This study found the risk of microbial keratitis for children fitted with contact lenses for myopia control was less than the risk of visual impairment from myopia progression to over 3D or axial lengths exceeding 26mm. If worn throughout childhood, the extra benefits of myopia control contact lenses outweigh the risks of infection, especially if the lenses are daily disposable.
This review investigated 18 years of practice data for the predictability, efficacy and safety of long-term ortho-k wear. The results showed that for at least one year’s wear, there was good efficacy and predictability of target refraction. Although corneal staining was common, serious adverse effects were found to be rare, particularly for children.
This study found that healthy children may report mild to moderate symptoms of ocular discomfort from prolonged use of digital screens, even if no clinical signs are present. This may be a precursor to future ocular surface disorders.
Digital eye strain is becoming more common in children and teenagers. The symptoms of asthenopia can be due to dry eye, binocular vision dysfunction and glare sensitivity – learn more about each of these, as well as guidelines to manage the risks.
Children nowadays frequently engage in screen time. Read this case to find out how excessive screen time can impact meibomian gland health.
This hospital-based study of high myopes aged 12 to 47 years found that myopia-related retinal pathologies were common, especially with more than 8D of myopia, greater than 26.5mm axial length and longer durations of myopia. Age and family history were not associated with retinal pathology – highlighting the need for close retinal health monitoring in high myopes of all ages.
This Singapore study found that 10-12% of ALL adult myopes aged 40-80 years – not just high myopes – suffered either onset or progression of MMD over 12 years. Risk factors included each additional year of age and 1mm of axial length. The most significant predictive sign was tesselated fundus.
This large cohort study analysed myopic prescriptions from 136,333 French children and teens. Factors influencing myopia progression were found to include a child’s age, gender and refraction of their first optical correction. Children aged 7-10yrs showed the fastest progression.
You may have left the concept of a ‘model eye’ back in your student days – learn how understanding the ocular power components of the eye can be applied to clinical diagnosis and management decisions in childhood progressive myopia.
With growing popularity of contact lens wear in children, the scrutiny of their safety increases. This 3-year investigation of adverse events related to monthly disposable soft contact lens wear in 7- to 11-year-old participants provides reassurance to parents and eye care practitioners that contact lenses can be worn safely in this age group.
