The fact that myopia is linked to genetics is not disputed. However, genetics alone would not be enough to account for the rising incidence of myopia, and it’s now believed that environmental factors also play a role. Whatever the reasons for the rise of myopia, there have also been advances in its treatment. According to Australian behavioural optometrist Jacqueline Gattegno, reducing the progression of myopia is a real possibility – provided that intervention happens soon enough.

Myopia Control Treatments

Jacqueline says that contrary to popular belief, Myopia is a childhood problem. “It’s related to an increase in the axial length of the eyeball which results in poor focus on the retina. The progressive lengthening of the eyeball occurs during growth, with the eyes generally stabilising around the age of twenty. If myopia’s progression is to be slowed, treatment must occur during this time,” says Jacqueline. “Various non-surgical, drug-free methods have been explored, with the greatest successes coming from orthokeratology and the use of peripheral defocus lenses.”

Atropine drops appear in a lot of the research literature, but Jacqueline isn’t convinced that their use should be attempted or that they will result in the best possible outcomes. “There are side-effects,” says Jacqueline, “and the drops only seem to offer myopia control benefits during their first year of use. Following excellent results in early trials, it’s now widely believed that atropine drops don’t have sufficient long-term benefits to justify their use. Orthokeratology is drug-free and it works. There’s no reason to use a drug-based treatment.”  

Efficacy of Orthokeratology in Myopia Control

Studies support Jacqueline’s confidence in orthokeratology for myopia control, and the treatment itself is remarkably simple. Optometrists carefully map the eye and then create hard contact lenses that gently mould the cornea to allow for better light focus on the retina. The lenses aren’t worn by day. Instead, they’re worn during sleep, and the eye maintains the correct shape during waking hours.

Research shows that orthokeratology, or Ortho-K, can slow the progression of myopia in children by 36 to 56 percent. “It’s known that the higher the level of myopia in people of any age, the greater the risk of certain ocular pathologies that can lead to vision loss,” says Jacqueline, “so reducing myopia in childhood not only offers a good chance of better vision during adulthood, but may even prevent conditions like retinal detachment and age-related blindness’ later on.”

Myopia Control at Home

There’s at least one other therapy that can help children in slowing the progression of myopia – and parents can practice it for free at home. “Tell the kids to go and play outside,” says Jacqueline. “There have been some remarkable studies that have shown that just spending more time outdoors reduces the risk of rapid myopia progression. There was a measurable reduction in axial elongation and myopic shift during trials in Asia, and some experts even theorise that reduced time outdoors might be at least partially to blame for the myopia epidemic that’s currently being witnessed.”

It’s Time the World Started Talking About It

Jacqueline believes that the combination of orthokeratology and a healthy, active lifestyle can make a difference in combating the rise of myopia but is concerned that myopia control isn’t more widely talked-about. “Many parents have never heard of ortho-K or myopia control. They know about glasses and contact lenses, and they bring their children to get prescription eyewear. That provides an opportunity to tell them about treatment options, but it isn’t ideal.”

“Myopia control should be headline news. It’s exciting. The benefits are beyond price. It’s time the world started talking about it because we’re rapidly heading towards a situation in which half the world’s population is myopic with high myopes facing further risks to their vision,” concludes Jacqueline.

Smart Vision Optometry clinics are located in Sydney. Book a Smart Vision Comprehensive Vision Skills Assessment or Advanced Eye Health Test for any child or adult by calling the Bondi clinic (02) 9365 5047 or the Mosman clinic (02) 9969 1600, alternatively book an appointment online.

Written and syndicated by: YDMA News, YDMA Group

Rodney, a fellow of the International Academy of Orthokeratology and Myopia Control (FIAOMC), says not enough consideration is being given to those children whose ability to learn is compromised because of refractive, perceptual and vision impairments which prevent them from seeing and processing relevant information. Instead technology is taking over the classroom and, in many cases, the use of screens and computers is increasing the progression of eye impairments like myopia.

Home Screentime Gets the Blame

“While the debate continues as to whether too much screen time at home could be causing or worsening eye problems, the school screen time or computer usage, which also calls for fixed focus and very little blinking over long periods, is seldom addressed.

Instead, it’s often seen as a feather in the cap of educational institutions keen to prove they’re keeping up with the times. And this is despite studies which report big leaps in the percentage of students with vision problems like myopia as their educational paths continue in a world where shortsightedness has reached epidemic proportions,” says Rodney.    

He said one out of four school-goers are myopic (nearsighted) and can see objects clearly only when they are close by. When faced with images or texts some distance away, everything becomes a confusing blur which leaves them understanding very little about the meaning or relevance of what they are seeing.

And they are not alone on this situation. According to Rodney, many children with other eye impairments face similar difficulties. And there’s a flip side to the problem – its not only screens that are further away that lead to difficulty with perceptual vision. A nearby screen like an individual computer on the desk, also holds an assortment of risks like fixed distance focus, the negative effects of the blue light emitted by the screen, and a tendency not to blink, which can lead to dry eye and eye strain in the same way as home computers, mobile phones and tablets.

Rodney said it’s possible that more hours are now spent viewing screens at school than at home, and certainly more time will be spent indoors doing so during class. And these are two of the major concerns with regard to increasing the rate of progression of this epidemic level eye impairment.

Kids Dealing With a Bundle of Confusion

For children with myopia starting school this adds to the normal concerns about whether children will like or shun them, and if their performance will be good enough to elicit praise from their parents and teacher.

When the knowledge they’re supposed to absorb is displayed a full classroom length away, they may well give up completely on concepts like learning, best behaviour, and “doing well at school”, and end up with limited attention spans, poor engagement and performance, affected social development and a low self-image, all of which will feed the vicious cycle they create. And at the same time the core factor of the eye impairment itself could be getting worse.  

“What are they supposed to feel when their teacher asks a question about something on a screen, and they can’t answer it because what they see doesn’t make sense? Or they battle to read out loud words which are a blur to them on a screen or whiteboard, and everyone around them starts laughing?” asks Gattegno.

HEAR: Gary Rodney Interviewed By David Wood Ultra106five.com

The Need for Eye Checks

Rodney and Gattegno urge parents and schools to ensure that children have regular eye checks in a bid to pick up any signs of impairment as soon as possible so those affected can be treated immediately.

For more information visit the Smart Vision website: Optometrists Sydney: Optometry Services For Children and Adults | Smart Vision; for specific information about Myopia treatment and prevention visit Myopia Prevention: Solutions, Control And Treatment In Sydney; and for detailed information about Myopia Treatment visit Orthokeratology In Sydney: The Non Surgical Alternative.

To book an appointment for a thorough eye check-up, click here or Call the Bondi clinic on (02) 9365 5047 or the Mosman clinic on (02) 9969 1600.

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