Clinical Cases Digest

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 started in myopia management: what equipment do I need?

Tools myopia management

What equipment do you need to get started with myopia management in practice? Here we take you through the recommendations of the International Myopia Institute Clinical Management Guidelines Report, with advice on testing and equipment required. There are also suggestions for how you can get started if you don’t have access to all the equipment described, plus what is ideal and what is necessary for best practice.

The next generation – DIMS and H.A.L.T. technology spectacle lenses for myopia control

The newest myopia controlling spectacles can both correct and control myopia as effectively as contact lens options. How do Defocus Incorporated Multiple Segments (DIMS) and HIghly Aspherical Lenslet Target (H.A.L.T.) technology spectacle lenses work? Here we investigate and compare their design, presumed mechanism and comparative efficacy for myopia control, based on published research.

The NaturalVue Multifocal Contact Lens – Astigmatism ‘masking’ or ‘correcting’?

When prescribing myopia controlling contact lenses for children, daily disposables are the safest modality. Only spherical corrections are available, though, which can impact lens selection for children with astigmatism. The NaturalVue Multifocal contact lens is suggested for up to 2D of astigmatism, much higher than is typical for spherical CL designs. Is is ‘masking’ astigmatism, or ‘partially correcting’ it instead?

NaturalVue multifocal contact lens fitting and astigmatism

The NaturalVue Multifocal contact lens is a daily disposable which may slow myopia. It is recommended for low astigmatism, as is typical for spherical contact lenses, but its unique optical profile has led practitioners to ask if it can be fit to patients with higher levels of astigmatism. Read this case which highlights the dynamics of a young visual system, using the fitting guide and finding the best solution for a very high myope.