In this case, a 14-year-old was found to be far less myopic than their refraction and terrifyingly fast progression suggested, thanks to careful diagnosis. Learn what didn’t add up and how utilizing technology o measure the ocular components helped to solve the puzzling clinical case.
MiSight 1 day is a dual focus optical design. Does this affect children’s near vision? What can be done to manage any issues with near vision as noticed by wearers? Read more about expectations and adaptation.
MiSight 1 day is a dual focus contact lens – it’s not a multifocal as it does not provide an ‘add’ at near. When considering a first correction for a young myope, how should we prioritize both myopia correction and control? Read more in this case.
Contact lenses offer numerous functional, psychological and myopia controlling benefits for children. What should you do if a parent or patient says no to contact lenses for their child, and you consider it an ideal option? How can you approach communication to convey the safety and benefits?
Should we change myopia control strategy when there is myopia progression? Before making the decision, it’s important to evaluate the evidence base in judging treatment success, and considering the best course of management based on both myopia correction as well as myopia control.
When should we start myopia control for a low myope, especially if they have no symptoms? What patient factors should be considered, and what myopia control treatment options are most suitable?
When prescribing myopia controlling contact lenses for children, daily disposables are the safest modality. Only spherical corrections are available, though, which can impact lens selection for children with astigmatism. The NaturalVue Multifocal contact lens is suggested for up to 2D of astigmatism, much higher than is typical for spherical CL designs. Is is ‘masking’ astigmatism, or ‘partially correcting’ it instead?
The NaturalVue Multifocal contact lens is a daily disposable which may slow myopia. It is recommended for low astigmatism, as is typical for spherical contact lenses, but its unique optical profile has led practitioners to ask if it can be fit to patients with higher levels of astigmatism. Read this case which highlights the dynamics of a young visual system, using the fitting guide and finding the best solution for a very high myope.
Why might a patient experience blurred distance vision with MiSight 1 day contact lenses? Lens fit, centration, prescription and adaptation can all feature. Learn more about the frequency and management of these cases, including the reported outcomes in scientific studies.
If a child is wearing spectacles or using atropine as their primary myopia control treatment, which contact lens should we choose for sports? Is a myopia controlling contact lens needed if it will only be for occasional wear? Here we discuss the options and clinical considerations based on the individual patient.
