The Four Best Ways to Treat and Manage Myopia

The Four Best Ways to Treat and Manage Myopia

If you or your children have myopia and it is getting worse each year, this article is for you. We will be discussing the four best ways to treat your myopia so it no longer gets worse. Everything we discuss is based on solid science and research, double-masked clinical trials, and recommendations based on mountains of peer-reviewed data. Certainly, we’ve heard and researched other more holistic approaches, if they turn out to be effective, know that this is surely a growing field however and as things change you’ll certainly hear it from us first!

What is Myopia?

Before you can defeat your enemy, you need to know exactly what it is. Myopia is a disease of the eye that is usually the result of an eyeball that has grown too long. We call how long the eyeball is the ‘axial length’. When the axial length grows excessively long, your vision will suffer in direct correlation. So any treatment we discuss has to show efficacy in its ability to reduce axial length elongation compared to a control group. Other times, the cornea may be too steep which can also cause myopia. However, for the sake of this article, we will address the major cause of myopia which is the excessive axial length of the eye. As when we talk about managing myopia, we will be talking about ways that have shown clinical evidence in slowing down axial length growth.

Custom Orthokeratology or Overnight Contact Lenses

Orthokeratology involves using a specially designed contact lens to gently reshape the cornea. The lenses are worn only while sleeping and are removed upon awakening in the morning. There are other names for orthokeratology such as corneal reshaping treatment, gentle vision shaping system, and custom retainers. The technology works by gently flattening the curvature of the cornea to redirect light directly onto the retina.

While initially created to help improve vision so that children and adults can see more clearly, studies have shown that the technology is extremely effective in reducing the rate of myopia progression. The theory is that light is focused in front of the retina in your peripheral vision. This effect changes the optical signals the eye receives to stimulate eye growth. Like all contact lenses, patients need to be diligent in handwashing and cleaning, and disinfecting the lenses for safe use. However, studies show that with proper hygiene this is an incredibly safe and effective treatment for treating children of almost any age.

Atropine

Atropine is a pharmaceutical agent that can be made into an eye drop. This eye drop has been used for many years to treat children with amblyopia, or sometimes called a ‘lazy eye’. It can be used to dilate the pupils of the eye and also used to treat uveitis as well. What we’ve learned as well is that the use of a diluted concentration of atropine can also slow down the speed of myopia progression. The mechanism of action is still little known, but we believe that it blocks certain signals of the eye to reduce the signal to grow longer. By slowing down the speed at which the axial length increases, this can directly impact the rate of myopic progression.

Custom Soft Multifocal Contact Lenses

More contact lenses are being designed and FDA approved to slow down myopic progression. The MiSight contact lens is an example that has been shown to slow down the rate of myopia by almost 60% compared to control groups. These lenses have different powers throughout the lens that optically focuses light in front of the peripheral retina. By designing these special powers, a patient can wear a simple contact lens during the day to treat both the vision problems associated with myopia as well as prevent the eye from growing too long.

Special Myopia Treating Eyeglasses

More glasses are coming out that can also redirect light in a similar fashion to orthokeratology and soft multifocal contact lenses. This is a particularly exciting alternative for patients who cannot tolerate contact lenses and are wary of putting pharmaceutical drugs into their children’s bodies. From large bifocal eyeglasses to lenses with specialized rings of power in them, lenses are becoming more and more advanced to prevent axial length elongation.

Treehouse Eyes Can Help Prevent Myopia Progression

The good news is we help prevent or slow down myopia progression in kids—just like yours—so they can have their best shot at academic and social success! Above are four of the best ways we treat myopic progression once your child has been diagnosed with myopia. Orthokeratology involves reshaping the eye gently with a contact lens while sleeping. Atropine involves an eye drop that can signal the eye to grow a little slower. Custom soft multifocal lenses are worn during the day. And even specially designed glasses are on the horizon to improve the progression of myopia.

The Treehouse Eyes eye doctors use state-of-the-art equipment to develop a personalized treatment plan for your child. Our non-invasive treatments include customized contact lenses and special prescription eye drops. Moreover, data shows that our patent-pending Treehouse Vision System® treatment plan can decrease myopia progression by 78%.

Give your child the tools they need to succeed!

Childhood Myopia: What It Is and What You Can Do To Help Your Child.

Dozens of parents bring their children into our practices every day for eye exams and other services, and many ask us questions about myopia. While instances and awareness of myopia are on the rise, to help spread myopia awareness we've written out the basics on childhood myopia, why it matters, and what you as a parent can do to help preserve your child’s eye health in the long run.

What is Myopia?

Myopia (often referred to as nearsightedness) is the most common cause of impaired vision in people under age 40, and its prevalence in children is growing at an alarming rate.

Myopia typically starts in childhood and progresses (the eye keeps getting bigger), or gets worse, until early adulthood. During this time the symptom of myopia, blurry distance vision, gets worse, meaning the patient needs stronger glasses to continue to see clearly. If blurry distance vision is the symptom of myopia, what exactly is myopia? Stated again, myopia is an eye that is growing too long. How do we know this?

We measure it using special non-invasive technology to calculate the length of the eye from the front (cornea) to the back (retina). This distance is known as the axial length and is measured down to fractions of a millimeter with advanced equipment. So, myopia is an abnormal elongation of the eye.

Risk Factors for Myopia

Myopia risk factors include genetics (having one or both parents myopic), an insufficient amount of time spent outdoors, and excessive near work (time spent reading, school work, & digital screens).

Childhood myopia is progressive, which is why your child may need a new prescription every year or two. Unless treated, a child’s myopia will continue to worsen until early adulthood. What some people don’t realize is that myopia is far more than simply blurred vision — it’s associated with drastically higher risk of developing eye disease in the future.

How Can Myopia Impact a Child’s Health?

Childhood myopia places a child at a greater risk of developing serious eye diseases later in life, as compared to non-myopic children, and the odds only increase as myopia continues to progress.

In fact, a child with myopia is 2 to 40 times more likely to develop myopic maculopathy (also known as myopic macular degeneration, a serious vision-threatening complication) depending on their degree of nearsightedness.

Retinal detachment is another serious eye condition that can cause permanent blindness. A myopic child is 3 to 21 times more likely to develop this emergency eye condition in adulthood.

Moreover, children with myopia have a threefold risk of developing glaucoma, a leading cause of blindness worldwide, in the long run.

And although cataracts are considered a normal part of aging, having myopia advances the age at which they develop. According to a study published in JAMA Ophthalmology, individuals with high myopia are more likely to need cataract surgery at an earlier age than those with no myopia.

Furthermore, aside from an increased risk of adult eye disease, untreated myopia can prevent a child from succeeding academically and socially.

A 2019 study published in the Community Eye Health Journal underscores the importance of excellent visual acuity in school-aged children. It found that offering vision correction to students with myopia has more of an educational impact than providing them with vitamins or medications to maintain or improve their physical health.

Myopia has equally serious ramifications outside the classroom. A study published in BMC Ophthalmology (2016) found that adolescents with myopia are more likely to have anxiety than their peers with normal vision.

Furthermore, adverse visual symptoms impact a child’s self-esteem, according to a study published in the Journal of Optometry and Vision Science.

The good news is that certain lifestyle choices, especially when coupled with myopia management treatment, can have a lasting positive effect on your child’s eye health.

What Can Parents Do To Help Slow Myopia Progression?

We know that parents want what’s best for their children. So here are a few recommendations that will help keep your child’s eyes healthy — whether or not myopia has set in.

Take your kids outside to play. Several studies have indicated that children who spend over 2 hours outdoors during the day have lower levels of myopia and slower myopia progression.

A recent study published in BMC Ophthalmology and cited in Review of Optometry (2021) found that for non-myopic children with myopic parents, “a high level of outdoor exposure had a remarkable influence on the risk of new myopia for children even with one myopic parent.”

Although it’s not always easy, try to limit the amount of continuous near work your child does. Whether it’s reading or scrolling through a phone, remind your child to take breaks.

However, the most important thing you can do to protect your child’s long-term eye health is manage their myopia with treatment.

We Can Help Preserve Your Child’s Eye Health

At Treehouse Eyes, our goal is to provide expert care to each and every child with kindness and a smile.

Our state-of-the-art equipment and diagnostic technology enable us to thoroughly assess your child’s visual condition and needs. We offer the latest treatments to manage your child’s myopia and effectively slow down how quickly myopia progresses.

Help your child succeed in school and in activities, and offer them a better overall quality of life with myopia management.