia management attitudes and strategies in clinical practice - 2022 International Myopia Institute Update. International Myopia Conference (IMC) Abstract, September 2022. Accessed on February 15, 2023 from https://www.internationalmyopiaconference.org/wp-content/uploads/2022/09/IMC-2022-Abstract-book.pdf
- Moore M, Flitcroft DI, Loughman J. Prescribing patterns of myopia control contact lenses among optometrists in Ireland. Ophthalmic Physiol Opt. 2023 Jan 18. (link)
- Lam CS, Tang WC, Tse DY, Tang YY, To CH. Defocus Incorporated Soft Contact (DISC) lens slows myopia progression in Hong Kong Chinese schoolchildren: a 2-year randomised clinical trial. Br J Ophthalmol. 2014 Jan;98(1):40-5. (link)
- Bao J, Huang Y, Li X, Yang A, Zhou F, Wu J, Wang C, Li Y, Lim EW, Spiegel DP, Drobe B, Chen H. Spectacle Lenses With Aspherical Lenslets for Myopia Control vs Single-Vision Spectacle Lenses: A Randomized Clinical Trial. JAMA Ophthalmol. 2022 May 1;140(5):472-478. (link) [Link to Myopia Profile Science Summary]
- Chamberlain P, Bradley A, Arumugam B, Hammond D, McNally J, Logan NS, Jones D, Ngo C, Peixoto-de-Matos SC, Hunt C, Young G. Long-term Effect of Dual-focus Contact Lenses on Myopia Progression in Children: A 6-year Multicenter Clinical Trial. Optom Vis Sci. 2022 Mar 1;99(3):204-212. (link) [Link to Myopia Profile Science Summary]
- Chamberlain P et al. Myopia progression on cessation of Dual-Focus contact lens wear: MiSight 1 day 7-year findings. Optom Vis Sci. 2021; 98(E-abstract): 210049.
Enormous thanks to our visionary sponsors
Myopia Profile’s growth into a world leading platform has been made possible through the support of our visionary sponsors, who share our mission to improve children’s vision care worldwide. Click on their logos to learn about how these companies are innovating and developing resources with us to support you in managing your patients with myopia.