Measuring accommodative facility

Assessing accommodative function at near is a vital component of understanding the myopia profile of your patient. Myopic progression in children and adults can be influenced by binocular vision function. There is a reported association between higher levels of esophoria and accommodative lag at near in myopic children and young adults as compared to emmetropes.1-5 Myopic children and young adults …

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Measuring near lag of accommodation

Assessing accommodative function at near is a vital component of understanding the myopia profile of your patient. Myopic progression in children and adults can be influenced by binocular vision function. There is a reported association between higher levels of esophoria and accommodative lag at near in myopic children and young adults as compared to emmetropes.1-5 Myopic children and young adults …

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In Optika Forma – Customising the perfect myopia control contact lens

Myopia control is much more than just a new modality for our contact lens practice – it is a shift in paradigm. We may be converting our practices from simply correcting ametropia and servicing our patients’ refractive needs to treating them in a therapeutic way, preventing or minimizing myopic retinopathy and potentially changing lives. We actually may need new terminology …

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Atropine for myopia control – the clinical experience

In 2010 Visique Rose Optometrists in New Zealand launched its myopia control clinic. The aim of this clinic was to provide evidence based treatment options for the correction for myopia. Two years ago Atropine was introduced with help and collaboration of local ophthalmology. All patients within the clinic are reviewed regularly with cycloplegic refraction (as indicated) and IOL master measurement …

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The ‘next big thing’ for myopia control – an industry perspective

After attending the BCLA Myopia Management Day, I got to thinking about how industry will respond to the conference highlights. There was much discussion about new optical designs which may emerge in the coming years. New optical designs will require research funding to measure their effects to ultimately achieve FDA approval for myopia control. Industry will need to provide considerable …

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Eight ways to introduce myopia control into your practice

Speaking at conferences in Australia, New Zealand, Europe and America on myopia control has seen numerous practitioners clearly interested in my approach to myopia management. The difficulty in the busy clinician translating research into practice is that full spectrum myopia management demands knowledge of epidemiology, optics, specialty contact lenses and binocular vision. That’s a lot to get your head around, …

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Why outdoor time matters in myopia development

There’s no doubt that the simplest lifestyle intervention we can advise for both our at-risk pre-myopes and progressing myopes is to spend more time outdoors. This data first came to prominence in Rose et al’s 2008 paper, published in Ophthalmology, entitled conclusively that Outdoor activity reduces the prevalence of myopia in children. Over 4000 children (half aged 12 and the …

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Orthokeratology for myopia control – meta-analysis

Two meta-analysis papers were published in the first half of 2015, both from Chinese research groups. Meta-analysis requires specifying a search criteria which is then followed over a set period of time to include all papers and reports that are caught by the search criteria terms. These papers are then individually analysed for whether they match the inclusion criteria set …

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Does the risk of fitting OrthoK in kids outweigh the myopia control benefits?

This is an important question because the scientific data increasingly points towards contact lenses as our best option for myopia control. Embracing active myopia management in practice means embracing paediatric contact lens fitting. Is contact lens wear more dangerous than a higher level of myopia? Ian Flitcroft, an ophthalmologist and prolific writer provides a sobering association between increasing myopia and …

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