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Understanding myopia management

Slowing your child's nearsightedness.

Nearsightedness (myopia) is on the rise worldwide. The big shift in eye care: we don't just prescribe stronger glasses β€” we actively slow the eye's growth with proven treatments.

Light focuses short of retina
Eye growing too long Normal Β· light lands on retina Myopic Β· focus falls short Treatment slows eye elongation

Why we now treat, not just correct.

When a child's eye grows too long, distant objects blur. Standard glasses fix the blur β€” but they don't stop the eye from continuing to grow longer.

High myopia (worse than -6.00) carries lifelong increased risk of retinal detachment, glaucoma, and macular disease. Slowing progression in childhood means a safer eye for life.

Here's the plan β€”
and why it works.

Contacts

Specialty contact lenses

Daily contact lenses that slow progression by ~30–50%. Ages 8+.

Daily habits

Outdoor time and screen breaks

Daily outdoor time and regular screen breaks are simple lifestyle factors. Minimal side effects at modern low doses.

Overnight

Ortho-K

Custom overnight lenses reshape the cornea. Reduces progression AND gives glasses-free days.

Foundation

Outdoor time

2+ hours daily. Simple, free, powerfully effective at slowing myopia onset and progression.

Regular check-ins matter

Even with treatment, kids need exams every 6 months to track progression. Faster-than-expected changes can signal the need for a treatment adjustment β€” we catch it early when we see them often.

Honest answers to common questions.

Why not just wait and see?+

Because every year of unchecked progression adds lifelong eye disease risk. Children who end adolescence at -3.00 D have a very different risk profile than those at -8.00 D β€” forever.

What are the treatment options?+

Several evidence-backed options exist β€” your eye doctor can discuss which may fit your child. Options include daytime contact lenses designed for myopia management or overnight lenses. Each reduces progression ~30–50%. We'll pick based on your child's age, lifestyle, and prescription.

How much outdoor time actually helps?+

A lot. 2+ hours of outdoor time daily meaningfully reduces myopia onset and progression. Bright natural light + looking at distance seems to be what matters. It's free and it works.

Does limiting screens help?+

Probably yes. Near work β€” including screens β€” is associated with myopia progression. Frequent breaks (20-20-20 rule) and outdoor time are the practical countermeasures.

When do we stop treatment?+

Typically around age 16–18 when eye growth naturally plateaus. We confirm stability for a year before stopping, then continue annual exams.