Kate Gifford 
There’s a common clinical belief that orthokeratology doesn’t work as well in lower myopes for myopia control. This is even sometimes included in conference presentations as prescribing advice. Is orthokeratology useful for control of low myopia? Here’s what’s fact and what’s fiction, when considering its efficacy for low vs high myopia, and orthokeratology vs multifocal contact lens myopia control.
Essilor International and Myopia Profile recently announced their partnership to empower eye care practitioners with clinical knowledge, skills and practice in managing childhood myopia. The partnership will also see a boost to public awareness of the consequences of myopia, and will encourage more parents to have their children’s vision tested worldwide.
Here we focus on clinical advice comparing efficacy between available options which have been researched for myopia control. We also discuss best corrected acuity outcomes, and how MFCLs may influence accommodation, with this potentially linking to myopia control efficacy.
Here we provide clinical advice on considering astigmatism and add power choices, over-refraction and final lens power, and safety outcomes in myopia controlling soft contact lenses.
Essilor’s new Stellest lens for myopia control is a paradigm shift in technology for spectacle lens myopia control. The one year interim results of an ongoing clinical trial reveal impressive outcomes.
Would you prescribe glasses for a young child with mild myopia? Is myopia control beneficial for a toddler? This case discussion covers whether to treat or monitor, with the research evidence for prescribing as well as clinical considerations for co-management between primary eye care and ophthalmology.
Non-responders are those children who have shown minimal efficacy of their treatment in myopia control studies, and it turns out that there’s around 15-20% of children who are classified this way across the major myopia control intervention studies. We look at non-responders in atropine, multifocal and myopia controlling contact lens, orthokeratology and DIMS spectacle lens studies, and what factors non-responders share across these studies.
Spherical aberration is employed to create centre distance and centre near multifocal contact lenses. This blog explains how SA relates to myopia and accommodation, and puts this in view of MFCL research for myopia control.
This study showed that adult high myopes with myopic macular degeneration (MMD) show reduced macular sensitivity as measured by microperimetry. That’s not unexpected; but the microperimetry changes occurred before BCVA changes in mild MMD – read more here.
This study showed that multifocal contact lens wear in young adult myopes increases accomodative lag, and utilized auditory biofeedback training to improve it. The results and implications are discussed here.
