Assessing fusional reserves at near
Assessing horizontal fusional reserves at near gives you the measure of your patient’s stamina, or ‘petrol in the tank’ to be able to manage their phoria, or ‘posture’.
Kate Gifford
Myopia control – science or luck?
What causes myopic progression? Studies have attempted to find causative factors related to genetic, environmental, and behavioral influences including parental myopia, time spent outdoors, and hours of near work (reading, computer, video games).1
Is your myopia strategy just OK?
For me, I would need more information before jumping in one strategy versus another, based only on the myopia progression and the script. Here is my thinking process to define a strategy for myopia control.
Vision with Pediatric Bifocal Contact Lens Wear
Center-distance soft multifocal contact lenses have been shown to slow the progression of myopia,1-5 but practitioners around the world are concerned about the vision produced by soft multifocal contact lens wear in children.
My patient, my life, their care: the timeless, perpetual thirst for knowledge in the field of eyecare
For you and I, as eyecare practitioners, it means to balance the needs of our patients, our work, our families, and our work/life balance in harmony.
My journey into myopia control
This blog retraces my personal journey into myopia control and explains why I believe that this is the most important development for optometry that has taken place during my career.
A Novel Soft Radial Refractive Gradient (SRRG) contact lens for myopia control
This experimental design was primarily based on the peripheral retinal blur theory, that E. Smith developed,1 providing an incremental, progressive, refractive change from the central visual axis to peripheral retina, reaching a +2.00D add plus power at about 35 degrees of retinal eccentricity and achieving about +6.00D of addition plus power at the edge of the optical zone (4mm semichord diameter).
Using Myopia Profile
In this short video, I introduce Myopia Profile, explain how I use it in practice, and describe two typical childhood myopia cases.
Prescribing adds for accommodation lag
Given that a normal lag result is +0.50, I would generally prescribe an add which is the accommodative lag result subtracting 0.50, so the resulting final lag is within the normal range. For example, a lag of +2.00 results in a +1.50 Add; a lag of +1.50 results in a +1.00 Add. However, this formula may not work if:
Measuring accommodative facility
Assessing accommodative function at near is a vital component of understanding the myopia profile of your patient. Myopic progression in children and adults can be influenced by binocular vision function.
