Nightly use of atropine 0.01% was able to reduce myopia progression and axial elongation for Chinese children over 9 months. However, this study also found that refractive astigmatism may increase within the first 3 months of treatment as a result.
With increasing use of axial length to monitor myopia progression, the ratio of refractive error change to axial elongation has important clinical implications. This systematic review determines this ratio and explores factors that influence it.
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.
How can we identify pseudomyopia? The IMI defines myopia as -0.50D or more when accommodation is relaxed. Yet recent data indicates that a quarter of 6-year-olds may present as myopic when they’re in fact exhibiting pseudomyopia. Explore more on this topic and how to relax accommodation for accurate refractions in children.
How should you best manage children with unilateral or anisometropic myopia? Learn about what drives aniso-myopic development, associations with amblyopia and ocular pathology, and the evidence base for orthokeratology to slow aniso-myopic eye growth.
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.
What equipment do you need to get started with myopia management in practice? Here we take you through the recommendations of the International Myopia Institute Clinical Management Guidelines Report, with advice on testing and equipment required. There are also suggestions for how you can get started if you don’t have access to all the equipment described, plus what is ideal and what is necessary for best practice.
Children can be tricky to refract. Here is a challenging refraction case discussed by colleagues – while not a case of a myope, it describes useful clinical principles for prescribing for children, especially children under 6 who require particular consideration to ensure normal visual development.
Ensuring an accurate refraction is a hallmark of best practice myopia management. Yet refractions in children can present particular challenges. Which technique is most accurate, and when is cycloplegia necessary? Covering acuity measurement, retinoscopy, autorefraction and when and how to employ cycloplegia – here are some tips to achieve the best outcomes, especially for younger children where compliance and participation in testing can be more challenging.
Refraction can be challenging in children, and even more so in a complex presentation as for this case. Is this patient a myope or not? When dealing with a complex case of pseudomyopia, antimetropia and latent hyperopia, all in one patient – how should we manage the patient? The answer involves balancing goals to manage ametropia correction, binocular vision function and myopia control.
