Kodak Lens Vision Centres Myopia Control Services

What is myopia?

Myopia, also known as nearsighted, is a type of refractive error that causes blurry vision in the distance. In order to see clearly, light entering the eye must focus on the retina. Myopia will develop and progress if the eye grows longer and/or if the eye focuses the image in front of the retina. Myopia is a common condition that affects 25% of the North American population and is more common in those with Asian ethnicity. Myopia is not a disease, but rather an eye focusing disorder.

Myopia can be treated with visual aids including glasses, contact lenses, and refractive surgery.

Myopia in Children

It is estimated that by 2050, 50% of the world’s population will become myopic. Myopia development begins in children and is often diagnosed between 8-12 years old. However, in recent years it is more prevalent in younger children. During childhood and adolescents, the eyeball also rapidly grows with the body, leading to an increased amount of myopia.

What’s the risk of high myopia?

Those with high myopia have an increased risk of developing vision threatening eye diseases and disorders. As myopia increases, the retina, a wall-paper like structure at the back of the eye responsible for collecting visual signals, becomes stretched. This change increases the risk of developing retinal conditions. Some of these conditions are permanent and can lead to reduction of vision or irreversible vision loss. 

What is Myopia Control?

Myopia control encompasses a group of treatment methods that have been scientifically studied and proven to effectively slow down the progression of myopia in children. Unfortunately, there are currently no methods that can completely stop the progression. Treatment effect ranges between 14-63% which varies by method. These treatments achieve this by creating unique visual conditions which facilitate a slower progression of myopia as the child continues to grow. A combination of methods may be required in order to achieve adequate control.

During the consultation, your optometrist will discuss all treatment options with you.  Together, you will decide which treatment method is best based on the findings during the examination, your child’s lifestyle, convenience, and cost.

What are the Treatment Options?

Option # 1: Low Dose Atropine Eye Drops

Off-label use of low dose atropine eye drops have been found in several studies to reduce the progression of myopia by 50%, on average. Applied once a day, atropine treatment is continued as long as myopia progression continues. This treatment is commonly used in conjunction with single vision or myopia control eyeglasses to enhance the myopia control effect.

Option # 2: Myopia Control Daily Disposable Soft Contact Lenses
MiSight® 1 day is the world’s first one-day soft contact lens proven to slow myopia progression in children by 59%. These lenses are worn during waking hours, and then thrown out before bed; no need for storing or cleaning!  These contact lenses will also correct the child’s vision at distance which means that no additional eyeglasses are required while contact lenses are worn.  
Option #3: Orthokeratology
Orthokeratology, is a method where custom designed hard contact lenses are applied to the eye before sleep. The gentle pressure of the eyelids onto the cornea, or surface of the eye, overnight results in temporary “molding” to correct the vision. Vision is corrected all day, so it is not necessary to wear glasses or contact lenses during waking hours. The effects are dramatic and free people from glasses or regular contact lenses. Although orthokeratology is used off-label as a treatment for myopia control, there are many scientific studies that show it is an effective method to reduce the progression of myopia by at least 49%.
Option #4: Myopia Control Spectacle Lenses (Myopilux or MiYOSMART)
Hoya MiyoSmart® reduces myopia progression by 52% on average using its specialized defocus design (DIMS). This lens was studied for many years in Asia and has recently arrived in the North American market. Myopia control eyeglasses are an ideal option for children who may not be ready for eye drops or contact lenses.
Atropine MySight 1 Day Ortho K Myopilux & MiYOSMART
Regimen Every Night At least 6 days per week, 10 hours per day Every Night Full time wear during waking hours
Initial Fitting Cost N/A $120 $1,700 N/A
Initial Fitting Period N/A 2-4 weeks 3 months N/A
Treatment Cost $140 - $582 Annually (Pharmacy Dependent) $350 - $900 Annually (Lens dependant) $800 per pair (lasts 1-3 years) Lenses from $275 to $600 per pair, plus the cost of frames
Follow-up Every 6 months Every 6 months Every 6 months Every 6 months
More Info Cost Effective Relatively easy to handle Can see without correction during the day Cost effective and easy to administer

Understanding Nearsightedness in Children

Causes of Nearsightedness and How to Slow Myopia

How Do I Start Myopia Control?

A full comprehensive eye examination must be completed by the eye doctor to determine whether you or your child are a good myopia control candidate. If you are interested in myopia control and do not have a regular optometrist, you are welcome to see one of our great doctors.

If you are a candidate, our Optometrist will prescribe and supervise an individualized myopia control program for your specific needs. Myopia control starts with you, the parent and/or guardian. 75-90% of classroom learning occurs through vision. When a child’s vision is not performing optimally, learning and participation in activities is affected. Children are not likely to recognize their own problems with vision, which is why annual check ups with your optometrist beginning at 6 months of age are so important.

What you Need to Know?

 Myopia can start at an early age and rapidly progress until age of 17. New studies show that myopia progression can continue between 20 to 30, but at a slower rate. According to the World Health Organization (WHO) about 5,000,000,000 people (50% of the world’s expected population) will be myopic (nearsighted) by year 2050 and approximately 1 billion will be a highly myopic. People with high myopia are at much higher risk of developing eye diseases such as retinal detachment, glaucoma, early cataract, and myopic macular degeneration later on in life.

All children and young adults should have annual eye exams and any kids with myopia of -0.25 or more should be monitored for progression. Remember, eye health exams are covered under Ontario Health until the age of 19 with a valid health card.

Monitoring myopia progression and starting myopia control early on can lead to optimal results. An effective option is Orthokeratology, also known as corneal reshaping. Ortho K lenses control the peripheral hyperopic defocus which is the cause of elongation of the eyeball and therefore progression of myopia. Ortho K or soft contact lenses can be the best option for myopia control, but pharmaceutical agents and special eyeglasses can be considered when the child or parents are not ready for contact lenses. When we fit contact lenses, we will teach them how to use and handle them safely. We have had many patients of all ages learn how to use and benefit from contact lenses through our experienced fitting and contact lens services.

Lifestyle changes can also help slow down the progression of myopia. Studies have shown that children who spend more time outdoors are less likely to develop myopia early on. Receiving myopia treatment and being monitored by our Optometrist regularly will help guide lifestyle changes. We recommend to reduce unnecessary close work, taking breaks during close work activities, reduced screen time, and spending more time doing outdoor activities.

Visit Us Today!

All of our Optometrists are experienced in myopia diagnosis, management, and treatment.

We take the time to educate your family on the options so you can make the best decision for your child. Our eye care team and Optometrists are happy to provide custom myopia control services that help your child’s visual needs.

Please visit us at any of our KODAK Lens Vision Centres located in Toronto & Greater Toronto Area.