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Home » Your Eye Health » Children’s Vision » Controlling Nearsightedness in Children

Controlling Nearsightedness in Children

Myopia (nearsightedness) is a common vision problem affecting children who can see well up close, while distant objects are blurred. Nearsighted children tend to squint to see distant objects such as the board at school. They also tend to sit closer to the television to see it more clearly.

Sometimes, childhood myopia can worsen year after year. This change can be disconcerting to both children and their parents, prompting the question: "Will it ever stop? Or, someday will this get so bad that glasses won't help?"

Myopia that develops in childhood nearly always stabilizes by age 20. But by then, some kids have become very nearsighted. Here are three possible ways to slow down the progression of myopia in children:

Gas permeable contact lenses

Wearing rigid gas permeable contact lenses (also referred to as "RGP" or "GP" lenses) may slow the progression of nearsightedness in children. It's been proposed that the massaging action of the rigid GP lens on the eye during blinking may keep the eye from lengthening, thereby reducing the tendency for advancing nearsightedness.

In 2001 to 2004, the National Eye Institute (NEI) conducted a controlled study to determine whether wearing GP lenses is effective in slowing the progression of myopia in children. The 116 participants in the study were 8 to 11 years old when the research began.

At the end of the three-year study period, the children who wore GP lenses had only 0.63 diopter (D) less nearsightedness than the kids in the control group who wore soft contact lenses.

The study also found that wearing GP lenses does not slow the growth of the eye, which causes most of the myopia in children. The reduced progression of myopia among those children wearing GP lenses was due only to the effect the lenses had on the front surface of the eye (the cornea). Children who wore the GP lenses had less increase in corneal curvature than those who wore soft contact lenses. The NEI researchers believe these GP lens-induced changes in corneal curvature are not likely to be permanent, and therefore the effect of GP lenses on controlling myopia progression may not be permanent.

Orthokeratology

Orthokeratology, or "ortho-k," is the use of specially-designed gas permeable contact lenses to flatten the shape of the cornea and thereby reduce or correct mild to moderate amounts of nearsightedness. The lenses are worn during sleep and removed in the morning. Though temporary eyeglasses may be required during the early stages of ortho-k, many people with low to moderate amounts of myopia can see well without glasses or contact lenses during the day after wearing the corneal reshaping lenses at night.

Recent research suggests ortho-k may also reduce the lengthening of the eye itself, indicating that wearing ortho-k lenses during childhood may actually cause a permanent reduction in myopia, even if the lenses are discontinued in adulthood.

Bifocals

Some evidence suggests wearing eyeglasses with bifocal or progressive multifocal lenses may slow the progression of nearsightedness in some children. The mechanism here appears to be that the added magnifying power in these lenses reduces focusing fatigue during reading and other close work, a problem that may contribute to increasing myopia.

A five-year study published in the February 2007 issue of Investigative Ophthalmology & Visual Science produced an interesting result involving nearsighted children whose mother and father were also nearsighted. These children, who wore eyeglasses with progressive multifocal lenses during the course of the study, had less progression of their myopia than similar children who wore eyeglasses with regular, single vision lenses.

See us for a consultation

If you are concerned about your child becoming more nearsighted year-to-year, call us to schedule a comprehensive eye exam and consultation. We can evaluate the progression of their myopia and discuss the best treatment options with you.

 

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To our valued patients,

At The Eye Doctors, Inc. the health and well-being of our patients is at the core of everything that we do. In light of the rapidly changing situation and the spread of COVID-19 we made the difficult decision to close the clinic on Tuesday, March 17 th.

At this time, the Wal-Mart Vision Center remains open limited hours for urgent glasses repairs, pick-ups of existing orders and new contact lens orders. The vision center is open every day from 10 AM to 2 PM and on Tuesdays from 6 AM to 2 PM, with the hour of 6 AM to 7 AM reserved for senior citizens.

If you are experiencing an eye emergency, please call 952-955-4427 to leave a message for one of the doctors. Messages will be checked Monday through Saturday from 9 AM to 5 PM.

We are monitoring the situation closely and will re-open when it is safe to do so. We look forward to seeing you when things improve and thank you for your continued support of our practice. Please continue to our website for further information.

Dr. Melissa Viker & Dr. Britt Gustafson

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The Eye Doctors, Inc. COVID-19 Information:

Our clinic closed on March 17th and will remain closed until it is safe to re-open.  Please watch our website and Facebook page for updates.

Urgent or Emergent Eye Concerns

If you have an eye emergency, we are here to help.  Please call 952-955-4427 and one of the doctors will return your call.  The messages are monitored Monday through Saturday between 9 AM and 5 PM.  Eye emergencies include (but are not limited to): eye pain, a recent onset of redness in one or both eyes, flashes of light or sudden onset of new floaters, double vision, and sudden change/worsening of vision in one or both eyes.

Glasses and Contact Lens Orders:

The Wal-Mart Vision Center is open daily at this time from 10 AM to 2 PM and 6 AM to 2 PM on Tuesdays for limited services. The hour of 6 AM to 7 AM on Tuesdays is reserved for senior citizens.  One optician is on duty to provide urgent glasses repairs and adjustments; at this time no new orders for glasses are being accepted. Existing orders of contact lenses and glasses may be picked up from the vision center.  New orders of contact lenses can be placed in store and will be shipped to your home if we do not have the lenses in stock. Additionally, you may order contact lenses at www.walmartcontacts.com

Contact Lens Safety

There is no evidence that contact lens wearers are at greater risk for a Corona Virus infection, per the American Optometric Association Cornea and Contact Lens Section.  Please follow the below tips:

  • Wash and dry your hands thoroughly before handling contact lenses
  • Avoid using contact lenses if you are ill with any cold or flu-like symptoms
  • Reduce your risk for infection by avoiding sleeping, napping, swimming or showering in contact lenses
  • Replace your contact lens case every 2 months
  • Use fresh contact lens solution each time you store your lenses
  • Do not reuse single-use/daily disposable lenses