Encouraging full time spectacle wear in kids

Spectacle lenses with myopia control designs such as Essilor® Stellest® have been shown to effectively reduce myopia progression.¹ Since full-time wear is to be encouraged to maximize efficacy,¹ eye care practitioners can be faced with questions about using spectacles when playing sports, with the main concern being accidental breakage. This question was posed to the Myopia Profile community and here are the responses:

Spectacle frame, lens design and lens material choice have been found to be associated with ocular injury related to sports. In contact sports and some ball sports, regular spectacle frames and lenses do not offer proper eye protection and can increase ocular health risk in some cases, if they shatter.² The requirement for eye protection depends very much on the activity, and recommendations can vary by country - it is important to be aware of any guidance provided by professional organizations in your country with respect to kids' eye protection. Read more in this All About Vision article.

If a child is running, cycling, playing non-contact sports or undertaking general physical activity, normal spectacles can be utilized to provide full vision correction. When it comes to spectacle lenses for sports protection, polycarbonate is found to be the most impact resistant lens material available for prescription eyewear and are capable of withstanding likely impacts in sports.³ Essilor® Stellest® spectacle lenses are made in polycarbonate material, which is suitable and safe for active kids. Examples of sports where children and teens (and adults) could wear spectacles can be seen in teenage Table Tennis stars and 2024 Olympic hopefuls from France, Felix and Alexis Lebrun; and Olympian Archery competitor Deepika Kumari from India, who won her first world championship at age 15.

It is also extremely helpful to reiterate the message of full-time wear as being necessary for optimum myopia control outcomes. In the clinical trial, children who wore their spectacles with Essilor® Stellest® lenses for at least 12 hours per day, 7 days per week, showed the best myopia control results.¹ Encouraging full-time wear includes discussion about a child's typical daily activities, and noting with the patient and their parent(s) that full-time wear also means for sport and home activities, not just in the classroom.

In this discussion, the community have suggested soft contact lenses as an option for sports. This is sensible advice for children playing sports where spectacles could prove a barrier to participation. Spectacles can be worn in sports where they are not a barrier to participation. A vital message here is that ensuring children have full vision correction is crucial to giving them the best chance for performance at sports. Good clinical communication including discussion of leisure activities and sports can reveal where additional protective or general use eyewear for sport could be useful for children and teens with myopia.

It is important to note that whatever mode of myopia correction is chosen - spectacles or contact lenses - that a myopia control option should be prescribed for wear as much as possible, to maximize the potential effect in slowing myopia progression. Spectacles should not be unnecessarily removed during break times at school or for other situations where it is not necessary, as this impacts the child's ability to function and can impact the myopia treatment outcome.

Finally, time spent outdoors should be encouraged for children with myopia, as a key strategy to reduce development of myopia and in some studies, also reduce rate of refractive progression and axial elongation. Read more in our summary on the IMI Report On Prevention Of Myopia And Its Progression.

1. Risk of injuries and/or broken spectacles can be difficult to predict for various sports. In cases of contact sports, specific protective eyewear can be recommended, and if spectacles are a barrier to participation then contact lenses can be an option. However, active kids can be encouraged to wear their polycarbonate myopia control spectacle lenses for outdoor activities and sport, where suitable.
2. Full-time wear of a myopia control treatment - whether spectacles or contact lenses - should be encouraged for children, to give the best potential to slow myopia progression. Spending time outdoors is also an important discussion point for kids with myopia and their parent(s).

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