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.

Clinical Leader Case Study: First myopia correction

Parents can be conservative about childhood contact lens wear, especially if they have no experience of myopia themselves. Read how Bhavin Shah successfully guided parents into embracing MiSight 1 day for their eight-year-old daughter, as her first myopia management strategy.

A future high myope: diagnosis with axial length

This case study explores clinical data for a 7-year-old child whose refractive error and axial length is changing at an alarming rate. How can we best determine the rate of progression and set our management plans, using axial length?

Managing the non-myopic eye in unilateral myopia

If your patient is a unilateral myope, sometimes the myopic eye is the easier one to manage! This case study explores the options to appropriately diagnose, track and manage the non-myopic eye in a unilateral myope – where the non-myopic eye seems to be progressing faster than the myopic eye treated with orthokeratology.

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.