A low myope with long axial length

This case describes a teenager with a low refractive error but a surprisingly long axial length. Should we monitor or actively manage their myopia? In this case, axial length tells a different story than other factors in identifying the long-term risks of myopia for the patient.

Can choroid layer thickness predict future myopia for children?

Previous studies have explored a link between choroidal thickness measures and myopia development. This longitudinal study found that although having thinner choroid layers at age 11 were not associated with adolescent myopia or eye length growth, having a longer axial length was predictive of future myopia development and progression. 

The Topcon MYAH – Q&A with Mario Teufl

In our Q&A interview format, we talk to Mario Teufl, optometrist from Austria, who explains how he uses the Topcon MYAH in his practice for myopia management – from axial length to topography to dry eye and more.

When axial length progresses, but not refractive error

In this case, we meet a child whose axial length has progressed 0.4mm in one year, even with myopia control treatment. Yet, his refractive error hasn’t changed. What could cause this and what is the best course of action?

Model eyes in myopia management

You may have left the concept of a ‘model eye’ back in your student days – learn how understanding the ocular power components of the eye can be applied to clinical diagnosis and management decisions in childhood progressive myopia.

How we can identify future myopes

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.

Communicating with Parents about Axial Length

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.
Read how to communicate with parents about axial length, to support your recommendations.

The OCULUS Myopia Master in Action – Q&A with Max Aricochi

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.