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.

Complex myopia cases: unilateral myopia with high astigmatism

Managing unilateral myopia with high astigmatism is complex, especially with reduced acuity. Is myopia control the best approach? Myopia correction versus myopia control is discussed in this case, along with further assessments and considerations in management.

What happens to binocular vision during cycloplegia?

Do you check your patient’s binocular vision function after cycloplegic refraction? Is this useful? An unexpected finding in this case leads to discussion of binocular vision changes in cycloplegic conditions, ideal management for exophores, and even the impact of low-dose atropine.

Compounded topical atropine: is every bottle the same?

How consistent is compounded topical atropine from bottle-to-bottle? What clinical results could indicate variability? Read more in this clinical case where a miniscule change in concentration gave notably better clinical outcomes.

Pre-myopia and young age: topical atropine or not?

Is a 3-year-old too young for low-dose atropine treatment? What about if they’re a pre-myope? Learn more about balancing proactive management with the research evidence and clinical considerations.

Clinical Leader Case Study: From pre-myopia through to myopia control with contact lenses

Myopia management starts with identifying pre-myopes and commencing the discussion with parents, so that future myopia control strategies can be successfully recommended. In our Clinical Leader Case Study format, read how Indie Grewal approached parent communication to smooth the way for eventual myopia control contact lens fitting.

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 can we promote safety in orthokeratology?

Many orthokeratology-related adverse events are due to poor compliance and hygiene processes. This case demonstrates the importance of patient discussion and provides guidance on key steps to promote safety in orthokeratology wear.