Clinical Report: Mastering Myopia

Overview

This report highlights the underutilization of multifocal contact lenses (MFCLs) in myopia management, despite their potential benefits for patients with irregular corneas or high prescriptions. The findings emphasize the importance of understanding lens characteristics and patient needs to optimize visual outcomes.

Background

Myopia is a growing concern, particularly in children and adolescents, with implications for long-term ocular health. Multifocal contact lenses have been identified as a viable option for myopia management, yet their adoption remains low among practitioners. Understanding the complexities of lens design and patient-specific factors is crucial for improving treatment outcomes.

Data Highlights

No numerical data available in the source material.

Key Findings

• Only 12% of practitioners utilize multifocal contact lenses for myopia management.
• Rigid GP lenses provide superior visual outcomes for patients with astigmatism compared to soft MF lenses.
• Prescribing MF lenses for myopia management involves more than just clarity; lens type plays a significant role in mitigating axial elongation.
• Pupil size has minimal influence on axial length growth when using specific MF lens designs.
• Customized contact lens care can enhance visual outcomes for patients with complex visual needs.

Clinical Implications

Practitioners should consider the unique visual demands of their patients when selecting multifocal lenses, particularly for those with irregular corneas or high prescriptions. Increased education and confidence in prescribing rigid MF lenses may improve patient outcomes in myopia management.

Conclusion

The complexities of myopia management necessitate a tailored approach to contact lens fitting, emphasizing the need for practitioners to stay informed about advancements in multifocal lens technology.

References

1. Dumbleton K, Palombi J, Contact Lens Spectrum, 2022 -- Soft multifocal contact lenses: a review
2. Nichols JJ, Fisher D, Contact Lens Spectrum, 2023 -- Contact lenses 2022
3. Michaud L, et al., Eye Cont Lens, 2018 -- Clinical evaluation of large diameter rigid-gas permeable versus soft toric contact lenses for the correction of refractive astigmatism
4. Winn B, et al., Invest Ophthalmol Vis Sci, 1994 -- Factors affecting light-adapted pupil size in normal human subjects
5. Berntsen D, et al., JAMA, 2025 -- Effect of High Add Power, Medium Add Power, or Single-Vision Contact Lenses on Myopia Progression in Children: The BLINK Randomized Clinical Trial
6. contact lens spectrum — Mastering Myopia: Starting Strong: Managing Myopia from the Onset
7. Contact Lens Spectrum — Mastering Myopia: Starting Strong: Managing Myopia from the Onset
8. Contact Lens Spectrum — MASTERING MYOPIA
9. contact lens spectrum — Mastering Myopia: Innovations and Future Directions
10. Mastering Myopia: Starting Strong: Managing Myopia from the Onset
11. Mastering Myopia: Innovations and Future Directions
12. IMI—2025 Digest
13. Effect of High Add Power, Medium Add Power, or Single-Vision Contact Lenses on Myopia Progression in Children: The BLINK Randomized Clinical Trial | Ophthalmology | JAMA | JAMA Network