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.
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.
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.
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 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.
HWN presented this case involving a 32-year-old woman whose myopia onset after having her first child and had progressed since.
The question on the upper age for commencing myopia management, and when to cease myopia management, was raised in this post. The links referenced in the post are discussed below.
