First myopia correction - A clinical leader case study
In this article:
GS is an 8-year-old girl with a father from Brazil and mother from Poland, who presented with difficulties seeing the board at school. On her previous visit, she was R&L: -0.25DS. However, this eye examination showed a myopic refraction of R:-1.75D L:-2.00D. Both of her parents are emmetropic with no myopia family history.
|First (0 months)||-0.25||-0.25|
The communication challenge
- Initial diagnosis was a shock and overwhelming
- Concerns about child's age for contact lenses
- Concerns about cost
Overcoming the challenge
- Providing information and using an online calculator
- Reassuring parents of successful contact lens fitting in children
- Giving parents the time to understand the diagnosis
Deciding on the myopia management option
GS is a keen reader and plays netball at school. She also swims once a week at school. Being an active person, contact lenses would be a more convenient vision correction option for the child, as well as offering the ability to slow myopia progression.
Clinical communication: the challenges and solutions
The key concerns in communicating myopia management were:
At the 3-month follow-up, the child had progressed in her single vision spectacles to R -2.50DS L -2.50DS. The mother already had the information at hand from the last visit where contact lenses had been discussed, and upon seeing her daughter's myopia progression, wanted to proceed contact lenses immediately. I applied a pair to the child's eyes and the mother could see how well her child managed.
MiSight® 1 day R:-2.50D L:-2.50D
Final management and feedback
The child loves wearing contact lenses. She likes that she can play netball without spectacles, and feels more comfortable with her vision in contact lenses compared to when wearing spectacles.
Bhavin's key learning points
- Having an honest and empathetic conversation with the parent (and child) is important. Discovering the parents' understanding of myopia is crucial in guiding the conversation - you may have to start from scratch with an emmetropic parent, compared to a myopic parent who understands the frustration and visual impact of progressive myopia and the impediments of spectacles.
- Providing information through the conversation, which is then backed up with written or web-based information, helps the parents to understand and process the information in their own time.
- The decision to undertake myopia management is usually built on trust. Sometimes you may have to see a child 3 months later and monitor progression, in order to earn trust over time.
Meet the Authors:
About Bhavin Shah
Bhavin Shah (BSc Optom (Hons), MCOptom, MBCLA) is a multi-award-winning behavioural optometrist with over 25 years of experience in the industry. His passion for linking vision with learning, coupled with his unique approach to solving complex problems using innovation and technology led to him specialising in myopia management since 2016.
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.
This content is brought to you thanks to unrestricted educational grant from
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.