Optometrist Sarah Douglas Answers Myopia Management Questions from Bristol Clinic
What is Myopia Management?
Myopia management incorporates a wealth of international research into the growing prevalence of myopia (short sightedness). At Lynne Fernandes our aim is to work together with you to slow (or ‘reduce’) the rate of progression of myopia for your child by treating with specialised contact lenses or specialised glasses, environmental advice and regular monitoring.
What is recommended for Myopia?
Research has shown that correcting myopia in the traditional way, a pair of distance glasses, has shown no effect in slowing the rate of progression of myopia.
At Lynne Fernandes we offer solutions both in contact lenses and glasses that may help slow the rate of progression of myopia. We use CE marked Misight daily disposable contact lenses, Ortho k rigid lenses, and other contact lens options. Our glasses options include bifocal and progressive lens options.
How do you know which is the best option for my child?
Through time and conversation with yourselves and your child in the myopia assessment appointment, we can decide the best way forward for your child’s ocular health.
How will you know if this is working for my child?
At Lynne Fernandes we monitor myopia management patients every 6 months. This includes measuring axial length of the eye along with checking their prescription (or ‘refraction’).
If we feel an alternative option would be more beneficial for managing the axial length or prescription, we would discuss this at your regular myopia control appointments
If we didn’t try Myopia Managment what is the worst that could happen?
We know that using the traditional method of single vision distance glasses, myopia rates progress throughout childhood/ teenage years. This leads to stronger glasses which are more costly and have thicker lenses which is less cosmetically pleasing.
Research shows increased risk of eye disease for patients with myopia including retinal detachment, myopic macula degeneration, glaucoma and cataract. These risks are apparent even for small levels of myopia and increase with increasing myopia.
What evidence is there this works?
We provide you a list of references from international research in this area spanning 20yrs and we have over 100 patients in our myopia management scheme that we have been following since 2014.
With the different options, is there any evidence to show if one option is better than another?
Evidence shows good effectivity with many methods we offer including up to 60% effectivity in slowing the rate of progression with MiSight daily disposable contact lenses.
We can discuss with you effectivity rates and the best option for your child at the myopia assessment appointment.
How long will my child need to be on Myopia Management?
The beauty of myopia management options are that they can be continued into adult life. There is no cut off point.
We would review at 16yrs and if there is no progression in refraction (prescription) or axial length for 2 years we would give you the option of stopping.
What is the earliest age you recommend?
The best time to start myopia management is at initial diagnosis . There are myopia management options available for all ages.
Under the age of 9yrs, myopia tends to progress at a faster rate so the sooner we start myopia management, the more effect it is likely to have.
Is it more beneficial to start at an early age and what is the oldest age you would recommend to start?
The average age for developing myopia is reducing – younger onset means faster and more eye growth, which increases likelihood of high myopia and higher risk of eye diseases.
At Lynne Fernandes Optometrists we recommend managing myopia from the time its is first diagnosed. The sooner myopia is managed the greater effect of myopia management we see.
There is no minimum or maximum age for myopia control - if the myopia is progressing, we recommend myopia management strategies to you.
If my child struggles with contact lenses, are there any other options? If so what?
Yes, there are options for myopia management in glasses. From winter 2021 we will be offering MiYOSMART spectacle lenses, which have shown fantastic results over a two year trial.
How many lessons does my child have to learn how to put CL’s in? Is this part of the cost?
Every patient requires a teach appointment before they can take home their contact lenses. Usually patients become proficient in one 45minute appointment but they can return as many times as they need to in order to gain confidence in this.
This cost is covered in our Eyesense scheme for myopia management.
How long do they need to wear the CL’s for?
For daily disposable myopia control contact lenses we recommend a minimum wearing time of 6 days per week for 10hrs per day.
For overnight Ortho k myopia control lenses, we recommend a minimum wearing time of 6 nights per week.
Why choose Lynne Fernandes Optometrists for Myopia Management?
We are experts. We are ethical. My fellow optometrists and I have completed the world renowned Brian Holden Vision Institute's Myopia Management course. This proves our credentials and desire for clinical excellence. We will put your child's welfare first. We are recognised nationally as leaders in implementing and running evidenced based myopia management clinics. You can be reassured you and your child will have the best care.
Why Myopia Managment
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