Case studies

A successful spectacle lens fitting for myopia

In this case, a colleague has his first experience with the new Essilor Stellest spectacle lens for childhood myopia, with discussion including when to change the prescription and when to stop treatment.

When axial length progresses, but not refractive error

In this case, we meet a child whose axial length has progressed 0.4mm in one year, even with myopia control treatment. Yet, his refractive error hasn’t changed. What could cause this and what is the best course of action?

Orthokeratology: Is it a compliance issue or lens fitting problem?

In this case of a poor outcome in orthokeratology wear which appears to indicate non-compliance, a systematic approach highlighted the cause. Read more to learn about the systematic troubleshooting process and factors involved in compliance and successful ortho-k wear.

Should we fit orthokeratology to a child with trichiasis?

Orthokeratology is effective for myopia control but is it suitable for a child with trichiasis and corneal staining? This case compiles the treatment suggestions for managing a young myopic patient with trichiasis from the Facebook community, with a focus on safety.

Does pupil size matter in contact lens fitting?

Does pupil size affect myopia control efficacy when fitting soft contact lenses or orthokeratology for myopia control? This case study explores the relationship between pupil size, various optic designs and how both vision and myopia outcomes could be impacted.

Axial length growth at an extraordinary speed

In this case study, a child with myopia appears to have progressed 2.50D in a year. Axial length measurement provided invaluable data to validate this refractive shift – read more about the case and how the patient was managed.

Communicating with Parents about Axial Length

Slowing axial length growth is the key goal of myopia management. In this case, parents finally agreed to myopia management once they understood their child’s axial length measurement.
Read how to communicate with parents about axial length, to support your recommendations.

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.

Clinical Leader Case Study: Managing myopia with the family

This case is highlights that myopia management decision making includes much more than a child’s refraction. Learn how Keyur Patel involved the parent in the conversation and decision making, to determine the starting myopia management option for now, as well as considering the future.