Myopia Management

Understanding Myopia & Myopia Management

Before we share the benefits our myopia management services can have for your or your child’s eye care needs, let’s first review the meaning and causes of Myopia.

What is Myopia?

Myopia is a common eye condition. Its most frequent symptom is nearsightedness, or the inability to see objects at a distance. This occurs when the eye grows longer than the natural focus point provided by the eye’s lens.

What Causes Myopia?

Myopia is on the rise in both frequency and severity. In the 1970’s, 25% of Americans were myopic. In the 2010’s, the percentage had grown to 42%. By 2050, it is projected that 58% of Americans will be myopic.

This escalation is linked to two factors:
Genetics – Kids with one or two myopic parents are more likely to be myopic.

Lifestyle – Spending more time on activities like reading or using digital devices instead of spending time outdoors increases the likelihood of becoming myopic.

How Myopia Management Can Help

Over the last decade, there has been a tremendous amount of research on ways to prevent or limit the march of myopia for children as they grow. This research has led to several clinically backed methods of myopia management:

Go Outside!

The research clearly shows that children who spend a minimum of a 90 minutes per day playing outside are much less likely to become myopic. The reason for this is unknown, but the effect is profound. Drs. Scott & Staci strongly recommend that all kids (and adults too!) take advantage of this effect. However, once a child does become nearsighted, additional action is needed to prevent progression.

MiSight 1-Day Contact Lenses

The first and only contact lens FDA-approved to slow the progression of myopia in children 8-12 at initiation of treatment. MiSight lenses correct a child’s vision while preventing axial growth of the eye using a specific type of bifocal technology. On average, a child’s myopia progression can be reduced 59% with MiSight contact lenses. Drs. Scott & Staci consider this to be the best choice for most children with advancing myopia.

Low Dose Atropine

Daily use of this dilating drop can also prevent the eye from elongating, which is the source of myopia progression. This method may be used in cases where use of MiSight contact lenses is not feasible or desired. Side effects may include light sensitivity, near blur or fatigue, and dry mouth. Another method of vision correction, such as glasses or “regular” contact lenses, is still required.


Using Rigid Gas Permeable (Hard) contact lenses fit flat to hold the cornea in place (like a retainer) can also reduce myopia progression. Drs. Scott & Staci feel this method is less advantageous for several reasons and do not prescribe it. We are more than happy to assess your child’s candidacy for them and refer you to a practitioner who uses this method if you feel it is the best option for your child.

Ecenbarger Eye Care’s Response to this Crisis

Dr. Scott & Dr. Staci have a passion for helping children succeed. We have been early adopters for fitting children in contact lenses our whole careers. Contact lenses accommodate a more active lifestyle and children who wear contact lenses generally have a better quality of life than children wearing glasses, especially regarding athletics and appearance. Now, the MiSight lens can provide those benefits AND prevent myopia progression. This is critical for several factors. Of course, the lower the prescription, the more functional the child will be while uncorrected. This can be tremendously important for quality of life and safety in certain situations. What most parents do not realize is that the higher the prescription, the more risk for disease. It is estimated that for every diopter of myopia, the risk for ocular disease (especially glaucoma and retinal detachment) increases 40%. We have a short window of time to act because once that axial elongation of the eye has occurred, there is no going back.

Eye Care Recommendation 6mo – 5yr

So, we recommend every child be evaluated through the InfantSEE program between 6-12 months old. This comprehensive evaluation is provided at no cost. We establish the refractive baseline, check for normal development of muscle coordination, and perform a complete ocular health check. In most situations for a normal child, the next exams should be at 3 and 5 years old.

Eye Care Recommendation 5yr +

After your child is 5 years old, annual exams are recommended throughout school age. This allows us to chart refractive change. Most kids are born hyperopic (farsighted) and this decreases as they grow. If they pass plano (no refractive error) too soon, they start to become myopic. In that case, the sooner we can institute one of the myopia management measures, the more successful we will be. This is often around age 7 or 8, which is much younger than most parents begin to consider contact lenses for their children. Don’t worry! We have a lot of experience in teaching kids to insert, remove, and care for contact lenses properly. We usually find they are often much better at following our instructions than the parents!

As with all eye care topics, we strive to be your experts and advocates in the field. We are happy to discuss all concerns and further explain this complex topic. Please contact us for more information.

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