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,… Managing myopia in presbyopic adults has specific goals in achieving good vision correction and best eye health outcomes. What should we consider if myopia progression is observed? This article explores progression, the ideal optical correction and ocular health considerations in presbyopic myopes. 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. 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. Orthokeratology has been well established as a myopia control treatment. The newest research in orthokeratology has investigated compliance, safety, comfort and combination treatment with atropine. Here, we’ll bring you the latest knowledge with implications for clinical practice. 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. Atropine is a treatment for myopia control, but do combination treatments such as with orthokeratology increase the efficacy? Learn about how well it works, which concentration, for whom it works best, side effects, treatment duration and more. 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. Atropine has been the apparent hero of myopia management since the 2006 ATOM1 study, and since then, low concentration 0.01% atropine has become the new hero and then fallen out of favour. This article describes how lower concentrations work to balance efficacy and side effects, which should we select now, and what newer research on formulations and combinations can tell us. 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. Retinal detachment is not a condition which only affects adults. This case of a 12-year-old high myope with an asymptomatic retinal detachment and hole forms the basis for discussion of factors, frequency of types and treatment outcomes in childhood retinal detachment. The myopia control strategy is also discussed. How to Use Myopia Profile
Managing myopia in presbyopic adults
How should we manage a presbyopic progressing myope?
Getting parents onboard with orthokeratology
The latest research on orthokeratology: compliance, safety, comfort and combination with atropine
Which is best? Myopia Management for an astigmatic myope
Combination atropine treatments: when more is more
Combining atropine and orthokeratology for a fast progressing myope
Atropine – wonder or weak treatment?
Managing a teenager with very high myopia
Retinal detachment in children
