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The Link Between Myopia Progression and COVID Confinement

The Link Between Myopia Progression and COVID Confinement 640×350Several months into the COVID-19 pandemic eye doctors began to notice that children’s myopia was worsening. Researchers set out to learn whether there was, in fact, a link between the pandemic and increased myopia progression, and if so, why.

How The Pandemic Affected Children’s Vision

A recent study published in JAMA Ophthalmology (2021) found that children aged 6 to 13 experienced an increased rate of myopia progression since the beginning of the pandemic, and the lockdowns and restrictions that accompanied it.

The researchers examined the rate of myopia progression from 2015 to 2020 in more than 120,000 children from 10 elementary schools, based on school vision screenings. By the end of the study, children were shown to have significantly higher rates of myopia progression in 2020 than in previous years.

The higher rate of progression was especially severe in children between the ages of 6 and 8. Researchers theorized that the children’s earlier stage of visual development might have been the crucial factor.

Other studies have already determined that children who spend at least 2 hours a day outdoors experience less myopia progression than their peers who stay mostly indoors.

Researchers from the National Eye Institute found that children who spent significant time outdoors — about 14 hours a week — significantly reduced their chances of needing glasses for myopia. Among children with two myopic parents, the chances of needing glasses are roughly 60% if they don’t spend significant time outdoors. However, this study found that, after spending the prescribed 14 hours per week outside, the same children’s risk of myopia dropped to around 20%.

Similar results appear in a study published by the journal of the American Academy of Ophthalmology (February 2019), that shows a significant link between the amount of time children spend engaged in near-work tasks and increased myopia progression.

Taken together, these studies give us a clearer picture of the challenges children have faced during the COVID-19 pandemic, and why myopia rates in children have soared.

What Can Parents Learn From All Of This?

Parents should make an effort to encourage their children to go outside as often as possible and to spend more time away from screens and other near-work tasks. Moreover, progressive myopia in childhood has been linked to heightened risks of developing sight-robbing eye diseases later in life, such as glaucoma, macular degeneration and cataracts.

If you’re concerned about your child’s myopia, make an appointment with their eye doctor as soon as possible, as delays in seeking professional advice can make myopia management more challenging in the future.

Our practice offers myopia management to patients from Albuquerque, Rio Rancho, South Valley, and Sandia Heights, New Mexico and surrounding communities.

 

References:

https://pubmed.ncbi.nlm.nih.gov/33443542/

https://www.aaojournal.org/article/S0161-6420(17)33464-4/fulltext

 

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The Four Best Ways to Treat and Manage Myopia

If you or your children have myopia and it is getting worse each year, this article is for you. We will be discussing the four best ways to treat your myopia so it no longer gets worse. Everything we discuss is based on solid science and research, double-masked clinical trials, and recommendations based on mountains of peer-reviewed data. Certainly, we’ve heard and researched other more holistic approaches, if they turn out to be effective, know that this is surely a growing field however and as things change you’ll certainly hear it from us first!

What is Myopia?

Before you can defeat your enemy, you need to know exactly what it is. Myopia is a disease of the eye that is usually the result of an eyeball that has grown too long. We call how long the eyeball is the ‘axial length’. When the axial length grows excessively long, your vision will suffer in direct correlation. So any treatment we discuss has to show efficacy in its ability to reduce axial length elongation compared to a control group. Other times, the cornea may be too steep which can also cause myopia. However, for the sake of this article, we will address the major cause of myopia which is the excessive axial length of the eye. As when we talk about managing myopia, we will be talking about ways that have shown clinical evidence in slowing down axial length growth.

Custom Orthokeratology or Overnight Contact Lenses

Orthokeratology involves using a specially designed contact lens to gently reshape the cornea. The lenses are worn only while sleeping and are removed upon awakening in the morning. There are other names for orthokeratology such as corneal reshaping treatment, gentle vision shaping system, and custom retainers. The technology works by gently flattening the curvature of the cornea to redirect light directly onto the retina.

While initially created to help improve vision so that children and adults can see more clearly, studies have shown that the technology is extremely effective in reducing the rate of myopia progression. The theory is that light is focused in front of the retina in your peripheral vision. This effect changes the optical signals the eye receives to stimulate eye growth. Like all contact lenses, patients need to be diligent in handwashing and cleaning, and disinfecting the lenses for safe use. However, studies show that with proper hygiene this is an incredibly safe and effective treatment for treating children of almost any age.

Atropine

Atropine is a pharmaceutical agent that can be made into an eye drop. This eye drop has been used for many years to treat children with amblyopia, or sometimes called a ‘lazy eye’. It can be used to dilate the pupils of the eye and also used to treat uveitis as well. What we’ve learned as well is that the use of a diluted concentration of atropine can also slow down the speed of myopia progression. The mechanism of action is still little known, but we believe that it blocks certain signals of the eye to reduce the signal to grow longer. By slowing down the speed at which the axial length increases, this can directly impact the rate of myopic progression.

Custom Soft Multifocal Contact Lenses

More contact lenses are being designed and FDA approved to slow down myopic progression. The MiSight contact lens is an example that has been shown to slow down the rate of myopia by almost 60% compared to control groups. These lenses have different powers throughout the lens that optically focuses light in front of the peripheral retina. By designing these special powers, a patient can wear a simple contact lens during the day to treat both the vision problems associated with myopia as well as prevent the eye from growing too long.

Special Myopia Treating Eyeglasses

More glasses are coming out that can also redirect light in a similar fashion to orthokeratology and soft multifocal contact lenses. This is a particularly exciting alternative for patients who cannot tolerate contact lenses and are wary of putting pharmaceutical drugs into their children’s bodies. From large bifocal eyeglasses to lenses with specialized rings of power in them, lenses are becoming more and more advanced to prevent axial length elongation.

Treehouse Eyes Can Help Prevent Myopia Progression

The good news is we help prevent or slow down myopia progression in kids—just like yours—so they can have their best shot at academic and social success! Above are four of the best ways we treat myopic progression once your child has been diagnosed with myopia. Orthokeratology involves reshaping the eye gently with a contact lens while sleeping. Atropine involves an eye drop that can signal the eye to grow a little slower. Custom soft multifocal lenses are worn during the day. And even specially designed glasses are on the horizon to improve the progression of myopia.

The Treehouse Eyes eye doctors use state-of-the-art equipment to develop a personalized treatment plan for your child. Our non-invasive treatments include customized contact lenses and special prescription eye drops. Moreover, data shows that our patent-pending Treehouse Vision System® treatment plan can decrease myopia progression by 78%.

Give your child the tools they need to succeed! To schedule your child’s back-to-school eye exam, visit our online scheduler, or to see a list of all providers near you visit Treehouse Eyes today.

Can Restricting Online Gaming Time Reduce Myopia Progression?

Two kids playing online gamesThe Chinese government recently implemented a new policy that’s sparked conversations about childhood myopia and online gaming.

Under the policy, Chinese children and teens under the age of 18 are only permitted to play online video games for one hour on weekend evenings and public holidays — a significant reduction compared to their previous online gaming allotment. This restriction includes all forms of video games, from handheld devices to computer and smartphone gaming.

The government hopes to combat a common condition called online gaming disorder, or video game addiction, which affects more than 30% of children in China. Another potential benefit of limiting online gaming may be a reduction in childhood myopia progression, something we explore below.

The Link Between Online Gaming and Myopia Progression

Myopia, or nearsightedness, is a condition that causes blurred distance vision. Several factors contribute to the onset and progression of myopia, including genetic and environmental.

Several studies have found that screen time, along with other forms of near work, is associated with higher levels of myopia and myopia progression in children.

According to a study published in the British Journal of Ophthalmology (2019), children who engage in screen time for more than 3 hours per day have almost 4 times the risk of becoming myopic. Younger children, around ages 6-7, are even more susceptible to experiencing screen-related nearsightedness, with 5 times the risk compared to children who don’t use digital screens.

Limiting screen time may also encourage children to spend more time outdoors in the sun, a protective factor against developing myopia and slowing its progression.

In The Sydney Adolescent Vascular and Eye Study (2013), researchers found that spending at least 21 hours outdoors per week was more important for delaying the onset of myopia than limiting near work in both younger and older children, although both were effective.

What’s the Bottom Line?

Although online gaming can give children a sense of community and togetherness, excessive online gaming can increase a child’s risk of developing myopia and contribute to its progression.

The good news is that parents can make eye-healthy choices for their children that can have lifelong benefits. Limiting near work activities like online gaming and other screen time, and encouraging your children to play outdoors can significantly reduce their chances of developing high (severe) myopia.

How Myopia Management Can Help

The best thing that parents can offer their children to prevent myopia and halt its progression is a custom-made myopia management treatment plan with an eye doctor.

Whether or not myopia has set in already, we can help preserve your child’s eye health and lower their risk of developing sight-threatening eye diseases like glaucoma, cataracts, macular degeneration and retinal detachment in the future.

To learn more about our services or schedule your child’s myopia consultation, contact Eyes of New Mexico Family Optometry and Contact Lenses in Albuquerque today!

Eyes of New Mexico Family Optometry and Contact Lenses offers myopia management to patients from Albuquerque, Rio Rancho, South Valley, and Sandia Heights, New Mexico and surrounding communities.

Frequently Asked Questions with our optometric team

Q: Who is an ideal candidate for myopia management?

  • A: Children, teens, and young adults who are nearsighted or are at risk of becoming nearsighted are ideal candidates for myopia management. If you think myopia management is right for you or your child, speak with us about how we can help. Remember, the sooner your child starts myopia management, the better their outcome will be.

Q: Is myopia management based on scientific evidence?

  • A: Yes! The treatments used in myopia management are all safe and clinically proven to slow the onset and progression of myopia in children and teens. There have been several scientific studies that support its effectiveness.

Myopia Management Appointment
Want To Discuss Myopia? Call 505-806-1432

How Much Time Should My Child Spend Outdoors?

child outdoor 640The benefits of outdoor play are well known. It allows children to exercise, socialize, develop skills like problem-solving and risk-taking and lets them soak up some vitamin D.

A lesser-known benefit of outdoor play is its effect on myopia (nearsightedness). Numerous studies have confirmed an association between increased “sun time” and lower levels of myopia.

Below, we’ll explore why this is and recommend ways to keep your child’s eyes healthy, whether or not they are nearsighted.

Why “Sun Time” Helps Control Myopia

While researchers haven’t yet pinpointed the exact reason, some believe that the sun’s intense brightness and increased vitamin D play a role. Others theorize that children who spend time looking into the distance while outdoors prevent myopia from progressing or even developing.

How Much Outdoor Time Is Recommended?

There isn’t a unanimous opinion on an exact amount of time, but the general recommendation is that children ages 6 and up should spend 2 or more hours outdoors per day.

It’s important to note that UV rays can be harmful to the eyes and skin. So before you send your little ones out to play, be sure to hand them a pair of UV-blocking [sunglasses], a wide-brimmed hat and sunblock lotion.

What Can Parents Do For Their Children’s Vision and Eye Health?

Encourage your children to spend time outdoors whenever possible. It is also important to follow local health guidelines pertaining to the exposure of children to sunlight. Limit their daily screen time, and offer minimal screen time (if any) to children under the age of 2.

Make sure your child takes frequent breaks whenever doing near work like homework, reading, and spending time on a digital screen. A 5-10 minute break should be encouraged for every hour of near work.

However, the best thing you can do for your myopic child is to provide them with myopia management treatments, all of which have been scientifically proven to reduce the progression of myopia and risk of sight-robbing eye diseases later in life.

To schedule your child’s myopia consultation, call Eyes of New Mexico Family Optometry and Contact Lenses today!

Q&A

Frequently Asked Questions with our optometric team

Q: What is myopia?

  • A: A: Myopia is the most common refractive error among children and young adults. It occurs when the eye elongates, and rays of light are focused in front of the light-sensitive retina rather than directly on it. For those with nearsightedness, distant objects appear blurred while nearby objects remain clear. Although eyeglasses and standard contact lenses can correct a person’s vision, they do not treat the underlying cause of myopia or slow its progression.

Q: Why is myopia management important?

  • A: A: By 2050, half of the world’s population is expected to be diagnosed with myopia. That’s worrying because having myopia raises the risk of developing serious eye diseases later in life. Myopia management, which entails the use of eye drops, specialized contact lenses or multifocal glasses, can help slow the often rapid visual deterioration caused by myopia in children. If you’re concerned that your child’s vision is deteriorating, contact us today. We can help.



Eyes of New Mexico Family Optometry and Contact Lenses serves patients from Albuquerque, Rio Rancho, South Valley, and Sandia Heights, all throughout New Mexico.

Myopia Management Appointment
Want To Discuss Myopia? Call 505-806-1432

 

Eyes of New Mexico Family Optometry and Contact Lenses serves patients from Albuquerque, Rio Rancho, South Valley, and Sandia Heights, all throughout New Mexico.

Why Myopia Is Much More Than An Inconvenience

Mom Daughter Child Eye HealthFor some parents, having a nearsighted child simply means frequent visits to the optometrist and regular eyewear purchases. But the truth is that nearsightedness (myopia) is more than an inconvenient eye condition that frequently requires correction.

Taking the short-sighted approach to myopia by simply updating a child’s lens prescription every year or two doesn’t help them in the long run.

Below, we explore the connection between myopia and eye disease, and how myopia management can help your child maintain healthy eyes throughout their life.

How Can Myopia Lead To Eye Disease?

Myopia is caused by the elongation of the eyeball. When the eyeball is too long, it focuses light in front of the retina instead of directly on it, causing blurry vision.

As childhood myopia progresses, the retina (the light-sensitive tissue lining the back of the eye) stretches and strains, making the child more prone to serious eye diseases, including macular degeneration, glaucoma, and retinal detachment, in adulthood.

Having medium to high myopia (-3.00 to -6.00) also increases a child’s chances of developing cataracts fivefold, compared to a child with little to no myopia.

Glaucoma is a leading cause of blindness in adults around the world. Medium to high myopia makes a child 5 times more likely to develop this sight-threatening eye disease as an adult. Several studies have also shown that the higher the myopia, the greater the risk of developing glaucoma.

Retinal detachment is also heavily linked to childhood myopia. A child with low myopia (-1.00 to -3.00) is 4 times more likely to develop retinal detachment, while children with high myopia are 10 times more likely to suffer from retinal detachment.

Highly myopic children are also at a significantly greater risk of developing myopic macular degeneration — a rare condition where the retina thins so much, it begins to break down and atrophy, leading to visual impairment. This condition occurs in 10% of people with high myopia (-6.00 and higher).

The fact is that most parents aren’t aware of these risks. That’s why we’re here for any questions you or your child may have about myopia and how to slow its progression.

What Is Myopia Management?

Myopia management is an evidence-based treatment program that slows or halts the progression of myopia in children and young adults. These treatments reduce the ocular stress that contributes to the worsening of the child’s myopia.

Our optometric team will take the time to sit with you and your child to learn about their lifestyle and visual needs in order to choose the most suitable treatment.

Once a treatment plan is chosen, we will monitor your child’s myopia progression over a 6-12 month period to assess the plan’s effectiveness.

With myopia management, we bring your child’s future into focus.

To schedule your child’s myopia consultation, contact Eyes of New Mexico Family Optometry and Contact Lenses today!

 

Frequently Asked Questions with our optometric team

Q: How old does my child have to be to begin myopia management?

  • A: Children as young as 8 years old can begin myopia management. In fact, children who are at risk of developing myopia or high myopia should ideally start before the age of 10 for optimal results, but it’s never too late to start! Either way, your optometrist will help determine whether your child is ready.

Q: Do children with very low myopia need myopia management?

  • A: Yes, definitely. Taking the ‘wait and see’ approach runs the risk of allowing your child’s prescription to rise as they grow older, increasing their risk of developing serious eye diseases in the long run.
Eyes of New Mexico Family Optometry and Contact Lenses serves patients from Albuquerque, Rio Rancho, South Valley, and Sandia Heights, New Mexico and surrounding communities.

 

 

Myopia Management Appointment
Want To Discuss Myopia? Call 505-806-1432