Myopia Management

Myopia management

What is myopia (short- sightedness)?

Clear vision occurs when light is focused on the retina (the back of the eye). For someone with myopia (the technical term for short-sightedness) light comes into focus too far forward in the eye, causing distant objects to appear blurred. This is because the eye is too long for the power of the eye.

Why is myopia a problem?

As well as needing thicker glasses or contact lenses to correct higher levels of myopia, myopia brings an increased risk of eye disease, in particular retinal detachment, myopic macula degeneration and glaucoma.

The higher the myopia, the greater the risk. Myopia gets worse as children grow and develop.

Recently there have been some exciting new developments in the myopia management research and we now have several options to consider, both in spectacle lenses and contact lenses.

What is myopia management?

Myopia management aims to reduce the progression of short sightedness. At Elizabeth Evans Opticians, we have two main options – MiYOSMART spectacle lenses and MiSight contact lenses.

In children who are becoming myopic, the peripheral light tends to focus behind the retina. Because this peripheral light does not focus on the retina it is thought that the eye responds by growing. Whilst the larger eye reduces peripheral blurring, it also makes the eye increasingly myopic.

By wearing glasses or contact lenses prescribed for myopia management, peripheral blur can be managed and the growth trigger reduced, in turn reducing the severity of myopia.

On average, these management plans reduce myopic progression by 50-60%. This is highly significant, both in terms of the level of myopia that a child develops as they get older, and reducing the risk of complications associated with myopia.

What can I do to reduce risk levels of myopia in my child?

Encourage your child to read at a distance greater then 30cm.

Encourage your child to take a break from near vision tasks every 30 minutes.

Spending 2-3 hours a day outside reduces the likelihood of becoming highly myopic. Spending lunchtimes and break times outside is a great start!

This is known as the 30 : 30 : OUT rule

Did you know?

  • If one or both parents are short sighted, this increases the risk of a child becoming myopic.
  • Each generation tends to be more short sighted than the previous.
  • The younger a child first becomes myopic the higher their myopia is likely to become.
  • UK prevalence of myopia has doubled in the last 50 years.
  • 50-53% of UK university students are now myopic.
  • Myopia is now the most common cause of impaired vision (poor vision even with the glasses) in the developed world.


How much difference should we expect with myopia management?

Research shows an average 50-60% reduction in myopic progression with myopia management. As an average figure, some patients will benefit much more than this, whilst others much less.

When is the best time to start?

We recommend starting management at the earliest signs of myopia.

Do MiYOSMART spectacle lenses look any different?

MiYOSMART spectacle lenses only look different under close inspection. Otherwise, they look the same as conventional spectacle lenses.

What costs are involved?

Our myopia management scheme is £45 per month.
The plan covers either spectacle management using MiYOSMART spectacle lenses or contact lens management using MiSight daily disposable contact lenses.
The £45pcm direct debit payment includes:

For MiSight contact lenses:

  • All appointment fees
  • Daily disposable contact lenses
  • Replacement contact lenses if needed (other contact lens options may be advised, for a supplementary monthly fee)

For MiYOSMART spectacle lenses:

  • All appointment fees
  • A frame with MiYOSMART spectacle lenses
  • One pair of replacement MiYOSMART spectacle lenses if any damage or loss occurs

The minimum contract length is 12 months To discuss your options, please call us on 01661 832564