What is the risk-to-benefit balance for myopia control contact lenses in children?

This study found the risk of microbial keratitis for children fitted with contact lenses for myopia control was less than the risk of visual impairment from myopia progression to over 3D or axial lengths exceeding 26mm. If worn throughout childhood, the extra benefits of myopia control contact lenses outweigh the risks of infection, especially if the lenses are daily disposable.

A low myope with long axial length

This case describes a teenager with a low refractive error but a surprisingly long axial length. Should we monitor or actively manage their myopia? In this case, axial length tells a different story than other factors in identifying the long-term risks of myopia for the patient.

The Topcon MYAH – Q&A with Mario Teufl

In our Q&A interview format, we talk to Mario Teufl, optometrist from Austria, who explains how he uses the Topcon MYAH in his practice for myopia management – from axial length to topography to dry eye and more.

The SightGlass DOT Lens – Q&A with Dr Sherman Tung

Our Q&A format explores new technologies, products and research with experts. In this interview, Dr Sherman Tung, optometrist from Canada, shares his experience with The SightGlass Vision DOT 0.2 Lens in his practice, from prescribing to parent explanations and clinical outcomes.

Frequency and prediction of myopic macular degeneration in adults

This Singapore study found that 10-12% of ALL adult myopes aged 40-80 years – not just high myopes – suffered either onset or progression of MMD over 12 years. Risk factors included each additional year of age and 1mm of axial length. The most significant predictive sign was tesselated fundus.

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?

Model eyes in myopia management

You may have left the concept of a ‘model eye’ back in your student days – learn how understanding the ocular power components of the eye can be applied to clinical diagnosis and management decisions in childhood progressive myopia.