Good communication is crucial to success in myopia management. This builds trust in you, the eye care professional, as patients undergoing myopia management will be under your care for a decade or longer.
What is the risk for a child who presents in your practice with myopia - of developing high myopia? What factors do you need to take into consideration and what is the evidence for the different strategies available to manage their progression?
The Brien Holden Vision Institute Myopia Calculator is an online tool that enables practitioners to explain possible progression of myopia over time to their patients. It also provides a means to illustrate the beneficial effect of slowing myopic progression using available technologies.
Early onset of myopia leads to higher net myopia due to progression being faster at younger ages and more years spent in progression mode.1 The burden is significant with high myopia (greater than -5.00D) increasing the risk of complications such as glaucoma, cataract, retinal breaks and myopic maculopathy.
Eye care practices are increasingly employing new and high-end technology with an aim to improve the level of patient care. In particular, myopia management is an area where there is a need for appropriate technology and instrumentation considering that the management practices are aimed at children.
A network meta-analysis on myopia control found that use of atropine at different concentrations was significantly superior to other interventions (for example, progressive addition spectacle lenses, multifocal soft contact lenses, orthokeratology, more outdoor activities, etc.)1 Other reviews and meta-analysis similarly concluded that there was less myopic progression with atropine and that both the efficacy and adverse effects were dose-dependent.
As the prevalence of myopia grows throughout the world, the onset moves to younger ages, and higher levels are being seen in young adults, there is a developing consensus that treating myopia progression should have a goal of limiting the maximum level attained by an individual patient.

Acknowledgement of Country

BHVI and Brien Holden Foundation acknowledges the traditional Aboriginal custodians of the many lands that we live and work on, and their continuing connection to Country and culture.

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