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. Related Resources & Content
