Prism Eye Care logo

Bringing Vision into Focus

Myopia Management

Myopia is also referred to as nearsightedness. It occurs when the eyeball grows too long, which causes light to focus in front of the retina (the back of the eye) instead of on the retina. Therefore, objects at a distance are blurred and objects up close are clearer.

Myopia usually starts in childhood, when eyeballs are growing rapidly, and can progress through the teen years and into the 20’s. Typically we treat with glasses and/or contacts. However, glasses and contacts alone cannot stop myopia progression, and that’s where myopia management comes in, to try to control the progression of myopia. Lens on Eyechart

Both environmental and genetic factors can affect myopia progression. For instance, environmental can be prolonged close up work activities such as reading, studying, and increased computer/IPAD screen time. Genetic components whereby both parents being myopic can increase a child's chance of developing myopia as well.

It is important to make sure reading material is being held at an appropriate distance from the eyes (not too close), it is also important to make sure when reading or doing any type of close work, that a good light source is present.

With the progression of myopia, the eye will typically elongate over time, and cause more blurred vision at distance. High myopia carries an increased risk of ocular disease such as glaucoma, myopic macular degeneration and retinal detachment. The goal in controlling progression, is to prevent serious eye diseases that may occur later on in life with higher levels of myopia. So when we see a young child with myopia, we tend to be more proactive in recommending myopia control.

There are three methods of myopia control, designed to reduce the progression of myopia, not reverse it. Studies have been performed on each of these methods. This is a general overview of these methods:

  1. Orthokeratology - a hard lens worn overnight which reshapes the cornea so there is no need to wear any correction (glasses or contact lenses) during the day.
  2. Soft Multifocal Contact lenses - a specific design of multifocal lens used for myopia control.
  3. Atropine Eye Drops - prescription dilating drops that are given in low doses, to help slow down the progression of myopia. Studies were performed using different concentrations of atropine to find those that were most effective, with minimal side effects.

If it is determined that you have myopia, The Optometrists at Prism Eye Care Inc. will prepare the best course of management specifically for you.

Make an appointment today at Prism Eye Care Inc.