Environmental Modifications

Myopia Full Discourse
Mission
We are passionate about your eyes, and about building long-lasting relationships. Our goal is to ensure your eyes remain healthy throughout your life. We are all about service, love, kindness and a belief in strong community. Through our holistic approach to caring for you and our dedication to learning, we pioneer carefully researched new treatments, technology, and products to help ensure eye health.

Myopia and Eye Health

Childhood is an important time to think about myopia because myopic children tend to become more myopic over time. The age of onset of myopia is one of the most important predictors of severe myopia later in life. With high myopia the risk of developing potentially sight-threatening complications such as Glaucoma, Retinal Detachment and Cataracts later in life increase exponentially (as seen in the chart below)

Emmetropia = 1xCataractGlaucomaRetinal DetachmentMacular Degeneration
-1.00 to -3.002 x4 x4 x2 x
-3.00 to -6.003 x4 x10 x41 x
-6.00 or greater5 x4 x16 x126 x

Potential Complications

Retinal detachments – where the tissue at the back of the eye detaches from the eyeball.

Myopic macular degeneration – degeneration of the area responsible for sharp vision.

Glaucoma – degeneration of the optic nerve responsible for transmitting signals from the eye to the brain
Cataract – the lens in the eye that is responsible for focusing becomes cloudy.

It is important to note that the risk of these complications increase with age and are more likely to occur with higher amounts of myopia. These conditions can often be treated but do pose a risk for permanent vision loss.

myopia

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Clinical research has demonstrated that we can slow the increase in myopia in children safely and effectively using optical and pharmaceutical treatments. 

Types of vision correctionEffects on slowing myopic progression
normal glasses and standard contact lens0-5%
progressive and multifocal lens12 – 55%
MyoVision™ Lenses0 – 30%
Miyosmart Lenses60%
MiSight Contact Lenses59%
Atropine Drops50 – 80% 
Orthokeratology40 – 90 %

Treatment Options

Miyosmart Lenses

The Miyosmart lenses are a new spectacle lens designed by Hoya to help slow down the progression of myopia. This myopia control lens uses a breakthrough technology called D.I.M.S (Defocus Incorporated Multiple Segments) where the central portion of the lens contains the full glasses prescription allowing for clear vision and the periphery is surrounded by several defocus segments. These segments alter the peripheral focus of light along the back of the eye in such a way that it signals to the eye to slow down its growth.

Based on a 2-year clinical trial published in the British Journal of Ophthalmology, the Miyosmart lens was shown to reduce both myopia progression and axial length (length of the eyeball) by 60% compared to children wearing single vision glasses lenses. Learn More with Dr. Jessica

MyoVision Lenses

MyoVision is a ZEISS lens designed to provide sharp vision while managing peripheral blur. Learn More  

Soft or Hard Multifocal Contact Lenses

Interested in multifocal contact lenses?  Soft or hard multifocal contact lenses cause the peripheral vision to blur in order to slow down the progression of Myopia.  These contact lenses focus light in front of the retina and slow the growth of the eye.  Multifocal lenses are worn every day during the day and not at night.

 

Atropine Drops

Atropine drops are a pharmaceutical eye drop that has shown potential to slow down the progression of Myopia. Low dose Atropine has minimal effects on pupil dilation causing light sensitivity, less accommodation (ability to focus at near objects), and near vision. This is a great option for patients who are not candidates for Orthokeratology, or for younger patients.

Brilliant Futures™ MiSight® 1 day Lenses
MiSight® 1 day is the first soft contact lens to slow down the progression of myopia.  It is a daily disposable lens which has show to slow down myopia progression by 59%. Learn More in our video with Dr. Jessica. Read More

Orthokeratology

Looking for contact lenses for nearsightedness?  Orthokeratology uses customized contact lenses for corneal reshaping of the eye to improve vision. Orthokeratology is a non-surgical and reversible way to reshape the cornea.  It’s a great alternative to LASIK or PRK for those reluctant or unable to undergo laser refractive surgery and looking for an alternative to wearing glasses or contacts during the day. Orthokeratology is the optical equivalent of dental braces.  A retainer lens is worn overnight while sleeping and gently molds or reshapes the cornea thus creating a sharpened image upon awakening.  The cornea retains its shape during the day and good vision is maintained all waking hours.  The process is repeated each night, although some find they only need to wear their molds on alternate nights.  According to the foregoing table, studies show that Orthokeratology has been the most effective method for reducing and slowing the progression of Myopia, particularly for those whose eye prescription is below -5.00D. Learn More with Dr. Jessica 

Book your Myopia Management Consultation  

Environmental Modifications

Some studies show that changing day-to-day activities can naturally help decrease the severity of Myopia.  Suggestions include:

  • going outside more often (walk or participate in other outdoor activities) for a minimum of 2 hours correlates with later onset and a reduction in Myopia, Read more
  • taking breaks from the computer screen and following the 20/20/20 rule (looking 20 feet away for 20 seconds every 20 minutes),
  • keeping a good working distance of 16 inches for adults and 12-13 inches for younger children when working up close (Harmon’s distance).
  • keeping a good working distance of 16 inches for adults and 12-13 inches for younger children when working up close (Harmon’s distance).
  • encourage healthy sleep habits such as going to bed early, reducing bright light exposure prior to bedtime, and getting the recommended 9-11 hours per night in school-age children. Read more
  • high levels of digital smart device usage were associated with almost a 30% higher risk of myopia. This risk increased to nearly 80% when excessive computer screen time was combined. This research highlights the importance of monitoring digital device usage in children for ocular health and myopia management. Read more
    A friendly reminder for our parents for kids:

    A. Ages 0-2 no screen time (exception video chatting with parental supervision)

    B. Ages 2-5 no more than 1 hour per day

    C. Ages 5-18 no more than 2 hours per day

References:

Padmaja Sankaridurg, PhD, BOptom, MIP, Review of Optometry, February 2017

Saraswathi Eye Hospital. http://high-myopia-eye-hospital.com/low-myopia/

https://www.clspectrum.com/issues/2014-march-2014-contact-lens-design-materials

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