If you or your children have myopia and it is getting worse each year, this article is for you. We will be discussing the four best ways to treat your myopia so it no longer gets worse.

Everything we discuss is based on solid science and research, double-masked clinical trials, and recommendations based on mountains of peer-reviewed data.

Certainly, we’ve heard and researched other more holistic approaches, if they turn out to be effective, know that this is surely a growing field however and as things change you’ll certainly hear it from us first!



What is Myopia?
Before you can defeat your enemy, you need to know exactly what it is. Myopia is a disease of the eye that is usually the result of an eyeball that has grown too long.

We call how long the eyeball is the ‘axial length’. When the axial length grows excessively long, your vision will suffer in direct correlation.

So any treatment we discuss has to show efficacy in its ability to reduce axial length elongation compared to a control group.

|Other times, the cornea may be too steep which can also cause myopia. However, for the sake of this article, we will address the major cause of myopia which is the excessive axial length of the eye.

When we talk about managing myopia, we will be talking about ways that have shown clinical evidence in slowing down axial length growth.

Custom Orthokeratology or Overnight Contact Lenses
Orthokeratology involves using a specially designed contact lens to gently reshape the cornea. The lenses are worn only while sleeping and are removed upon awakening in the morning. There are other names for orthokeratology such as corneal reshaping treatment, gentle vision shaping system, and custom retainers. The technology works by gently flattening the curvature of the cornea to redirect light directly onto the retina.

While initially created to help improve vision so that children and adults can see more clearly, studies have shown that the technology is extremely effective in reducing the rate of myopia progression. The theory is that light is focused in front of the retina in your peripheral vision. This effect changes the optical signals the eye receives to stimulate eye growth. Like all contact lenses, patients need to be diligent in handwashing and cleaning, and disinfecting the lenses for safe use.

However, studies show that with proper hygiene this is an incredibly safe and effective treatment for treating children of almost any age.

Atropine
Atropine is a pharmaceutical agent that can be made into an eye drop. This eye drop has been used for many years to treat children with amblyopia, or sometimes called a ‘lazy eye’.

It can be used to dilate the pupils of the eye and also used to treat uveitis as well. What we’ve learned as well is that the use of a diluted concentration of atropine can also slow down the speed of myopia progression.

The mechanism of action is still little known, but we believe that it blocks certain signals of the eye to reduce the signal to grow longer.

By slowing down the speed at which the axial length increases, this can directly impact the rate of myopic progression.

Custom Soft Multifocal Contact Lenses
More contact lenses are being designed and FDA approved to slow down myopic progression. The MiSight contact lens is an example that has been shown to slow down the rate of myopia by almost 60% compared to control groups.

These lenses have different powers throughout the lens that optically focuses light in front of the peripheral retina.

By designing these special powers, a patient can wear a simple contact lens during the day to treat vision problems associated with myopia as well as prevent the eye from growing too long.

Special Myopia Treating Eyeglasses
More glasses are coming out that can also redirect light in a similar fashion to orthokeratology and soft multifocal contact lenses.

This is a particularly exciting alternative for patients who cannot tolerate contact lenses and are wary of putting pharmaceutical drugs into their children’s bodies.

From large bifocal eyeglasses to lenses with specialized rings of power in them, lenses are becoming more and more advanced to prevent axial length elongation.