Do pseudophakic children need myopia control?

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.

An hyperopic myope? Marfan syndrome and aphakia.

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.

Posterior Scleral Reinforcement as a means of myopia control

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.

High Myopia in Childhood

High myopia in childhood – special considerations and safe management

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.

Axial length and reduced macular sensitivity before changes in acuity

This study showed that adult high myopes with myopic macular degeneration (MMD) show reduced macular sensitivity as measured by microperimetry. That’s not unexpected; but the microperimetry changes occurred before BCVA changes in mild MMD – read more here.

Atropine eye drops and ocular allergy – what’s the cause?

A child has an allergic reaction to low dose atropine – or does he? Here practitioners consider the possible causes, with advice for management. We then frame this discussion in view of the evidence-base with take home clinical messages.

Should I fit orthokeratology to a potential keratoconic?

MCS was hesitating fitting OrthoK to a patient who showed inferior corneal steepening. Her main concern was that OrthoK may induce corneal ecstasia/keratoconus in the future and whether there is a link between OrthoK and keratoconus.