Does Pregnancy influence myopia?

HWN presented this case involving a 32-year-old woman whose myopia onset after having her first child and had progressed since. So, the question to the Myopia Profile community was, “Does pregnancy have anything to do with adult-onset myopia?” What are the considerations? The community have suggested that cycloplegic refraction and binocular vision tests are needed as one eye was shown …

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Thinking beyond myopia – managing the very high childhood myope

In a fascinating case, AJ is looking for treatment recommendations for her 7-year-old patient who has very high myopia and astigmatism that has progressed quickly in the last 3 months. Here’s the link to the post. What are the considerations? 1. This is not your normal myope – Consider possible ocular disease or syndromes The possiblity of retinal or systemic …

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April 2020 myopia research update

Myopia management in the Netherlands A report published in March by Caroline Klaver, Jan Polling and the Erasmus Myopia Research Group detailed a literature review of current myopia treatment options, and detailed their plan for treating children presenting to the Department of Ophthalmology and the University Medical Centre. They have developed a new protocol which factors in take age, expected …

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How much OrthoK over-correction is too much?

PC posed a question regarding the acceptable amount of over-correction to incorporate in an OrthoK prescription to allow for good end-of-day vision in this post. Here’s what the community said: What are the considerations? Reasons for over-correcting: General consensus was to over-correct by 0.50D to 1.00D. However, this number may vary between patients, depending on how fast a cornea ‘rebounds’. …

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Selecting a contact lens for astigmatic myopia

A clinical case of high astigmatism with myopia was discussed, where the author STW faced a myopia managing dilemma for a patient whose myopia and astigmatism exceeded the parameters of the more common forms of myopia control with contact lenses. Here’s what the Myopia Profile community suggested in this post, Which contact lens option to prescribe? Option 1: Spherical MFCLs + …

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Prescribing for the Progressing Myope with Astigmatism

Whilst each individual child has their own circumstances and situation to consider when prescribing myopia control, children with astigmatism present a unique set of challenges when selecting the best option for not only slowing down the progression of their axial growth, but also providing them with good vision. Simply ignoring the astigmatism when selecting a prescribing choice runs the risk …

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Spectacle lenses for myopia control Part 2: Back ups, dispensing and new designs

Back up corrections, clinical considerations and new designs There’s a little more to think about in the important role spectacle lenses play in myopia management. Even if we prescribe contact lenses, our young myopes are most likely to need a back up spectacle lens option. Children prescribed atropine will need the best spectacle lens prescribed for them to minimise the …

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Spectacle lenses for myopia control Part 1: Progressives, bifocals and binocular vision

Progressives, bifocals, binocular vision and more Are progressive addition lenses and bifocals created equal for myopia control? When do they work and when do spectacles have minimal efficacy? How should we pick which lens type to prescribe, and what’s on the horizon for our non-contact lens wearing young myopes? We know that single vision spectacle lenses provide no useful efficacy …

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Assessing risk of myopia onset and progression

Identifying the pre-myope There are four key principles for assessing risk of myopia onset: Family history – one myopic parent increases risk by three-fold, while two myopic parents doubles this risk again1 Visual environment – less than 90 minutes a day spent outdoors increases risk, especially if combined with more than 3 hours a day spent on near work activities …

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