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Myopia Management & Pediatric
Myopia Control
Singapore is #1 statically in the world for the prevalence of childhood myopia. Up to 65% of children are myopic by the age of 12. This is an alarming figure, as these kids can potentially developing high myopia (ie more than -6.00 D), with an average progression of 0.75D per year.
High Myopia are often associated with high risk of developing complications that would lead to reduce vision or blindness such as retinal detachment, Glaucoma and macular degeneration. Myopia is unfortunately a non-reversible phenomenon.
What is Myopia?
Myopia or short-sighted is when far object are blurred due to the elongation of the eye ball, which results the image to focus in front of the retina.
What are the main causes of myopia?
The exact causes are not known. However, it has shown a strong linked of genetic predisposition and environmental factors. Children whose parents are myopic are likely to be myopic. Long hours of constant near work and reduce outdoor activities are often contribute to the progression of myopia.
How do we manage children with progressive myopia?
1) Good eye care habits are important!
Frequent eye breaks after 30-40mins of near work are essential. Engage in more outdoor activities to relax the eyes from indoor activities eg playing games on tablets and computer. Maintain a good reading distance and having sufficient lightings are important too!
2) Myopia Control Spectacle lenses
We fit special myopia control lenses that can be incorporated into the spectacle frames eg Myovision and Myopilux lenses to young children to retard the progression of myopia.
MIYOSMART
MiyoSmart is Hoya’s myopia management lens that works like a single vision lens. It is targeted for a growing individual who has myopia. Myopia is short sightedness, it is linked with eyeball elongation. When a child is growing, the eyeball shape changes as well. For an individual with myopia, the eyeball is longer, the image formed is infront of the retina (the back part of the eye), hence the short-sightedness – unable to see distance clearly, however looking at near is clearer. MiyoSmart simultaneously controls myopia without interfering with the vision as the child is wearing it. It has two zones, focus zone at the centre – corrects myopia and defocus zone – controls myopia. The defocus zone has a honeycomb structure surrounding the focus zone. These little pockets has a fixed power that was calculated, to slow down the progression of myopia in a child. Clinical studies have found that MiyoSmart lenses has an average of 60% efficacy rate to slow down myopia progression.
MYOVISION PRO
MyoVision Pro is one of the myopia management lenses produced by ZEISS. It works like a single vision lens, but MyoVision Pro controls myopia by using peripheral defocus management. (What is peripheral defocus) -> Its lens is designed in a way where it has a central clear zone – myopia correction – and towards the periphery of the lens is where the myopia control occurs. With MyoVision Pro, the image that the child sees will be on the retina at the centre. At the periphery, instead of the image being projected behind the retina (This causes myopia to develop), it will be in front or on the retina. This reduces the growth of eyeball elongation, thus helps to slow down myopia progression. It has an efficacy rate of about 30%.
3) Myopia control soft contact lenses
BLOOMDAY
BloomDay is Menicon’s myopia management daily soft contact lenses. When a child wears BloomDay, their vision is not compromised. They are able to see clearly with BloomDay as it is designed to correct myopia at the centre of the contact lenses. Besides myopia correction, it also controls myopia as the child is wearing it. The myopia control occurs in the periphery of the contact lenses, where its design is made to alter the light rays that goes into the eye. This slows down the myopia progression as it reduces the growth of eyeball elongation. BloomDay is worn during the day for about 8 to 10 hours, and have to be taken out by the end of the day. Its efficacy rate is about 70% to 80%.
4) Orthokeratology treatment
The most effective way to curb the progression of myopia in children, by using specially designed Rigid Gas Permeable (RGP) lenses. Children can wear them safely (we only prescribe FDA approved contact lenses) overnight and enjoy corrected vision in the day. Many researches worldwide has shown promising results in slowing down the progression of myopia by using orthokeratology treatment. Find out more here.
