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.

Myopic Adult Risks to kids

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?

Presbyopic Myopes

Managing myopia in presbyopic adults

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.

How should we manage a presbyopic progressing myope?

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.

Five year cumulative incidence of myopic maculopathy in Germany

This study utilized data from over 15,000 participants aged 35-74 years and found a five-year cumulative incidence (new onset) of myopic maculopathy in the general population of 3 in 1,000. In 509 eyes with over 6D of myopia, 7% had myopic maculopathy and of these 50% worsened over the study period.

Axial length measurement; a clinical necessity?

Six questions on axial length measurement in myopia management

This review covers how well axial length relates to refraction and predicting future myopia, how to measure axial length, its value in orthokeratology and atropine management, how axial length influences a treatment plan and can you practice myopia management without it.

Axial length and reduced macular sensitivity before changes in acuity

This study showed that adult high myopes with myopic macular degeneration (MMD) show reduced macular sensitivity as measured by microperimetry. That’s not unexpected; but the microperimetry changes occurred before BCVA changes in mild MMD – read more here.

Adult Myopia Progression

Adult Myopia Progression, and how to treat it

Adult myopia progression is frequently encountered in practice, yet we have almost no evidence base to guide management. Here we explore how often and how much myopia progression occurs in adulthood, and management options.

Does pregnancy influence myopia?

HWN presented this case involving a 32-year-old woman whose myopia onset after having her first child and had progressed since.