Clinical Report: Mastering Myopia: Matching Patients to Modalities
Background
The management of myopia is increasingly relevant due to its rising prevalence. With a variety of treatment options available, practitioners face the challenge of selecting the most appropriate modality for each patient.
Data Highlights
No numerical or trial data provided in the source material.
Key Findings
- High astigmatism (≥2 D) limits options for myopia control, with ortho-k unlikely to correct it.
- High-add center-distance multifocal soft lenses can affect myopia progression, with mean differences of 0.46 D and 0.23 mm at 3 years.
- Optical methods may be beneficial in combination with atropine.
- Visual demands of activities should guide treatment modality selection.
- Myopia control spectacles are suitable for patients not ready for contact lenses.
Clinical Implications
Practitioners should consider individual patient activities and visual demands when recommending myopia control modalities. A combination of optical methods and pharmacologic treatments may provide a more comprehensive approach to managing myopia.
Conclusion
Effective myopia management requires a tailored approach that considers the clinical and lifestyle needs of patients.
Related Resources & Content
- Walline JJ, et al., JAMA, 2020 -- Effect of high add power, medium add power, or single-vision contact lenses on myopia progression in children
- Bao J, et al., JAMA Ophthalmol, 2022 -- Spectacle lenses with aspherical lenslets for myopia control vs single-vision spectacle lenses
- Cho P, Cheung SW, Invest Ophthalmol Vis Sci, 2012 -- Retardation of myopia in orthokeratology (ROMIO) study
- Li Y, et al., JAMA Ophthalmol, 2024 -- Topical atropine for childhood myopia control
- Zadnik K, et al., JAMA Ophthalmol, 2023 -- Efficacy and safety of 0.01% and 0.02% atropine for pediatric myopia progression
- Repka MX, et al., JAMA Ophthalmol, 2023 -- Low-dose 0.01% atropine eye drops vs placebo for myopia control
- Contact Lens Spectrum — MASTERING MYOPIA
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- IMI—Interventions for Controlling Myopia Onset and Progression 2025
- Effect of High Add Power, Medium Add Power, or Single-Vision Contact Lenses on Myopia Progression in Children: The BLINK Randomized Clinical Trial - PMC
- Myopia control strategies: A systematic review and meta‐meta‐analysis - Zaabaar - 2025 - Ophthalmic and Physiological Optics - Wiley Online Library
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