Myopia Management

Myopia Management in Memphis, TN

Myopia management can be defined as the slowing down of axial elongation, which, by definition, also slows down the rate at which the dioptric value of the refractive error increases. The onset of myopia typically occurs somewhere between the ages of 6 and 12 years.

What is Myopia?

Normal Vision

The image is formed on the retina.

normal vision on retina


The image is formed before the retina.

myopia before retina

Myopia Management: A Comprehensive Approach to Nearsightedness Control

Myopia, commonly known as nearsightedness, is a widespread refractive error of the eye that affects a significant portion of the global population. It is characterized by the ability to see close objects clearly while distant objects appear blurry. The prevalence of myopia has been steadily increasing in recent years, becoming a global public health concern. In response to this growing issue, myopia management has emerged as a critical field in optometry and ophthalmology. This article delves into the various aspects of myopia management, its importance, strategies, and the latest advancements in controlling this vision disorder.

Understanding Myopia

Myopia occurs when the eyeball is too long or the cornea’s curvature is too steep, causing light to focus in front of the retina rather than directly on it. This results in blurred vision when looking at distant objects. While myopia is often hereditary, environmental factors such as excessive screen time, reduced outdoor activities, and prolonged near work can exacerbate its progression. The severity of myopia can vary from mild to high, with high myopia being associated with an increased risk of vision-threatening complications like retinal detachment, glaucoma, and cataracts.

Importance of Myopia Management

Managing myopia is essential not only for clear vision but also to mitigate the associated risks. Left unmanaged, myopia can progress rapidly, leading to a higher dependence on corrective lenses and an increased risk of sight-threatening conditions. The impact of myopia on a person’s quality of life can be significant, affecting their daily activities, academic performance, and overall well-being.

Additionally, the economic burden of myopia is substantial. The cost of eyeglasses, contact lenses, and eye exams can be financially challenging for many families. Moreover, the long-term expenses associated with treating complications arising from high myopia can be overwhelming for both individuals and healthcare systems. Myopia management aims to reduce the progression of myopia, thus reducing these economic and personal burdens.

Strategies for Myopia Management

  1. Lifestyle Modifications:

One of the fundamental strategies for myopia management is encouraging lifestyle modifications. This includes promoting outdoor activities, limiting screen time, and encouraging proper posture during near work. Spending time outdoors has been shown to reduce the risk of myopia development in children, and these activities are a crucial component of any myopia management plan.

  1. Corrective Lenses:

Corrective lenses such as eyeglasses or contact lenses are the most common means of managing myopia. They provide clear vision by compensating for the refractive error, but they do not slow down myopia progression. Orthokeratology (Ortho-K) lenses, a type of rigid gas-permeable contact lens worn overnight, can temporarily reshape the cornea and reduce the progression of myopia in some cases.

  1. Atropine Eye Drops:

Atropine eye drops, a medication traditionally used to dilate the pupil, have gained popularity as a myopia management tool. When used in low concentrations, atropine has been shown to slow down the progression of myopia. This treatment is often used in conjunction with other management strategies and under the guidance of an eye care professional.

  1. Multifocal Contact Lenses:

Multifocal contact lenses are designed with different zones for near and far vision. These lenses can help manage myopia by reducing the eye’s accommodative effort during close-up tasks, potentially slowing down the progression of nearsightedness.

  1. Specialized Glasses:

Specialized glasses, such as progressive addition lenses (PALs) or bifocal glasses, can also be used in myopia management. These glasses have different prescriptions for various distances, which can reduce eye strain during near work and help control myopia progression.

  1. Behavioral Interventions:

Vision therapists and optometrists can provide behavioral interventions to address visual habits and postures that contribute to myopia progression. These interventions aim to improve visual efficiency and reduce visual stress.

  1. Myopia Control Contact Lenses:

In recent years, the development of myopia control contact lenses has revolutionized the field of myopia management. These lenses, including soft multifocal contact lenses and orthokeratology lenses, have shown promising results in slowing down the progression of myopia, especially in children.

Advancements in Myopia Management

Research in myopia management has made significant strides in recent years, leading to innovative approaches and technologies. Some of the latest advancements include:

  1. Pharmaceutical Innovations:

Ongoing research is exploring new pharmaceutical agents and delivery methods to enhance the efficacy and safety of myopia control treatments. The development of customized atropine formulations and the investigation of novel pharmacological interventions show promise in reducing myopia progression.

  1. Myopia Control Spectacles:

Researchers are working on developing specialized spectacle lenses that can slow down myopia progression. These lenses incorporate advanced optics and designs to optimize myopia management while providing clear vision.

  1. Artificial Intelligence and Monitoring Tools:

Artificial intelligence (AI) is being employed to create predictive models for myopia progression based on individual patient data. Additionally, wearable monitoring devices and smartphone apps can help track a person’s visual habits and myopia progression over time, allowing for personalized myopia management plans.

  1. Genetic and Environmental Factors:

Advancements in genetic research are shedding light on the genetic factors contributing to myopia development. Understanding these genetic markers can help identify individuals at higher risk and tailor myopia management strategies accordingly.

  1. Telehealth Services:

Telehealth services have become increasingly important in providing remote consultations and follow-up care for myopia management. This technology allows patients to access expert advice and monitor their progress without the need for frequent in-person visits.

Myopia management is a multifaceted approach that encompasses various strategies to slow down the progression of nearsightedness and reduce its associated risks. With the increasing prevalence of myopia worldwide, the importance of effective myopia management cannot be overstated. Lifestyle modifications, corrective lenses, pharmaceutical interventions, and innovative technologies all play a role in managing myopia and improving the quality of life for affected individuals.

The field of myopia management continues to evolve, with ongoing research and advancements offering new hope for those at risk of myopia or currently managing it. As our understanding of the genetic and environmental factors contributing to myopia deepens, personalized myopia management plans are becoming increasingly effective. By staying informed about the latest developments in myopia management and seeking guidance from eye care professionals, individuals can take proactive steps to protect their vision and overall eye health.

Factors of Myopia

Medical professionals have known for a long time that the longer an eye is, the more likely it is to have certain problems such as retinal tears and detachments as well as a few other problems. There seems to be 3 factors involved.



A condition of the eye in which parallel rays are focused in front of the retina, objects being seen distinctly only when near to the eye; nearsightedness


One or both parents being myopic increases the child’s risk of being myopic.

Time Spent on Near Tasks

More time spent on near tasks in childhood such as reading or using a smartphone/tablet increases risk.

Time Spent Outdoors

More time spent outdoors in sunlight during childhood decreases their risk.

The MYOPIA Numbers

Evidence is mounting that myopia is growing around the world. A recent study estimated that on average, 30% of the world is currently myopic and by 2050, based on current trends, almost 50% will be myopic. That’s almost 5 billion people!

  • % of Myopic World Population – 2020 34% 34%
  • % of Myopic World Population – 2030 40% 40%
  • % of Myopic World Population – 2040 45% 45%
  • % of Myopic World Population – 2050 50% 50%

Solutions for myopia

All myopia solution options require annual dilated examinations and 6-month prescription checks. And some of the expenses may be covered by vision insurance plans.

Multifocal Soft Contact Lenses

These lenses are designed primarily for people over 40 to help with distance vision and near at the same time. They have been shown to be very effective at slowing down myopia.


A custom designed contact lenses is worn only at night while asleep. These lenses gently reshape the front surface of the eye so that when the lenses are removed in the morning, you can see clearly all day without any contact lenses or glasses.

Low Dose Atropine Eyedrops

These prescription eyedrops can be used on their own or along with the contact lens options. These drops are purchased directly from a compounding pharmacy.

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