![]() ![]() It would then be difficult to justify providing myopia management spectacle lenses. If, however, the child only removes the contact lenses 15 minutes before sleep, that’s a little over an hour of total weekly exposure without myopia protection. ![]() In cases such as this, I tend to strongly suggest myopia management spectacle lenses to ensure that the results are optimized for the benefit of the child. sports or outdoor time), this lack of specialized correction could hinder the treatment and lead to less optimal results. Depending on the child’s activities (reading or tablets vs. This leaves three hours per day or more and one full day per week without anti-myopia coverage. This often means a minimum of six days per week for contact lens wearers over a period of at least eight to twelve hours per day of wear. ![]() Rule #3: Respect Manufacturers’ Recommendations Manufacturers of myopia management ophthalmic lenses and devices recommend that their products be worn for a minimum amount of time to be effective. If the patient was already wearing glasses for residual refractive error, I add half of the power corrected with OrthoK to the residual one already worn. However, it allows the patient to remain functional for several days, not rushing to resume contact lens wear. This usually results in a slight overcorrection initially, then an undercorrection later, both relatively well tolerated, and because they are worn in the short term, have presumably no adverse effects on refractive evolution. At lens removal, the patient becomes myopic again, and the rate and speed of recovery depend on the initial parameters (refractive error, corneal curvatures, biomechanical factors) and the length of time OrthoK lenses were worn.Īs a rule of thumb, I prescribe half the initial correction for OrthoK lens wearers. In the latter case, the choice of power can be variable. This is slightly different for orthokeratology lens wearers. It goes without saying for soft contact lens wearers, for whom it is easy to get a spectacle that is equivalent in power to the contact lenses they wear. Although properly fitted with contact lenses, they should be provided with eyeglasses that can be worn functionally when needed. Rule #2: Myopia Managed Children Are No Exception Children who are undergoing myopia management should not be an exception to this rule. In the event of an eye infection, activities that put the wearer at risk for contact lens wear (e.g., exposure to chemicals), simply to relax at home on a Sunday morning, or to care for a baby in the middle of the night, spectacles are required and are found more practical than the contact lenses that are usually worn. Rule #1: Contact Lens Wearers Need Glasses Every contact lens wearer, regardless of corneal or refractive condition, should rely on a pair of eyeglasses that allow them to achieve a functional level of vision. It is indeed an issue that is not given much thought but deserves our attention. “Should children with myopia management contact lenses be prescribed myopia management spectacle lenses?” This is a question I am often asked at conferences by colleagues. If for any reason, this type of correction must be removed and replaced by another modality, single vision lenses may be considered only if the exposure is minimal. ![]() It does not store any personal data.It becomes obvious that wearing anti-myopia correction full-time must be encouraged. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category "Performance". This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other. The cookies is used to store the user consent for the cookies in the category "Necessary". The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Analytics". These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly. ![]()
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