Blog 2

Clinical Leader Case Study: The reluctant child and contact lenses

By Connie Gan | October 25, 2021 | 0 Comments

Commencing contact lens wear can be intimidating for children. In our new Clinical Leader Case Study format, read how Rachael Smith approached clinical communication to overcome reluctance to wear contact lenses.

A monocular myope with coloboma

By Connie Gan | October 11, 2021 | 0 Comments

An 8-year-old child is essentially monocular, due to unilateral high myopia associated with coloboma. The normally sighted eye has low myopia. How should we best balance safety and proactive myopia control in such a case?

Managing unilateral myopia

By Connie Gan | October 11, 2021 | 0 Comments

Unilateral myopia can present a challenge to both myopia correction and control choices. In this case study, learn about which interventions have evidence for myopia control and reducing anisometropia, as well as the considerations for monocular versus binocular correction and treatment.

Is it myopia progression or early keratoconus?

By Connie Gan | September 27, 2021 | 0 Comments

How would you manage a progressing myope with early keratoconus? In this case, refractive progression of myopia was not just due to axial elongation, and astute repeated measurement of both the corneal curvature and axial length helped with accurate diagnosis.

Are you measuring the cornea in myopia management?

By Connie Gan | September 26, 2021 | 0 Comments

Measuring the cornea in myopes is crucial to understanding their clinical picture and even their profile of myopia risk. Flat corneas can mask an axial length which is longer than expected for the patient’s refraction. Learn more in this clinical case study.

How should we manage a presbyopic progressing myope?

By Connie Gan | September 13, 2021 | 0 Comments

The myopia history in childhood can influence how an adult myope copes with their correction and even how their vision changes over time. Read more about this case of a 50-year-old progressing myope.

Getting parents onboard with orthokeratology

By Connie Gan | August 30, 2021 | 0 Comments

How do you get parents onboard with orthokeratology when they are unsure of childhood contact lens wear capability, benefits or safety? In this case, one parent was receptive to this recommendation but the other parent was not. Read more on the steps to take to support your clinical communication, including further reading and resources to help.

Which is best? Myopia Management for an astigmatic myope

By Connie Gan | August 30, 2021 | 0 Comments

Contact lens options are ideal for higher myopes. What about when they have moderate astigmatism as well? This case discusses the evidence base for myopia control options which correct for astigmatism, along with patient-specific considerations and whether a combination treatment with atropine is needed.

Combining atropine and orthokeratology for a fast progressing myope

By Connie Gan | August 17, 2021 | 0 Comments

In this clinical case, the practitioner is considering whether to start a young patient on a monotherapy or go straight to combination treatment. The discussion includes the recent studies on combination treatment and the best approach for utilizing atropine in view of orthokeratology wear.

Managing a teenager with very high myopia

By Connie Gan | August 3, 2021 | 0 Comments

In this case study of a teenager with around 15D of myopia and moderate astigmatism, discussion included ocular and systemic health, contact lens options and whether myopia control is necessary.