Axial length (AXL) has been well established as the critical measurement in myopia control research. The measurement accuracy and link to disease risk make AXL increasingly important in a clinical setting. But what else should we measure in the myopic eye? Does the cornea change as well? Will we end up doing away with refraction? Read more on measuring the whole eye in myopia.
How does the normal emmetropization process in childhood influence refraction shifts in pseudophakes? Should a myopic shift in a pseudophakic child be viewed as myopia progression? How should they be managed and is myopia control needed? This blog covers important considerations in managing these atypical myopes.
When is a hyperope actually a myope? This case presents an aphakic patient with Marfan syndrome and an extremely long axial length, who needs to be managed like a high myope. This post also discusses a variety of pharmacological approaches to myopia management, based on a fascinating case presented in the subsequent Facebook discussion.
Pathologic myopia is one of the major causes of blindness worldwide. Degenerative changes associated with high myopia, including posterior staphyloma formation and scleral thinning, are caused by the progressive elongation of globe axial length and stretching of the sclera, choroid and retina. The aim of this meta-analysis was to investigate and quantitatively define the efficacy of PSR in controlling axial elongation and refraction progression.
Half of children with high myopia have an underlying systemic condition: ophthalmology co-management, best optical corrections, parental education and eye health monitoring are crucial. It’s also important to offer myopia control strategies while also being aware of the limitations of the evidence base. This blog provides guidance on appropriate ocular health and optical management of children with more than 5-6D of myopia.
This research showed that centre near design multifocal CL’s do not appear to reduce visual acuity at near in young accommodating myopes, but result in a slight reduction in visual acuity at distance.
This research investigated orthokeratology lenses designed for a higher peripheral ‘add’ power, and how these influenced corneal hysteresis (rigidity) and higher order aberrations.