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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Four reasons why binocular vision matters in myopia management

Binocular vision is a much neglected (and even maligned?) domain of eye care where I’ve had numerous colleagues say their professional excitement and learning opportunities have been reinvigorated through seeing the clinical imperative and application in practice. Not only does binocular vision assessment add so much more to your clinical picture, and make optometric life more interesting, it could be …

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Three clinical pillars for myopia management

Once the myopia management message has been communicated to the parent and patient – information on expectations, efficacy and safety – and the initial correction has been selected, there are three key areas of clinical focus. Firstly, advice on visual environment is useful for both the child at risk of myopia development – those with a family history of myopia …

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Myopia management message part 2 – efficacy

Let’s cut to the chase – until further notice, you can consider low dose (0.01%) atropine, soft multifocal CL’s and OrthoK as all quite similar in terms of their myopia control efficacy, being around 50% on average. A network meta-analysis of sixteen different interventions studied for myopia control showed these options to all have similar efficacy when their refractive and …

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Myopia management message part 1 – expectations

We have a convincing evidence base for several optical, one pharmacological and visual environment solutions to reduce the progression of childhood myopia, but nothing guarantees 100% efficacy. Because of this, even in when under a successful myopia management strategy, a child’s myopia may still progress. It is important to manage parental and patient expectations about myopia management – that we …

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Which multifocal soft lens? Efficacy and function

In an earlier post on refraction and safety with multifocal soft lenses, I discussed how colleagues often as this question – if you’re fortunate to have access to multiple multifocal, dual focus or myopia controlling contact lens designs, which is best? In Part 1 I discussed considering refraction and safety, and in this second part I’ll discuss how these lenses compare based …

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Which multifocal soft lens? Refraction and safety

I was lecturing recently at the Southern Regional Congress, Australia’s largest optometry conference, run annually in Melbourne. I’d finished my myopia management lecture with a little time to spare for questions, and a colleague asked “when you’re talking about using multifocal soft contact lenses, which designs do you mean? Are you referring to [Coopervision’s] Misight, or the distance centred Biofinity …

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