alarm-ringing ambulance angle2 archive arrow-down arrow-left arrow-right arrow-up at-sign baby baby2 bag binoculars book-open book2 bookmark2 bubble calendar-check calendar-empty camera2 cart chart-growth check chevron-down chevron-left chevron-right chevron-up circle-minus circle city clapboard-play clipboard-empty clipboard-text clock clock2 cloud-download cloud-windy cloud clubs cog cross crown cube youtube diamond4 diamonds drop-crossed drop2 earth ellipsis envelope-open envelope exclamation eye-dropper eye facebook file-empty fire flag2 flare foursquare gift glasses google graph hammer-wrench heart-pulse heart home instagram joystick lamp layers lifebuoy link linkedin list lock magic-wand map-marker map medal-empty menu microscope minus moon mustache-glasses paper-plane paperclip papers pen pencil pie-chart pinterest plus-circle plus power printer pushpin question rain reading receipt recycle reminder sad shield-check smartphone smile soccer spades speed-medium spotlights star-empty star-half star store sun-glasses sun tag telephone thumbs-down thumbs-up tree tumblr twitter tiktok wechat user users wheelchair write yelp youtube

Myopia Control

Myopia, also known as nearsightedness, causes poor distance vision. Myopia happens when either the eyeball is longer than normal or the front surface of the cornea is too curved.  Myopia is increasing globally at an alarming rate, with significant increases in the risk for vision impairment.

Every 1 diopter increase in myopia increases lifetime risk of myopic damage to the retina by 67%

Every 1 diopter reduction in myopia reduces lifetime risk of myopic damage to the retina by 40%

Myopia Risk Factors:

Onset of myopia

  • One or both parents are myopic (3x increase risk with one parent, 6x with both)
  • Ethnicity- Asian highest risk
  • Excessive near work (2-3x increase risk)
  • Limited outdoor time (2-3x increased risk)
  • Refractive error: More myopic than age normal or progressing faster than 0.75D/year

Progression of myopia

  • One or both parents are myopic
  • Ethnicity- Asian highest risk
  • Age 9 or less (the younger a child becomes myopic, the more likely they are to develop higher levels of myopia)
  • Refractive error: more myopic than age normal or progressing faster than 0.75D/year


Visual Environmental Advice

  • At least 90 minutes a day outdoors. Be sun smart and be active 60 minutes per day
  • Near work: every 20 minutes take a break for 20 seconds
  • Less than 2 hours screen time after school and don’t sit for too long


Treatment options

  • Atropine eye drops

Slows myopia by up to 50%

Instill one drop in each eye once a day before bed

May cause minimal pupil dilation, resulting in possible light sensitivity or trouble focusing


  • Multifocal contact lenses

Slows myopia by up to 50%

Safe for children to wear contact lenses


  • Orthokeratology

Hard contact lenses that you sleep in at night to reshape the cornea

Slows myopia by up to 50%

May allow freedom from glasses during the day


The goal of treatment is not to stop progression entirely, as this is nearly impossible, rather the goal is to slow the progression of your child’s myopia, resulting in lower glasses prescription in the end.

To see how myopia is affecting your child’s vision, check out this simulator:


Other resources