Growth charts are commonly used in childhood health and are easily understood by parents. When applied to myopia management, axial length growth charts can allow individualized decisions on treatment strategy and efficacy. What charts are available now and how can you use them in practice? Here we explain how to use axial length growth charts from initial diagnosis to treatment strategy and long term monitoring.
When setting myopia control expectations both at outset and follow up, it is important to compare the child’s observed myopia progression to ‘average’, and to then judge the expected outcomes of treatment. Bringing their lifestyle, motivations and abilities into consideration is also important. Here we explore how to use resources in practice to set expectations and gauge success along the way.
There are numerous reasons why contact lenses are beneficial for children, and the safety profile is high. Yet there are still barriers in the mind of the practitioner, parent and young patient to childhood CL wear. Here we address these often cited barriers, with the goal to support your clinical communication on the benefits and safety of contact lenses for kids, to move towards achieving a ‘yes’ from the parent and patient.
If a child is wearing spectacles or using atropine as their primary myopia control treatment, which contact lens should we choose for sports? Is a myopia controlling contact lens needed if it will only be for occasional wear? Here we discuss the options and clinical considerations based on the individual patient.
How do you manage your young patient when their ophthalmologist appears to have advised parents against orthokeratology? How should you communicate with the ophthalmologist about orthokeratology? This clinical case explores the aspects of safety, efficacy and benefits, including detail on the comparison of short-term risks of contact lens wear with the long-term risks of myopia.
How do you approach communicating with parents about myopia when they reject even standard single vision correction for their child? This is especially concerning given that even a full strength single vision correction is a better choice than under- or un-correction of myopia – for both myopia progression as well as the child’s functional abilities. This clinical problem is more common than you might think, especially in some regions of the world.
Communicating the reasons, benefits and options in myopia management can be complex. Using pictures in health communications has been shown to improve patient attention, recall and comprehension of information and adherence to treatment. The Managing Myopia Guidelines Infographics are designed to guide you through the process of explaining myopia control using simple messaging and pictures. We explain the four key messages of myopia management here.