Standardizing Myopia Control
A new joint position statement urges ophthalmologists and optometrists to standardize contact lens-based myopia control
Clinical Scorecard: Standardizing Myopia Control
At a Glance
| Category | Detail |
|---|
| Condition | Myopia |
| Key Mechanisms | Progressive myopia leads to long-term risks including retinal detachment, glaucoma, and irreversible visual impairment. |
| Target Population | Children and young adults, particularly in the Asia-Pacific region. |
| Care Setting | Ophthalmology and optometry practices. |
Key Highlights
- Myopia prevalence in some Asia-Pacific countries reaches 95%.
- Consensus recommendations for myopia control contact lenses include fitting children as young as five.
- Routine monitoring for contact lenses should occur at three, six, and twelve months.
- Orthokeratology requires more intensive follow-up than soft lenses.
- Treatment success benchmarks include refractive progression of no more than 0.50 D annually.
Guideline-Based Recommendations
Diagnosis
- Assess comfort, vision, centration, and primary gaze lens position during monitoring.
Management
- Consider treatment discontinuation based on stability in refraction and axial length.
Monitoring & Follow-up
- Follow-up visits for soft lenses at three, six, and twelve months; for orthokeratology at one day, one month, three months, and six months.
Risks
- Potential long-term risks of progressive myopia include retinal detachment and irreversible visual impairment.
Patient & Prescribing Data
Children and young adults in the Asia-Pacific region.
Combination therapy with atropine may be used, with a recommended dose range of 0.01-0.05 percent.
Clinical Best Practices
- Use trial lens fitting as the preferred approach for myopia control soft contact lenses.
- Employ slit-lamp examination and corneal topography for orthokeratology assessments.
- Set practical benchmarks for treatment success based on refractive progression and axial length increase.
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