Managing a child with very high myopia

In this complex case of an 8-year-old child with very high myopia, management is discussed in view of specific recommendations from the International Myopia Institute Pathologic Myopia, Clinical Management Guidelines and Prevention of Myopia and its Progression Reports.

IMI Report on Pathologic Myopia

This IMI Report takes a deep dive into pathological myopia, including its prevalence and defining characteristics. The role of optical coherence tomography (OCT) is discussed, as well as emerging treatment options. Read the summary here.

IMI Report on Impact of Myopia

This IMI Report discusses the prevalence of myopia and its impact on both the individual and society. It highlights gaps in our understanding of myopia and provides evidence to support and advocate for developing appropriate approaches and policies to manage myopia. Read the summary here.

Orthokeratology lens wear in lagophthalmos

Can a teen with lagophthalmos wear orthokeratology lenses? This case discusses the staining frequency in orthokeratology wear, the impact of lubricant eye drops and lens hygiene processes, and more tips for patient care.

Adult-onset myopia: measurement and management

Myopia which onsets in childhood usually stabilizes in the early twenties. How should we manage adult-onset myopia and progression? This case investigates factors, diagnostic measurements and management of adult-onset myopia.

Managing the adult progressing myope with diabetes

This case discusses how blood glucose levels can influence refractive error, and details a fascinating case of a young adult who has been aphakic from childhood. Despite a highly hyperopic refraction, she is diagnosed with axial myopia. Does she need myopia control?

How common is microbial keratitis in children wearing orthokeratology?

The risk of microbial keratitis (MK) in orthokeratology-wearing children was shown in a 2013 analysis to be around 14 per 10,000 patient wearing years, but new data indicates that it may be lower. Data gathered from a large group of practices in Russia found MK risk of around 5 per 10,000 patient-wearing years, similar to the risk of daily wear soft lenses. This should increase confidence in fitting orthokeratology to children for myopia control.

A monocular myope with coloboma

An 8-year-old child is essentially monocular, due to unilateral high myopia associated with coloboma. The normally sighted eye has low myopia. How should we best balance safety and proactive myopia control in such a case?

Monocular Myopia Management

Monocular Myopia Management: unilateral and anisometropic myopia

How should you best manage children with unilateral or anisometropic myopia? Learn about what drives aniso-myopic development, associations with amblyopia and ocular pathology, and the evidence base for orthokeratology to slow aniso-myopic eye growth.