The ability to slow down or stop the progression of myopia through pharmacological
and optical means is well accepted in the scientific literature. More recently the
topic of myopia control is gaining momentum at clinical conferences, with the practitioner
now permitted a selection of evidence based modalities to employ in this pursuit,
the most promising of which are in the contact lens arena. Yet speaking to my clinical
colleagues still yields a sense of hesitation to fully embrace myopia management.
I hear concerns that the risk of paediatric contact lens wear must surely outweigh
the increased risk of ocular pathology brought about by higher myopia. I am asked
– what's the difference between −2.00 and −3.00 anyway? More evidence is needed, I
am told. Speaking to academic colleagues reveals a sense of frustration that knowledge
gains do not appear to be treated with clinical eagerness – that perhaps they are
diluted in translation. There appears to be a delay in years between the theory and
the practice of myopia control. This is evidenced in static contact lens wear age
demographics and declines in rigid lens fitting over time [
[1]
] – although small increases are recorded in orthokeratology fits, they still account
for only 1% of all contact lens fits across the world [
[2]
].To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Contact Lens and Anterior EyeAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- A decade of contact lens prescribing trends in the United Kingdom (1996–2005).Cont Lens Anterior Eye. 2006; 29: 59-68
- International survey of rigid contact lens fitting.Optom Vis Sci. 2013; 90: 113-118
- Myopia and associated pathological complications.Ophthal Physiol Opt. 2005; 25: 381-391
- The relationship between glaucoma and myopia: the Blue Mountains Eye Study.Ophthalmology. 1999; 106: 2010-2015
- Epidemiologic study of ocular refraction among schoolchildren in Taiwan in 1995.Optom Vis Sci. 1999; 76: 275-281
- The complex interactions of retinal, optical and environmental factors in myopia aetiology.Prog Retin Eye Res. 2012; 31: 622-660
- Prevalence and progression of myopic retinopathy in an older population.Ophthalmology. 2002; 109: 704-711
- Incidence and epidemiological characteristics of rhegmatogenous retinal detachment in Beijing, China.Ophthalmology. 2003; 110: 2413-2417
- The Longitudinal Orthokeratology Research in Children (LORIC) in Hong Kong: a pilot study on refractive changes and myopic control.Curr Eye Res. 2005; 30: 71-80
- Corneal reshaping and myopia progression.Br J Ophthalmol. 2009; 93: 1181-1185
- Overnight orthokeratology lens wear slows axial eye growth in myopic children.Invest Ophthalmol Vis Sci. 2010; 51: 1721
- Influence of overnight orthokeratology on axial elongation in childhood myopia.Invest Ophthalmol Vis Sci. 2011; 52: 2170-2174
- Orthokeratology for slowing myopic progression: a randomised controlled trial.Cont Lens Anterior Eye. 2011; 34: S2-S3
- Long-term effect of overnight orthokeratology on axial length elongation in childhood myopia: a 5-year follow-up study.Invest Ophthalmol Vis Sci. 2012; 53: 3913-3919
- High myopia-partial reduction ortho-k: a 2-year randomized study.Optom Vis Sci. 2013; 90: 530-539
- Effect of dual-focus soft contact lens wear on axial myopia progression in children.Ophthalmology. 2011; 118: 1152-1161
- Decrease in rate of myopia progression with a contact lens designed to reduce relative peripheral hyperopia: one-year results.Invest Ophthalmol Vis Sci. 2011; 52: 9362-9367
- Multifocal contact lens myopia control.Optom Vis Sci. 2013; 90: 1207-1214
- Epidemiology of ulcerative keratitis in Northern California.Arch Ophthalmol. 2010; 128: 1022-1028
- Retinal complications after cataract extraction in patients with high myopia.Ophthalmology. 1999; 106 ([discussion 91–2]): 688-691
- The risk of a new retinal break or detachment following cataract surgery in eyes that had undergone repair of phakic break or detachment: a hypothesis of a causal relationship to cataract surgery.Trans Am Ophthalmol Soc. 2003; 101: 335-369
- Orthokeratology for slowing myopic progression in a pair of identical twins.Cont Lens Anterior Eye. 2014; 37: 116-119
- Predicted reduction in high myopia for various degrees of myopia control.Cont Lens Anterior Eye. 2012; 35S1: e14-e15
- Refractive error, axial length, and relative peripheral refractive error before and after the onset of myopia.Invest Ophthalmol Vis Sci. 2007; 48: 2510-2519
- Accommodative lag before and after the onset of myopia.Invest Ophthalmol Vis Sci. 2006; 47: 837-846
- Accommodative lag under habitual seeing conditions: comparison between myopic and emmetropic children.Jpn J Ophthalmol. 2005; 49: 189-194
- Response AC/A ratios are elevated in myopic children.Ophthalmic Physiol Opt. 1999; 19: 173-179
- Accommodation, accommodative convergence, and response AC/A ratios before and at the onset of myopia in children.Optom Vis Sci. 2005; 82: 273-278
- Outdoor activity reduces the prevalence of myopia in children.Ophthalmology. 2008; 115: 1279-1285
- High myopia-partial reduction orthokeratology (HM-PRO): study design.Cont Lens Anterior Eye. 2013; 36: 164-170
Article info
Publication history
Published online: May 22, 2014
Identification
Copyright
© 2014 British Contact Lens Association. Published by Elsevier Inc. All rights reserved.
