In this complex case of an 8-year-old child with very high myopia, management is discussed in view of specific recommendations from the International Myopia Institute Pathologic Myopia, Clinical Management Guidelines and Prevention of Myopia and its Progression Reports.
If your patient is a unilateral myope, sometimes the myopic eye is the easier one to manage! This case study explores the options to appropriately diagnose, track and manage the non-myopic eye in a unilateral myope – where the non-myopic eye seems to be progressing faster than the myopic eye treated with orthokeratology.
Managing unilateral myopia with high astigmatism is complex, especially with reduced acuity. Is myopia control the best approach? Myopia correction versus myopia control is discussed in this case, along with further assessments and considerations in management.
This case discusses how blood glucose levels can influence refractive error, and details a fascinating case of a young adult who has been aphakic from childhood. Despite a highly hyperopic refraction, she is diagnosed with axial myopia. Does she need myopia control?
An 8-year-old child is essentially monocular, due to unilateral high myopia associated with coloboma. The normally sighted eye has low myopia. How should we best balance safety and proactive myopia control in such a case?
Unilateral myopia can present a challenge to both myopia correction and control choices. In this case study, learn about which interventions have evidence for myopia control and reducing anisometropia, as well as the considerations for monocular versus binocular correction and treatment.
How would you manage a progressing myope with early keratoconus? In this case, refractive progression of myopia was not just due to axial elongation, and astute repeated measurement of both the corneal curvature and axial length helped with accurate diagnosis.
In this case study of a teenager with around 15D of myopia and moderate astigmatism, discussion included ocular and systemic health, contact lens options and whether myopia control is necessary.
Retinal detachment is not a condition which only affects adults. This case of a 12-year-old high myope with an asymptomatic retinal detachment and hole forms the basis for discussion of factors, frequency of types and treatment outcomes in childhood retinal detachment. The myopia control strategy is also discussed.
Children, teens and adults with high myopia need special consideration of not just myopia control, but the best type of myopia correction and the importance of ocular health management. Do high myopes progress more quickly? What are the risks and management options?
