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Progressive Myopia: When Your Child’s Vision Keeps Getting Worse

What Is Progressive Myopia?

Nearsightedness or myopia is one of the most prevalent eye disorders worldwide and its incidence is increasing. In fact by 2050, myopia is projected to affect half of the world’s population!

Many children diagnosed with nearsightedness (myopia) experience a consistent worsening of their vision as they grow into adolescence. This condition can be so aggressive that for some, each time they take their child to the eye doctor for a vision checkup, their prescription gets higher. 

This is called progressive myopia and can be a serious condition for many children now and in the future. Not only is there a financial burden and inconvenience associated with having to replace eyeglasses on a regular basis, but high myopia is a risk factor for many eye diseases later in life such as retinal detachment, early onset cataracts, glaucoma and macular degeneration. 

What Causes Progressive Myopia?

Myopia is a refractive error that happens when the eye focuses incoming light in front of the retina, rather than directly on it, resulting in blurred distance vision. While an exact cause of progressive myopia is not known, most research indicates that a combination of environmental and genetic factors trigger the condition. 

First of all, there is evidence that a family history of nearsightedness is a contributing factor. Additionally, spending a lot of time indoors may play a role in myopia development, as studies show that children who spend more time outside have less incidence of myopia. Lastly, near point stress, which can be caused from looking at a near object for an extended period of time, can prompt the eye to grow longer and result in myopia. Several eye doctors recommend following the 20-20-20 rule when using digital devices (stopping every 20 minutes to look 20 feet away for 20 seconds) to reduce near point stress caused by computer use. 

What Can Be Done To Prevent or Treat Myopia?

There are several treatments that have been shown to slow the progression of myopia.

Orthokeratology (ortho-k):

Also known as corneal reshaping, this treatment uses rigid gas permeable contact lenses that are worn while the patient sleeps to reshape the cornea, which is the clear, front part of the eye. During the day, the patient is usually able to see clearly, glasses-free. In addition to allowing glasses-free vision during the day, this treatment has been shown to reduce the progression of myopia in many children. 

Distance Center Multifocal Contact Lenses:

This treatment uses distance center (which means the area for seeing at a distance is in the center of the lens) multifocal soft contact lenses to provide clear vision and slow the progression of myopia. The lenses are worn as normal contact lenses during the day.

Atropine Drops:

Atropine drops are a daily-use prescription eye drop that has been shown to reduce myopia progression. It can be used alone or in combination with ortho-k or multifocal contact lenses. 

Additional Myopia Treatments:

While these treatments are available in all of North America, some countries offer additional options that are approved for myopia control. For example, in Canada, ZeissTM MyoVision glasses that have an innovative lens curvature design are available to help reduce the rate of myopia progression. Additionally some doctors in Canada offer Coopervision MiSight® lenses, which are 1-day contact lenses that are worn during the daytime. These contacts have a multifocal lens design with distance centre and near surround that is specifically designed for children. 

Myopia & Your Child

If your child’s vision keeps getting worse, it's more than an annoyance - it can be a serious risk factor for their eye health and vision in the future. The best strategy for myopia control depends on the child and the severity of the case, and requires consultation with an experienced eye doctor in order to determine the best solution. If your child wears glasses, make his or her vision a priority; schedule an eye exam to ensure stable vision and healthy eyes. 

 

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VISION CARE CONSULTANTS COVID-19 CDC COMPLIANCE STATEMENT

Eyecare services are currently available for you, your children and family. However, please consult our Google Business page or call us for our current hours of operation. We want to advise you about the procedures and efforts that we are making to address the challenges regarding COVID-19/Coronavirus. (Read more)

Our efforts you can expect at our practice:

  • Staggered appointment times with minimal to no wait times in our reception area. Patients may also check in and wait outside in their cars to be called in for exam.
  • Following guidelines based upon medical evidence and closely monitoring the guidance from the Centers for Disease Control (CDC).
  • Educating our doctors and staff on preventative measures provided by the CDC with daily staff meeting updates.
  • Increasing the frequency and extent of our cleaning practices, such as additional wipe downs of all hard surfaces including the front desk, examination rooms after every exam and additional cleaning for all “patient touch points” (door handles, eyeglasses, counter tops, and other high-touch surfaces).
  • Providing additional resources that are available to patients and employees including hand sanitizers, extra soap and paper towels at all sinks and restrooms.
  • Implementing heightened sanitation and hand-washing procedures for all staff.

OUR PATIENT REQUEST:

  • Only bring scheduled patients to the office (1-Accompanied adult per minor or elderly patient).

  • If you recently traveled to any of the high risk countries within the past 30 days, please, delay & reschedule your appointment for 30 days after you returned from your travel.

  • If you have any flu-like symptoms (fever, chills body aches, & trouble breathing), please, delay your appointment for 30 days.

  • If you are experiencing any of the symptoms listed above, and you arrive at our office, we will kindly ask you to leave & reschedule your appointment

  • Please notify us as soon as possible if you need to reschedule your appointment. This allows us to release your reserved time to another patient.

With appropriate precautions we will together address this challenge and modify behaviors that will make us better prepared to face such challenges in the future. Thank you for your cooperation.

Sincerely,

Dr. Brawley, Dr. Friederich, Dr. Seibel, Dr. Wehner & Staff at Vision Care Consultants