“Just a couple of weeks ago, I had a patient who had two contact lenses in her eye,” Meyer said. “The more important takeaway,” he notes, is that “this extreme case serves as a chance to remind patients of important dos and don’ts when it comes to contact lens care and monitoring.” While you may be wondering how in the world this happened and why the woman was “shocked” when doctors discovered that many lenses had clumped together in her eye, “It’s actually not that uncommon for patients to accidentally put more than one lens in one eye,” says David Meyer, OD, FAAO, director of Contact Lens Services at the Moran Eye Center. "Multifocals can help keep the myopia from getting worse.Reports of doctors removing 27 disposable contact lenses from a 67-year-old British woman’s eye hit the news over the weekend. "I think myopia control is something anyone with myopia should be offered," Dr. To be effective, the multifocal lenses must be a "center distance" design, he says. Walline says, but there are many doctors who fit single-vision and multifocal lenses for children. specifically for myopia control in children, Dr. No contact lenses have been marketed in the U.S. These factors also make children feel better about their interactions with peers. Children often feel better about their appearance than if they were wearing glasses, and contact lenses are more convenient when playing sports or just running around with friends. Lowe says.Ĭontact lenses offer benefits beyond vision correction.
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"It's easy to train how to use these lenses, and they are quite comfortable on the eye," Dr. In fact, children experience fewer complications secondary to contact lens wear than college students do. "And kids whose myopia is progressing more quickly have the potential for more benefit."ĭoctors of optometry and parents are becoming more familiar with children wearing contact lenses in elementary school. "Younger is better potentially you might get a stronger treatment effect," Dr. Theoretically, the earlier treatment is started, the more effective it could be, but it's not clear yet which kids make the best candidates. Myopia often develops between the ages of 8 and 16, Dr. "With recent myopia control studies, we're seeing some remarkable results." Treatment benefits and beyond Pamela Lowe, O.D., who practices in Niles, Illinois, and is a member of the CLCS. "Good science is showing us we have a way to suppress myopia progression ," says The benefit was smaller when they reached eight hours. The effect of slowing myopia progression became obvious when children wore the lenses for five hours a day, and the improvement increased if they wore them for seven hours a day or more, according to the study published in the January 2014 issue of the British Journal of Ophthalmology. Other studies showed an even greater treatment effect for the myopia group as compared with the control group. The kids were ages 8 to 13 with myopia between -1.00 and -5.00 dioptres.
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Orthokeratology, the process of wearing gas-permeable contact lenses at night to reshape the eye and temporarily provide clear vision without wearing glasses or contact lenses, also slows myopia progression and eye growth.Ĭhildren wearing multifocal lenses had 25% less myopia progression and 31% less axial elongation than those wearing single-vision lenses over two years, according to a 2014 double-blind, randomized, controlled trial of 221 Hong Kong children. "Bifocal glasses slow the progression of myopia but only by a very small amount-in fact, they don't provide clinically meaningful slowing of myopia progression," Dr. Multifocal lenses appear to be more effective than bifocal glasses and as effective as orthokeratology contact lenses. "We think because they focus light in front of the peripheral retina, and they focus light right on the retina, which provides people with clear vision." Walline, O.D., Ph.D., associate dean for research at The Ohio State University and chair of the AOA's Contact Lens & Cornea Section (CLCS). "There have been four studies, including randomized clinical trials, and they all show a positive effect," says Jeffrey J. Several studies in the past five years have shown that soft multifocal contact lenses with a center distance design can slow the development of myopia as well as elongation of the eye.
Multifocal contact lenses for children with myopia can slow the progression of nearsightedness, providing a more effective and efficient treatment option.
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