Is your myopia strategy just OK?

For me, I would need more information before jumping in one strategy versus another, based only on the myopia progression and the script. Here is my thinking process to define a strategy for myopia control.

Vision with Pediatric Bifocal Contact Lens Wear

Center-distance soft multifocal contact lenses have been shown to slow the progression of myopia,1-5 but practitioners around the world are concerned about the vision produced by soft multifocal contact lens wear in children.

My journey into myopia control

This blog retraces my personal journey into myopia control and explains why I believe that this is the most important development for optometry that has taken place during my career.

A Novel Soft Radial Refractive Gradient (SRRG) contact lens for myopia control

This experimental design was primarily based on the peripheral retinal blur theory, that E. Smith developed,1 providing an incremental, progressive, refractive change from the central visual axis to peripheral retina, reaching a +2.00D add plus power at about 35 degrees of retinal eccentricity and achieving about +6.00D of addition plus power at the edge of the optical zone (4mm semichord diameter).

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Using Myopia Profile

In this short video, I introduce Myopia Profile, explain how I use it in practice, and describe two typical childhood myopia cases.

SMART study – orthokeratology slows progression of myopia

The recently published outcome from this multi-site USA based study is in agreement with previous studies comparing effect of orthokeratology in slowing progression of myopia in children compared to disposable soft contact lenses.

Prescribing adds for accommodation lag

Given that a normal lag result is +0.50, I would generally prescribe an add which is the accommodative lag result subtracting 0.50, so the resulting final lag is within the normal range. For example, a lag of +2.00 results in a +1.50 Add; a lag of +1.50 results in a +1.00 Add. However, this formula may not work if:

Measuring accommodative facility

Assessing accommodative function at near is a vital component of understanding the myopia profile of your patient. Myopic progression in children and adults can be influenced by binocular vision function.