Myopia Management

Myopia Management is a relatively new concept and we are keen to ensure people know it is an option for many children who are currently relying on glasses to correct their short-sightedness.

Why does Myopia matter?

Myopia is a global problem. The rising prevelence and the risks of sight-threatening ocular pathology associated with myopia are well documented. By 2050, it is predicted that half the world’s population will have myopia, with nearly one billion at high risk of sight threatening ocular pathology. In the UK, the prevalence of myopia in children aged between 10–16 years has more than doubled over the last 50 years, and children are becoming myopic at a younger age.

Myopia Management is a relatively new concept that aims to slow the rate of myopia development in children. At Shrewsbury Optometry we are keen to ensure people know it is an option for many children who are currently relying on glasses to correct their short-sightedness.

This website My Kid’s Vision is a free online tool that helps parents assess and manage myopia risks for their children.

Visioncare membership

All our Myopia Management patients are on our exclusive membership scheme, Visioncare. As a member of Visioncare your child will have access to the highest level of eye care available.

Myopia explained

Short-sightedness, or myopia, is a very common eye condition that causes distant objects to appear blurred, while close objects can be seen clearly.

It’s thought to affect up to 1 in 3 people in the UK and is becoming more common.

Short-sightedness can range from mild, where treatment may not be required, to severe, where a person’s vision is significantly affected.

In children the condition can start from 6 to 13 years. During the teenage years when the body grows rapidly myopia may become worse. Myopia can occur in adults.

Signs that your child may be short-sighted can include:

  • needing to sit near the front of the class at school because they find it difficult
  • to read the whiteboard
  • sitting close to the TV
  • complaining of headaches or tired eyes
  • regularly rubbing their eyes

Myopia Management aims to slow the progression of myopia in children through identifying risk factors, making adjustments to lifestyle, specialised contact lenses, and occasionally with specific multifocal spectacle lenses

At Shrewsbury Optometry, our expertise in contact lenses allows us to provide the most advanced options available based on up-to-date research, which has found Myopia Management contact lenses can slow the progression of myopia by over 50%.

Myopia Management contact lenses are designed to correct your child’s vision by slowing the process of elongation and enlargement of the eyeball. There are various types of Myopia Management lenses available currently.

Two of the most common options are listed below;

MiSight daily disposables

A convenient lens option that does not require the storing of lenses overnight, The lenses are simply worn for the desired period and disposed of at the end of the day.

By changing the focus of light falling on the periphery (edges) of the retina, you can reduce that stimulus for the eyeball to grow and become more myopic. So the lenses do two things. Firstly, they make the child see clearly by correcting the myopia in the centre of the eye and secondly, they have special optics at the edges which changes the focus of the light there, which in turn slows the progression of growth.

Orthokeratology (Ortho-K) overnight lenses

Ortho-K lenses were designed originally many years ago to be worn at night while people sleep and avoid the need to wear and glasses or contact lenses during the day. They are great for children who don’t feel confident to wear lenses at school or who take part in sport like swimming, where contact lenses wear is not possible. They work by reshaping the eyeball as the child sleeps allowing them to see clearly by day.

These lenses also create the same dual focus as the daily disposable lenses, correcting the central vision and altering the peripheral focus of the eye to slow the progression of eye growth.

Who is suitable for Myopia Management contact lenses?

As soon as myopia is diagnosed, we would recommend speaking to an optometrist about the contact lenses. To be considered for MiSight then children must currently have a prescription of no higher than -6.00D with very little astigmatism. Orthokeratology works best for prescriptions of less than -5.00D, again with little astigmatism. There are however other options if you have a higher prescription or astigmatism so please contact our optometrists to discuss this further.

At what age can children wear Myopia Management lenses?

Children as young as seven-years-old wear Myopia Management contact lenses.

Naturally the parent/guardian will be the best judge of whether the child is suitable, however we are often surprised just how capable young children are in dealing with their lenses.

Our team help build their confidence handling, inserting, cleaning and teaching them how they would handle them out the home e.g. if they got something in their eye during the day.

We ensure they are totally confident before allowing them to take them home and then monitor their progress closely. Interestingly, research shows that the risk of infection to children wearing contact lenses is no higher than that of adults and in fact the youngest age group of children may have the lowest risk altogether.


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