Binocular vision is a much neglected (and even maligned?) domain of eye care where I’ve had numerous colleagues say their professional excitement and learning opportunities have been reinvigorated through seeing the clinical imperative and application in practice. Not only does binocular vision assessment add so much more to your clinical picture, and make optometric life more interesting, it could be the secret sauce that helps us bridge the gap towards 100% efficacy.
This case study describes two examples of myopia and axial length mismatch – a low myope with long eyes and high myope with short eyes. With axial length becoming more available and crucial in myopia management, it’s important to understand that the relationship between refraction and axial length isn’t always consistent. Find out more regarding the other ocular components that can influence refractive error.
There is general widespread accepted belief that increasing time spent outdoors can be protective against progression of myopia. Xiong et al set out to better understand the research by performing a meta-analysis of 51 clinical trials and longitudinal studies that investigated the relationship between time spent outdoors and the risk of either developing myopia, progression of existing myopia or a myopic shift in refractive error.
For many children using digital devices is a normal part of their everyday lives and they will use computers and hand-held devices at school and at home. This systematic review collates this published research to illuminate current understanding on the association between the time children spend on digital devices and incidence, prevalence or progression of myopia.
The visual demand of concentrating on close-up tasks like reading and studying are thought to be a driving force for increased myopia in children. To better understand this relationship the authors consolidated data from several studies to quantify the effect of near work activities on myopia in children and discover any association there may be between them.
As technology evolves the next big change is likely to be Virtual Reality. Could we expect Virtual Reality to be better for myopia than our screens and smartphones of today? How will the artificially simulated visual environment of VR impact on children’s visual development? Let’s explore what we know and what we’re yet to learn.
Children with more than 5-6D of myopia can require special consideration to ensure safe management of their ocular and systemic health. This clinical case details important aspects of care for the very high childhood myope: ophthalmology co-management, best optical corrections, parental education and eye health monitoring.