Management of Myopia in Children
Myopia in children is the result of a combination of genetic and environmental factors. Environmental factors that have been shown to contribute to an increase in myopia include (1) sustained near work such as studying or playing hand-held video games (2) near work held at ranges closer than necessary (16 inches is considered the closest near work should be held) (3) lack of peripheral vision (children with long hair that hangs down and cuts off their peripheral vision when reading may be at greater risk) and (4) reading with the wrong eyeglass prescription. For parents concerned about myopia in children a comprehensive eye examination by a state licensed eye doctor is recommended, preferably one who is capable of thoroughly discussing options related to options that may help control myopia in children.
Scientific studies have been performed which demonstrate methods that have the best chance of stabilizing changing vision due to progressive myopia. Overall, Orthokeratology (orthok) has been shown to have the greatest effect.. Orthokeratology is one of a class of therapies known as vision shaping treatments. OrthoK involves wearing orthokeratology lenses (ortho k lenses) during sleep, which gently reshape the surface of the cornea of the eye. Upon removal in the morning, clear vision is achieved which often lasts the entire day into the evening.
Options such as OrthoK, cornea refractive therapy including paragon crt (vision shaping treatment) are particularly helpful when seeking to improve eyesight in children, and reduce change in vision , specifically myopia in children and may, in some cases reduce the risk of children with myopia advancing to high myopia.