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Progressive Myopia: When Your Child’s Vision Keeps Getting Worse

What Is Progressive Myopia?

Nearsightedness or myopia is one of the most prevalent eye disorders worldwide and its incidence is increasing. In fact by 2050, myopia is projected to affect half of the world’s population!

Many children diagnosed with nearsightedness (myopia) experience a consistent worsening of their vision as they grow into adolescence. This condition can be so aggressive that for some, each time they take their child to the eye doctor for a vision checkup, their prescription gets higher. 

This is called progressive myopia and can be a serious condition for many children now and in the future. Not only is there a financial burden and inconvenience associated with having to replace eyeglasses on a regular basis, but high myopia is a risk factor for many eye diseases later in life such as retinal detachment, early onset cataracts, glaucoma and macular degeneration. 

What Causes Progressive Myopia?

Myopia is a refractive error that happens when the eye focuses incoming light in front of the retina, rather than directly on it, resulting in blurred distance vision. While an exact cause of progressive myopia is not known, most research indicates that a combination of environmental and genetic factors trigger the condition. 

First of all, there is evidence that a family history of nearsightedness is a contributing factor. Additionally, spending a lot of time indoors may play a role in myopia development, as studies show that children who spend more time outside have less incidence of myopia. Lastly, near point stress, which can be caused from looking at a near object for an extended period of time, can prompt the eye to grow longer and result in myopia. Several eye doctors recommend following the 20-20-20 rule when using digital devices (stopping every 20 minutes to look 20 feet away for 20 seconds) to reduce near point stress caused by computer use. 

What Can Be Done To Prevent or Treat Myopia?

There are several treatments that have been shown to slow the progression of myopia.

Orthokeratology (ortho-k):

Also known as corneal reshaping, this treatment uses rigid gas permeable contact lenses that are worn while the patient sleeps to reshape the cornea, which is the clear, front part of the eye. During the day, the patient is usually able to see clearly, glasses-free. In addition to allowing glasses-free vision during the day, this treatment has been shown to reduce the progression of myopia in many children. There is a limit to the amount of myopia that can be corrected with this procedure so ask your eye care professional whether your child would be a candidate or not.  

Distance Center Multifocal Contact Lenses:

This treatment uses distance center (which means the area for seeing at a distance is in the center of the lens) multifocal soft contact lenses to provide clear vision and slow the progression of myopia. The lenses are worn as normal contact lenses during the day. At Armstrong & Small Eye Care Centre, we are happy to provide the new  Coopervision MiSight® myopia control contact lens. For more information go to:

https://coopervision.ca/our-company/news-center/press-release/groundbreaking-children-myopia-control-treatment-arrives 

Atropine Drops:

Atropine drops are a daily-use prescription eye drop that has been shown to reduce myopia progression. It can be used alone or in combination with ortho-k or multifocal contact lenses. 

Additional Myopia Treatments:

While these treatments are available in all of North America, some countries offer additional options that are approved for myopia control. For example, in Canada, ZeissTM MyoVision glasses that have an innovative lens curvature design are available to help reduce the rate of myopia progression. Myopia & Your Child

If your child’s vision keeps getting worse, it's more than an annoyance - it can be a serious risk factor for their eye health and vision in the future. The best strategy for myopia control depends on the child and the severity of the case, and requires consultation with an experienced eye doctor in order to determine the best solution. If your child wears glasses, make his or her vision a priority; schedule an eye exam to ensure stable vision and healthy eyes. 

 

Armstrong & Small Eyecare Centre - COVID-19 Update - March 18, 2020

Due to the recent COVID-19 outbreak, we have made the difficult decision to close starting Wednesday, March 18 and we are hoping (depending on the conditions) that we will re-open on Monday, April 6th.

In our attempts to be as socially distant as possible and to protect you, our staff and all of our families, we recommend staying at home and following all of the precautions that have been set out by the city, province and the nation.

If you have specific questions about glasses, contact lenses or any other non-emergency / non-essential items please email us at info@armstrongandsmall.com and we will do our best to accommodate your request. As part of our services, we are happy to provide you the option of having your contact lenses sent directly to your home. If you currently have items on order, we will be in touch with you to make arrangements.

If you are calling about a specific ocular or visual emergency such as new flashes and/or floaters, a loss in vision or a suspected eye infection, please text or call Dr. Luke Small at 204-299-6587 or Dr. Matt Lepage at 204-573-8039 who are both providing on-call emergency services through our clinic. Please do this prior to going to Misericordia or to a walk-in clinic as we attempt to reduce their patient load at this time. Obviously, if you have been recently traveling or are experiencing any symptoms related to COVID-19, they will be able to direct you where to go for the proper care.

Please stay home as much as possible and stay safe.

Thank you from your Armstrong & Small Eyecare Team.