The esophoric myope and contact lenses

When it comes to contact lens corrections for young myopes, the impact of orthokeratology (OK) and multifocal soft contact lenses (MFSCL) on binocular vision is pertinent to visual comfort and understanding mechanisms of myopia progression and control. Oliver’s story Oliver, age 10, was referred with a history of fast, recent myopia progression. His mother was R&L -7.00 and he was …

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Specs to contacts – what happens to BV?

Changing a myope from spectacle to contact lens wear can alter their binocular vision (BV) function. The myope reading through their spectacles experiences base-in prism at near, as demonstrated in the image above, which moves the image further away and decreases vergence demand. Looking away from the optical centre of the lens (while keeping the vertex distance constant) also reduces …

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Which option to slow myopia? New Clinical Management Infographic

We’re excited to release our new clear, concise and clinically relevant infographic Which option to slow myopia?to help you with what we have learnt is the main practitioner need in myopia management, and the most popular discussion topic in the Myopia Profile Facebook group – guidance in selecting the right treatment for your patient. A world first, evidence based decision …

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Axial length measurement – a clinical necessity?

Most eye care practitioners don’t routinely measure axial length in clinical practice, mainly due to lack of access to the instrumentation and its expense. This is not the only reason, though, that axial length (AXL) measurement is a bit of a problematic measure for gauging myopia management success in a clinical setting. When I was leading the authorship of the …

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Eight Myopia Mysteries (plus eight more!)

This open-access continuing education article I authored was published in Australian professional journal Mivision in December 2018. It describes that while there’s a lot we know about myopia control – the imperative to reduce lifelong risk of vision impairment; that numerous options are available; and that the sooner we start the better – it is imperative for the clinician to …

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Atropine – wonder or weak treatment?

Atropine has been the apparent hero of myopia management since the 2006 publication of the ATOM (atropine for the treatment of childhood myopia) study, which showed an 80% refractive and 100% axial length myopia controlling effect with 1% atropine compared to placebo.1 The significant side effects of mydriasis and cycloplegia, though, made it less than tolerable as a first line …

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Contact lenses for kids – paediatric, parent and practitioner psychology

When selecting an optical treatment for myopia management, contact lens options appear to be the most consistent, with OrthoK and multifocal soft contact lenses offering around a 50% efficacy for controlling refractive and axial change in myopia.1 And it’s not just the important benefit of modifying lifelong risk of vision impairment through successful myopia control which should be top of …

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Contact lens safety in kids

There is no doubt that the best first choice for myopia control is a contact lens option, which both corrects ametropia and shows reliable myopia control efficacy. One of the key barriers to pediatric contact lens wear is concern about safety, however, for both practitioners and parents. Mark Bullimore1 recently published a meta-analysis of pediatric soft contact lens studies (SCL) …

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