Optimizing Treatment in Low Myopes - Summary - MDSpire

Optimizing Treatment in Low Myopes

Discover how adjusting orthokeratology parameters can optimize myopia control in young children, insights from Dr. Brooke M. Messer.

  • By

  • Brooke M. Messer, OD, FSLS, FAAO

  • March 1, 2026

  • 3 min

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Objective:

To explore the optimization of orthokeratology lens parameters for myopia control in young, low-myopic children.

Key Findings:
  • Younger low-myopic patients show less axial length control with ortho-k compared to older children.
  • Reducing BOZD can help shift midperipheral steepening into the pupil area for better myopic defocus.
  • Higher baseline myopia, smaller BOZD, and larger pupil sizes correlate with improved myopia control.
Interpretation:

Managing myopia progression in low myopes using ortho-k is complex and may require additional treatments like low-dose atropine.

Limitations:
  • Reduced BOZD alone may not provide sufficient myopia control for low myopes due to modest corneal shape changes.
  • Mixed evidence exists regarding the effectiveness of increasing the compression factor.
Conclusion:

Combining reduced BOZD with other therapies may enhance myopia management in young low-myopic patients.

Original Source(s)

Optimizing Treatment in Low Myopes

  • by Brooke M. Messer, OD, FSLS, FAAO

  • March 1, 2026

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