Myopia Management in Children

Singapore, a city state in Southeast Asia, has a high prevalence of myopia.

This is a public health concern because it can lead to higher risks of ocular complications such as retinal detachment, cataracts and glaucoma. 

The prevalence of myopia in Singapore 

• Children: 65% of children are myopic by Primary 6 (around 12 years old)

• Young adults: 83% of young adults are myopic

• Adults: 80–90% of adults over 18 years old are projected to be myopic by 2050, with 15- 25% of these individual may have high myopia.

  
  

High myopia 

• 20% of children with high myopia, which is more than −6.0 diopters (D)

• 10% of adults with high myopia

Causes

• Multifactorial

• Genetics

• Environmental

• Hereditary when both parents have myopia or high myopia.

• Behavioral changes, such as spending more time on screens and less time outdoors. 

• The COVID-19 pandemic may have worsened the situation as screens time increases tremendously without spending much outdoor time.

Behavioral changes have become a crucial factor in recent years, especially following the COVID-19 pandemic. The increased use of advanced technologies, such as Zoom, e-learning platforms, tablets, and computers, has significantly impacted daily routines and habits.

It is essential to initiate a proper Myopia Control Management Program as soon as a child is diagnosed, even with the slightest degree of myopia. Since myopia is an irreversible condition, slowing its progression is crucial during childhood to protect the child’s long-term vision health.

Fortunately, recent advancements in technology have introduced several methods to help slow the progression of myopia in children. Myopia control management includes options such as specialized ophthalmic lenses (spectacle lenses) and contact lenses.

Myopia control ophthalmic lenses, such as Shamir Optimee and Hoya MiYOSMART, are designed with a center clear zone and a peripheral defocus zone that help slow the progression of axial length in children. These lenses are intended for full-time wear to maximize their effectiveness. Unlike regular single-vision lenses, they alleviate concerns about over-accommodation during near tasks, providing parents with peace of mind.

Myopia control soft contact lenses offer another effective approach, especially for active children who participate in sports and activities like basketball, tennis, ballet, gymnastics, and dancing. Compared to spectacles, these lenses provide greater convenience and freedom during such activities. Options like Menicon Bloom Day and CooperVision MiSight daily contact lenses are designed to support myopia control while being easy to handle, even for younger children. Since these are daily wear lenses, they ensure better hygiene and eliminate the need for complex cleaning routines.

Book an appointment with us to learn more about the Myopia Control Management options available and find the best solution for your child.

Contact us at 8826 1212—we look forward to assisting you!