Managing a myopic anisometropic amblyopic child

SN shared a clinical case on our Facebook group that involved managing extreme anisometropia. This involved a 9-year-old anisometropic amblyope with dry eyes. Given the complex presentation, this was an interesting case for the Myopia Profile community to discuss. This case is not your typical astigmatic myope. There are several features to this patient that require careful consideration. Step 1: …

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April 2020 myopia research update

Myopia management in the Netherlands A report published in March by Caroline Klaver, Jan Polling and the Erasmus Myopia Research Group detailed a literature review of current myopia treatment options, and detailed their plan for treating children presenting to the Department of Ophthalmology and the University Medical Centre. They have developed a new protocol which factors in take age, expected …

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Latest Research: IMC2019, Part 1 – Accommodating for Myopia Accomplishments

I’m delighted to bring you some of the many highlights from the biannual International Myopia Conference! In its 17th iteration, it was held from September 12-15 in Tokyo, Japan. Over this four-part news update, I’ll summarise some of the more clinically-focused updates in what is traditionally a heavily research orientated conference. The International Myopia Institute Update There was a special …

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Spectacle lenses for myopia control Part 1: Progressives, bifocals and binocular vision

Progressives, bifocals, binocular vision and more Are progressive addition lenses and bifocals created equal for myopia control? When do they work and when do spectacles have minimal efficacy? How should we pick which lens type to prescribe, and what’s on the horizon for our non-contact lens wearing young myopes? We know that single vision spectacle lenses provide no useful efficacy …

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Assessing risk of myopia onset and progression

Identifying the pre-myope There are four key principles for assessing risk of myopia onset: Family history – one myopic parent increases risk by three-fold, while two myopic parents doubles this risk again1 Visual environment – less than 90 minutes a day spent outdoors increases risk, especially if combined with more than 3 hours a day spent on near work activities …

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An Ode To My Retinoscope

In May 2019 the professional journal Contact Lens Spectrum published my bi-annual ‘Refractive Focus’ column, entitled ‘An Ode to my Retinoscope’. Click on this link to read about how your trusty ret can help with: Pediatric refractions Diagnosing keratoconus and other corneal irregularities Toric contact lens assessment Multifocal contact lens troubleshooting OrthoK assessment Complex contact lens fitting About Kate Dr …

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Kids, contact lenses, dry eye and binocular vision

Kids and dry eye Only a minimal percentage of children are likely to suffer dry eye symptoms (4%) compared to 56% in adult contact lens wearers.(1) Teens may be more likely to report contact lens related dry eye than younger children,(2) and consideration should be given to any systemic medications which could exacerbate dry eye symptoms, such as acne medications …

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The esophoric myope and contact lenses

When it comes to contact lens corrections for young myopes, the impact of orthokeratology (OK) and multifocal soft contact lenses (MFSCL) on binocular vision is pertinent to visual comfort and understanding mechanisms of myopia progression and control. Oliver’s story Oliver, age 10, was referred with a history of fast, recent myopia progression. His mother was R&L -7.00 and he was …

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