Our clinical case digest brings together the vast and varied peer discussions of our Myopia Profile Facebook group into valuable, enduring content with the addition of key learnings, relevant research and engaging graphics. Seeing the research put into practice, in real patient cases, will help you elevate your myopia management knowledge and confidence to higher levels.
Getting the most out of Myopia Profile Welcome to the world’s largest and most popular multi-platform digital suite dedicated to myopia management! Perhaps you’re new to the Myopia Profile website,… What is the relationship between pupil size and myopia management? As the pupil controls the light input to the retina, does pupil size influence myopia risk or the response to myopia treatments? This review covers atropine’s influence on pupil size, the relationship with treatment zone size in orthokeratology, combination treatments and advice on normal outcomes. The axial length growth trajectories modelled in this study revealed that regardless of a child’s age, a myopic shift of at least -0.85D and/or 0.74mm over three years suggests future myopia development. Read more about specific risk factors for younger children, and other ocular component findings in this large study of European children. In this case study, a child with myopia appears to have progressed 2.50D in a year. Axial length measurement provided invaluable data to validate this refractive shift – read more about the case and how the patient was managed. Slowing axial length growth is the key goal of myopia management. In this case, parents finally agreed to myopia management once they understood their child’s axial length measurement. Our new Q&A format is designed to explore a particular clinical topic, intervention, product or research paper with an expert. Here, we explore the OCULUS Myopia Master with practical questions of how optometrist Max Aricochi uses it in his clinic in Austria. We also provide you some additional tips to help you put Max’s recommendations to use in your own practice. This study examines the effect that dual focus contact lenses have on accommodation and defocus during near viewing, and the results provide clues towards understanding the myopia control mechanism of these contact lenses. This cross-over study investigated children wearing highly aspherical lenslet (HAL) spectacle lenses versus single vision spectacles over three six-month periods. The HAL lenses showed consistent myopia control efficacy and no rebound effect when discontinued over one of the six-month periods. This abstract reported on the association between myopia and dry eye disease in teenagers. Interestingly, dry eye disease and reduced break up time was associated with higher myopia, but photophobia and pain were not. Nightly use of atropine 0.01% was able to reduce myopia progression and axial elongation for Chinese children over 9 months. However, this study also found that refractive astigmatism may increase within the first 3 months of treatment as a result. Teenagers in the Netherlands were able to spend time outdoors during the COVID pandemic but still significantly increased near work on digital devices.. This is expected to give an increase in myopia prevalence and progression in European teens but to a lesser extent than in Asia where there was restricted outdoor time with stricter lockdown.How to Use Myopia Profile
Pupils and myopia management: what we know and need to learn
How we can identify future myopes
Axial length growth at an extraordinary speed
Communicating with Parents about Axial Length
Read how to communicate with parents about axial length, to support your recommendations.The OCULUS Myopia Master in Action – Q&A with Max Aricochi
Dual focus contact lenses and near viewing
Myopia control and no rebound with Highly Aspherical Lenslet spectacles
Dry eye and myopia in teenagers
Increased refractive astigmatism found with nightly 0.01% atropine drops
Evaluating the impact of pandemic lifestyle changes for Dutch teens
