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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How much OrthoK over-correction is too much?

PC posed a question regarding the acceptable amount of over-correction to incorporate in an OrthoK prescription to allow for good end-of-day vision in this post. Here’s what the community said: What are the considerations? Reasons for over-correcting: General consensus was to over-correct by 0.50D to 1.00D. However, this number may vary between patients, depending on how fast a cornea ‘rebounds’. …

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Selecting a contact lens for astigmatic myopia

A clinical case of high astigmatism with myopia was discussed, where the author STW faced a myopia managing dilemma for a patient whose myopia and astigmatism exceeded the parameters of the more common forms of myopia control with contact lenses. Here’s what the Myopia Profile community suggested in this post, Which contact lens option to prescribe? Option 1: Spherical MFCLs + …

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Prescribing for the Progressing Myope with Astigmatism

Whilst each individual child has their own circumstances and situation to consider when prescribing myopia control, children with astigmatism present a unique set of challenges when selecting the best option for not only slowing down the progression of their axial growth, but also providing them with good vision. Simply ignoring the astigmatism when selecting a prescribing choice runs the risk …

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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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