What is myopia management?
Myopia management is an area of eye care that uses various treatments to prevent or slow your child’s
myopia progression. Depending upon your child’s specific needs, our doctors will recommend different
Currently, there are four main methods used in clinical practice to help slow the progression of myopia
including MiyoSmart glasses, soft multifocal contact lenses, ortho-K and atropine therapy.
MiyoSmart Glasses: 60% average reduced progression
A great new option for myopia control. They are special lenses that have areas of defocus built into the
periphery of the lens, creating a myopic defocus on the retina. This has been clinically proven to reduce
the progression of myopia by an average of 60%, which is huge!
We will often also prescribe lenses with a near focus built into the bottom of the lenses, if we feel this
is more appropriate based on their examination.
Soft multifocal contact lenses provide comparable efficacy to the MiyoSmart lenses with regards to slowing
the progression of myopia. The lens design has optical rings of distance power and near power to create the
appropriate mid-peripheral defocus. This, in turn, minimizes the stimulus for myopia progression by focusing
the light in front of the peripheral retina.
This is a very easy method if your child is interested in contact lenses.
Atropine drops: 50% success rate
Atropine is an anticholinergic agent. In the eye, atropine is known to induce pupil dilation by blocking
contraction of the circular pupillary sphincter muscle. Research has shown that low-dose (0.01%) atropine
can help slow myopia progression. The low dose minimizes side effects including increased pupil size or
blurred near vision.
This method uses custom-designed gas permeable contact lenses that are worn at night that reshape the
cornea to temporarily reduce refractive error. Our clinic does not currently do orthokeratology at this