Treatment of Rapid Progression of Myopia: Case Series and Literature Review

Case Reports in Ophthalmology

Eran Pras¹  Nir Erdinest²  Nadav Levinger²  Itay Lavy²  Naomi London³  Yair Morad⁴ 

[1] Department of Ophthalmology, Assaf Harofeh Medical Center, Zerifin, Israel;Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel;Private practice, Jerusalem, Israel;The Myopia Center, Rishon LeZion, Israel;

关键词: peripheral defocus;    soft contact lenses;    myopia progression;    myopia control;    atropine;   

DOI  :  10.1159/000519629

来源: DOAJ

【 摘 要 】

This retrospective case series demonstrates the combination of 0.05% atropine with MiSight® 1 day (Cooper vision, Sar Ramon, CA, USA) in rapid progression of myopia of 4 children. MiSight® 1 day is a peripheral defocus, center-distance soft contact lens and is effective at controlling moderate progression of myopia during the course of 1 year. The current case series included 2 females and 2 males with an average age of 9.68 ± 0.26 years and an average axial length of 24.81 ± 0.92 mm. Their myopic progression during the previous year was −1.45 ± 0.27 D. The children had not attempted any myopia control thus far. This relatively high increase prompted a combination treatment of daily instillation of 0.05% atropine and MiSight, a daily replacement soft contact lens. Cycloplegic refraction and a slit-lamp evaluation were performed every 6 months to confirm no adverse reactions or staining was present. The 8-item contact lens dry eye questionnaire (CLDEQ-8) score of these children was 10.66 ± 1.52. The average myopia progression at the end of 1 year decreased to −0.41 ± 0.11 D, and the average axial length increase was 0.28 ± 0.08 mm. To the best of the authors’ knowledge, this is the first published study showing a combination of 0.05% atropine and peripheral defocus soft contact lenses indicating efficacy at controlling moderate myopia progression.

【 授权许可】

Unknown