Blog 2

A future high myope: diagnosis with axial length

By Connie Gan | May 17, 2022 | 0 Comments

This case study explores clinical data for a 7-year-old child whose refractive error and axial length is changing at an alarming rate. How can we best determine the rate of progression and set our management plans, using axial length?

Orthokeratology lens wear in lagophthalmos

By Connie Gan | May 3, 2022 | 0 Comments

Can a teen with lagophthalmos wear orthokeratology lenses? This case discusses the staining frequency in orthokeratology wear, the impact of lubricant eye drops and lens hygiene processes, and more tips for patient care.

Complex myopia cases: unilateral myopia with high astigmatism

By Connie Gan | May 3, 2022 | 0 Comments

Managing unilateral myopia with high astigmatism is complex, especially with reduced acuity. Is myopia control the best approach? Myopia correction versus myopia control is discussed in this case, along with further assessments and considerations in management.

What happens to binocular vision during cycloplegia?

By Connie Gan | March 22, 2022 | 0 Comments

Do you check your patient’s binocular vision function after cycloplegic refraction? Is this useful? An unexpected finding in this case leads to discussion of binocular vision changes in cycloplegic conditions, ideal management for exophores, and even the impact of low-dose atropine.

Compounded topical atropine: is every bottle the same?

By Connie Gan | March 8, 2022 | 0 Comments

How consistent is compounded topical atropine from bottle-to-bottle? What clinical results could indicate variability? Read more in this clinical case where a miniscule change in concentration gave notably better clinical outcomes.

Pre-myopia and young age: topical atropine or not?

By Connie Gan | March 7, 2022 | 0 Comments

Is a 3-year-old too young for low-dose atropine treatment? What about if they’re a pre-myope? Learn more about balancing proactive management with the research evidence and clinical considerations.

Clinical Leader Case Study: When parents are keen for myopia management

By Connie Gan | February 8, 2022 | 0 Comments

Communication in myopia management can be difficult, but not always! In this confidence-building Clinical Leader Case Study, read how Lynne Fernandes approached clinical care of these two myopic brothers.

Adult-onset myopia: measurement and management

By Connie Gan | November 30, 2021 | 0 Comments

Myopia which onsets in childhood usually stabilizes in the early twenties. How should we manage adult-onset myopia and progression? This case investigates factors, diagnostic measurements and management of adult-onset myopia.

Managing the adult progressing myope with diabetes

By Connie Gan | November 30, 2021 | 0 Comments

This case discusses how blood glucose levels can influence refractive error, and details a fascinating case of a young adult who has been aphakic from childhood. Despite a highly hyperopic refraction, she is diagnosed with axial myopia. Does she need myopia control?

How can we promote safety in orthokeratology?

By Connie Gan | November 23, 2021 | 0 Comments

Many orthokeratology-related adverse events are due to poor compliance and hygiene processes. This case demonstrates the importance of patient discussion and provides guidance on key steps to promote safety in orthokeratology wear.