How to Use Myopia Profile
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Does myopia occur earlier in children if their parents are myopic?
This multi-ethnic study found that parental myopia was a risk factor for myopia development in pre-school age children. The age the parents became myopic themselves had a dose-dependent effect in their children if both parents had onset of myopia before age 12. Eye care practitioners can use this to identify which children may benefit from early myopia treatment intervention.
Adult-onset myopia: measurement and management
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.
Talking to a myopic adult about risks for their children
Adults with myopia may not understand that they have more than just a problem seeing clearly. We discuss genetic risk in glaucoma and macular degeneration – are you doing the same for myopia? How can we talk to myopic adults about risks for their children and support them to take action?
Managing the adult progressing myope with diabetes
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 common is microbial keratitis in children wearing orthokeratology?
The risk of microbial keratitis (MK) in orthokeratology-wearing children was shown in a 2013 analysis to be around 14 per 10,000 patient wearing years, but new data indicates that it may be lower. Data gathered from a large group of practices in Russia found MK risk of around 5 per 10,000 patient-wearing years, similar to the risk of daily wear soft lenses. This should increase confidence in fitting orthokeratology to children for myopia control.
Considering the individual in myopia management
How can you improve your success and strategies in myopia management? Considering the individual’s family situation and risk factors is key to providing the ideal solution that will ensure suitability and compliance.
How can we promote safety in orthokeratology?
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.
Communicating with parents who insist on undercorrection
The majority of parents are unaware of the importance of myopia intervention. What can we do when parents insist on myopia undercorrection for their child? In this case we cover the communication approaches, and also consider the parents’ point of view to achieve the best possible outcomes for their child, as our patient.
What is the effect of uncorrecting, undercorrecting and overcorrecting myopia in children?
This systematic review of 9 studies confirms that under-correction of myopia does not slow progression; rather, at least half of the studies have shown the myopia progression is accelerated. There was no benefit found in overcorrection, and the evidence for un-correction was equivocal. Clinically, this advocates for the full correction of myopia.
Will online gaming restrictions reduce childhood myopia?
Will China’s new regulations restricting online gaming in children reduce the myopia crisis? Is there evidence that less screen time increases outdoor time? We explore the links and impacts, positive effects of gaming and advice for parents.
