Myopia Profile


Which contact lens should we choose for sports?

Posted on March 29th 2021 by Connie Gan

Sponsored by

CV-Myopia Management_LOGO_PRIMARY.png

In this article:

If a child is wearing spectacles or using atropine as their primary myopia control treatment, which contact lens should we choose for sports?

When a myopic child and their parents choose contact lenses as the primary vision correction, the prescribing decision is simple - fit a contact lens (CL) design which will both correct myopia and control its progression. What if the patitent is only interested in part-time CL wear? If their primary myopia control strategy is spectacles and/or atropine, which CL should we choose for sports-only wear - would you fit a single vision contact lens or one which provides myopia control?

ME was in a dilemma her 12-year-old progressing myopic patient. Would myopia control CLs be necessary if she’s intending to wear them just for sport? Here is the case.

ME Hi all, I have a 12yr old myope who mostly wears her MF glasses but contact lenses 2 to 3 times a week; would you still fit Cooper Vision Misight dailies or just SV as it is only for sport? She progressed -0.50 in the last year, vs -1.50 the previous year. Have talked about ortho-K as another option but have not decided to go that route just yet.

Why wear contact lenses for sport?

Contact lenses can be liberating for full-time spectacle wearers engaging in active sports, for these reasons:

  • It reduces the risk of eye injuries due to glasses
  • Glasses may not able to stay in place all the time, especially with contact sports
  • Spectacle lenses can fog and smudge easily, causing blurry vision that could affect the wearer's performance
  • Some sports require wearing helmets or headgear that will not accommodate glasses.

Contact lens wear in children has also been shown to increase their own perception of athletic competence. This is an important psychological benefit to add to the physical and functional benefits of CL wear.1

How often will the contact lenses be worn?

PC On the days she wears CLs, are they in all day or does she put them in only for a short time for sport? If she wears them all day I would go with MiSight. Had a similar patient this morning, 12 yo wearing MF glasses and SV SCL for ballet, progression around -0.75/yr (Rx at -4.25D AXL 25mm) now going with OrthoK for lifestyle and MC benefits.ME yes she does wear them to school that day for after school training. Will definitely have another OrthoK discussion; dad is myopic so that always helps to understand where we’re coming from.DS I vote for MiSightRS but i'd go for orthok as first choice, but misight if only occasional c/l wearLM Why not soft MF all the time and not glasses ? At 12, she can handle lenses .... If this patient is not interested in soft CL everyday, then I would go with OK.. Why did you hesitate to go that route ?ME yeah I know right I myself started wearing contact lenses as soon as I could; but she is really happy with her glasses at this stage. I think its a fashion thing too these days; specs are suddenly very fashionable. Will keep monitoring closely though and keep having the discussions

Contact lens options for myopic kids

Myopia controlling vs. single vision contact lenses? Many commenters agreed with the original poster's question on prescribing MiSight 1 day CLs for this patient, as she intends to wear them for three full school days per week. If the patient were to wear single vision CLs for almost half of her week, this would not represent an effective myopia control strategy.

One study on a 'defocus incorporated soft contact (DISC) lens' showed that children achieved a myopia control benefit with at least 5 hours per day of wear, and the benefits increased up to eight hours per day of wear.2

Another novel contact lens design study found a significant myopia control effect only when the lenses were worn for 6 days a week or more.The hours per day were not quantified, and it is unknown if this wearing time effect could be extrapolated to other lens designs.

If the patient wishes to wear CLs only for a few hours per week, and not for full days at school, then a single vision CL could be an acceptable choice. In this case, the patient and parent should be counselled that an increase in wearing time frequency would necessitate re-fitting to a myopia controlling CL.

Part time vs full time CL wear. If the patient is willing to wear CLs for three days per week, increasing to full time wear could be discussed. Changing this patient from multifocal spectacles to myopia controlling CLs represents a shift to a more effective myopia control strategy.4

When it comes to cost, an analysis which considered the total cost of professional fees, solutions and adherence to the CL replacement schedule showed that daily disposable multifocal CLs became more expensive than reusable CLs only when worn for more than three days per week.5  While cost is an important consideration, in the case of myopia control, the benefit to the patient typically underpins the first recommendation to parents.

What about orthokeratology? Orthokeratology (OK) lens wear was suggested by commenters as a great option for sport. OK provides freedom from optical correction during waking hours. OK typically needs to be worn full time, though, to achieve adaptation and best visual outcomes.

What about safety? Daily disposable CL wear has the highest safety profile of myopia controlling CL options, with the risk of microbial keratitis (MK) being 1 per 5,000 patient-wearing years. OK and reusable soft CL wear is still very safe, with the risk of MK being 1 per 1,000 patient-wearing years. Read more about this in Contact Lens Safety in Kids.

Take home messages:

  1. When a myopic child wishes to wear contact lenses part-time, it's important to investigate how often this means. Optical myopia control strategies should be worn full time, or as per the indication to align with scientific data and maximize the best chance for efficacy. Single vision CLs may be acceptable if worn very occasionally.
  2. Daily disposable CLs are ideal for occasional and part-time wear, and have the highest safety profile.

Manufacturer specified indications for use

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.

Meet the Authors:

About Connie Gan

Connie is a clinical optometrist from Kedah, Malaysia, who provides comprehensive vision care for children and runs the myopia management service in her clinical practice.

Read Connie's work in many of the case studies published on Connie also manages our Myopia Profile and My Kids Vision Instagram and My Kids Vision Facebook platforms.

About Kimberley Ngu

Kimberley is a clinical optometrist from Perth, Australia, with experience in patient education programs, having practiced in both Australia and Singapore.

Read Kimberley's work in many of the case studies published on Kimberley also manages our Myopia Profile and My Kids Vision Instagram and My Kids Vision Facebook platforms.

This content is brought to you thanks to unrestricted educational grant from

CV-Myopia Management_LOGO_PRIMARY.png
Back to all articles

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.