Current optical methods for controlling progressive myopia control in children: a review

The prevalence of myopia has been steadily increasing worldwide. The role of optical methods for controlling progressive myopia control in children is still important. Therefore, the purpose of this study was to review current optical methods for controlling progressive myopia control in children. I...

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Main Authors: T.Ye. Tsybulska, O.Yu. Titkova
Format: Article
Language:English
Published: Ukrainian Society of Ophthalmologists 2025-02-01
Series:Journal of Ophthalmology
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Online Access:https://ua.ozhurnal.com/index.php/files/article/view/231
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author T.Ye. Tsybulska
O.Yu. Titkova
author_facet T.Ye. Tsybulska
O.Yu. Titkova
author_sort T.Ye. Tsybulska
collection DOAJ
description The prevalence of myopia has been steadily increasing worldwide. The role of optical methods for controlling progressive myopia control in children is still important. Therefore, the purpose of this study was to review current optical methods for controlling progressive myopia control in children. It is well established that myopic children wearing full optical correction are less prone to the progression of the disease. It has been reported that the undercorrected group of myopic school children showed a 1.3 times greater rate of progression over 24 months as compared to the fully corrected group. Correction of myopia with spectacles is common in children. Many clinicians share the opinion that myopic peripheral defocus has a positive effect on axial elongation, and peripheral defocus spectacles have been increasingly used for this purpose. Optical correction with spectacles, however, may have some disadvantages. Some children wearing spectacles may feel psychological discomfort due to negative peer comments and/or have problems with compliance. Soft contact lenses with myopic defocus and othokeratology (OK) lenses are of special value for myopia progression control. It has been reported that myopia progression was controlled by 38.6% and 66.6% in children wearing Multistage + 1.50D and Proclear +3.00D multifocal contact lenses, respectively, in comparison to children wearing single-vision control lenses over an 18-month period. Refractive therapy with orthokeratology lenses has become an increasingly popular technique for controlling the progression of myopia. It has been reported that orthokeratology lenses are more effective than spectacles or soft contact lenses at reducing myopia progression. The review provides evidence that myopia control devices utilizing the myopic defocus principle are the first-line means for optical correction in children with progressive myopia.
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spelling doaj-art-128bae8af283442f87eabcf1872ae9072025-08-20T02:02:05ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402025-02-011545910.31288/oftalmolzh202515459Current optical methods for controlling progressive myopia control in children: a reviewT.Ye. Tsybulska0https://orcid.org/0000-0002-1745-7002O.Yu. Titkova1https://orcid.org/0009-0000-8551-0883Zaporizhzhia State Medical and Pharmaceutical University, Zaporizhzhia, Ukraine; VIZUS LLCZaporizhzhia State Medical and Pharmaceutical University, Zaporizhzhia, Ukraine; VIZUS LLCThe prevalence of myopia has been steadily increasing worldwide. The role of optical methods for controlling progressive myopia control in children is still important. Therefore, the purpose of this study was to review current optical methods for controlling progressive myopia control in children. It is well established that myopic children wearing full optical correction are less prone to the progression of the disease. It has been reported that the undercorrected group of myopic school children showed a 1.3 times greater rate of progression over 24 months as compared to the fully corrected group. Correction of myopia with spectacles is common in children. Many clinicians share the opinion that myopic peripheral defocus has a positive effect on axial elongation, and peripheral defocus spectacles have been increasingly used for this purpose. Optical correction with spectacles, however, may have some disadvantages. Some children wearing spectacles may feel psychological discomfort due to negative peer comments and/or have problems with compliance. Soft contact lenses with myopic defocus and othokeratology (OK) lenses are of special value for myopia progression control. It has been reported that myopia progression was controlled by 38.6% and 66.6% in children wearing Multistage + 1.50D and Proclear +3.00D multifocal contact lenses, respectively, in comparison to children wearing single-vision control lenses over an 18-month period. Refractive therapy with orthokeratology lenses has become an increasingly popular technique for controlling the progression of myopia. It has been reported that orthokeratology lenses are more effective than spectacles or soft contact lenses at reducing myopia progression. The review provides evidence that myopia control devices utilizing the myopic defocus principle are the first-line means for optical correction in children with progressive myopia.https://ua.ozhurnal.com/index.php/files/article/view/231myopiaspectaclessoft contact lensesorthokeratology lensesaxial length
spellingShingle T.Ye. Tsybulska
O.Yu. Titkova
Current optical methods for controlling progressive myopia control in children: a review
Journal of Ophthalmology
myopia
spectacles
soft contact lenses
orthokeratology lenses
axial length
title Current optical methods for controlling progressive myopia control in children: a review
title_full Current optical methods for controlling progressive myopia control in children: a review
title_fullStr Current optical methods for controlling progressive myopia control in children: a review
title_full_unstemmed Current optical methods for controlling progressive myopia control in children: a review
title_short Current optical methods for controlling progressive myopia control in children: a review
title_sort current optical methods for controlling progressive myopia control in children a review
topic myopia
spectacles
soft contact lenses
orthokeratology lenses
axial length
url https://ua.ozhurnal.com/index.php/files/article/view/231
work_keys_str_mv AT tyetsybulska currentopticalmethodsforcontrollingprogressivemyopiacontrolinchildrenareview
AT oyutitkova currentopticalmethodsforcontrollingprogressivemyopiacontrolinchildrenareview