Getting started – choosing a treatment for fast myopia progressors

Myopia control is vital for children with fast myopia progression. What are the key risk factors for faster myopia progression? What clinical findings indicate a more proactive myopia management strategy may be required? This case describes risk factors and evidence-based treatment options for fast myopia progressors.

Can we reconsider contact lenses?

Contact lenses offer numerous functional, psychological and myopia controlling benefits for children. What should you do if a parent or patient says no to contact lenses for their child, and you consider it an ideal option? How can you approach communication to convey the safety and benefits?

Orthokeratology treatment zone diameter in slow and fast progressors

A sample of slow and fast progressors in prior 24 month orthokeratology clinical trials were found to have the same baseline refraction and axial length. The slow progressors were older, and showed 0.5mm smaller treatment zone diameters (TZDs), but no difference in induced peripheral myopic shift. There was also no direct correlation between TZD and axial elongation, indicating an intriguing but not yet defined relationship.

Kids and contact lenses – benefits, safety and getting to ‘yes’

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.

Which contact lens should we choose for sports?

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.

Communicating with an ophthalmologist about orthokeratology

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.

Influence of orthok treatment zone diameter and pupil diameter on myopia progression

This study evaluates how orthok treatment zone diameter influences change in refraction and axial eye length over 1-year in children previously fit with orthok lenses of varying back optic zone diameter, to reveal that where treatment zone diameter was less than pupil diameter orthok’s myopia control efficacy appeared to be improved.

Is rubbing orthokeratology lenses necessary?

When cleaning orthokeratology contact lenses, is rubbing necessary? Would rubbing the ortho k lens cause warpage or deformation over time? Read more to find out how colleagues responded and what the research tells us.

How much orthokeratology over-correction is ideal?

Orthokeratology is designed to achieve slight over-correction so the optical treatment will last all day. How much overcorrection is ideal to achieve good vision throughout the day while achieving good visual performance?