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Myopia Management

Myopia on the rise – take control

  • One measurement process, three parameters
  • Results interpreted on the basis of BHVI growth curves
  • Environmental conditions and patient education
  • Evaluation-based treatment recommendations
  • Keeping an eye on eye growth
Pentacam® AXL Wave & Myopia Master®
  • What is Myopia
  • Why Myopia Management
  • Myopia Management with OCULUS
  • The products

What the experts say

New standard of care in children

Myopia Master® Brochure

Pentacam® Family Brochure

What is myopia or short-sightedness?

Short-sightedness, or myopia in technical terms, is becoming increasingly common in our modern world. Myopia is characterized by difficulty seeing distant things. As a consequence, short-sighted people perceive objects at a distance indistinctly or blurred. Conversely, they can clearly see closer objects.

How does our eye work?

Normal eye

Normal eye

Light enters the eye, passing through the cornea, pupil, lens, and aqueous humour. The lens focusses the light and projects an image onto the retina. This is where the photoreceptors are located. These photoreceptors transmit the information to the brain via the optic nerve, enabling us to see the image.

Axial myopia

Axial myopia

This form of myopia occurs when the eyeball is too long. The focal point is located in front of the retina. This causes an unclear image on the surface of the retina, which is then also perceived as blurry by the brain.

Refractive myopia

Refractive myopia

This form of myopia occurs when the refractive power of the lens and cornea is too high. The focal point is located in front of the retina. This causes an unclear image on the surface of the retina, which is then also perceived as blurry by the brain.

Myopia risk

Myopia: short-sightedness in children and adolescents on the rise

When it comes to the spread of myopia some studies already speak of an epidemic. The well-known Brien Holden Vision Institute has forecast that by the year 2050 one out of two individuals could be affected by myopia. That is alarming, and it makes it more than clear that early detection and management of myopia are becoming more and more important. For there is no other way to effectively reduce the risks of myopia in children and adolescents.

Numbers speak a clear language

A comparison illustrates the rapidity of this development: In the year 2000 22.9% of the global population were affected by myopia and 2.7% had high myopia beyond -5 diopters. According to Brien Holden’s forecast, by 2050, 50% of the world’s population could be myopic and at least 10% could be suffering from high myopia. The development is also dramatic within Europe. According to data recently presented by the European Eye Epidemiology Consortium, more than 47% Europeans between 25 and 29 years of age are myopic

Risk of severe eye disease on the rise

Those affected also have a greater risk of developing severe eye disease such as cataract or retinal detachment and eventual blindness. In general it can be said, that the earlier the myopia onset, the higher will be the myopia in the adulthood and the higher will be the risk for severe eye disease.

Weltkarte Myopie

Why is short-sightedness becoming increasingly common among children?

Why is short-sightedness becoming increasingly common among children? The trend in recent years is alarming. Every second child under the age of 10 is or will become short-sighted. In 2000, 22.9% of the world’s population was affected by myopia. According to the Brien Holden Vision Institute, 50% of the world’s population could suffer from myopia by 2050. The trend in Europe is also alarming. Currently, a good 47% of 25 to 29-year-olds are short-sighted.

Causes of myopia

Lifestyle changes are the most important cause!

Tablets, smartphones, and laptops have a massive influence on media consumption today. At the same time, they are also a new source of strain on the eyes. People often check their e-mails or read the news on their smartphones first thing in the morning. Then, they usually spend hours working at a computer. Constant close-range vision like this significantly increases myopia. At the same time, it is not just a matter of screen time but also the intensive use of digital devices in general. This is becoming increasingly prevalent, particularly among children. Interestingly, there are clear international differences.

People in Asia spend an average of 14 hours a day on the Internet compared to 6 hours in the USA. In addition, people in these countries also neglect outdoor activities in natural and bright light. Australia is a different story: Here, only 30% of 17-year-olds are short-sighted. At the same time, Australians have more than three hours of activity per day. This is well above the average for Americans, Asians, and Europeans, with a maximum of between one and two hours a day. This is a major disadvantage for the eyes.

How does short-sightedness become apparent?

Those affected can still see perfectly at close range. This is why they can usually read or work using a screen without any problems.
Myopia becomes noticeable when recognising distant objects.

The image becomes blurred, as described above.

The following symptoms may be signs of myopia:

  • The further away an object is, the more blurred it appears
  • People with myopia can only recognize faces and people as they move closer
  • They have problems reading street names and house numbers
  • Reading projected texts is difficult
  • They cannot see individual leaves or branches on trees
  • Illuminated signs or other light sources seem blurry
  • The further away an object is, the more blurred it appears
  • They suffer headaches, especially during and after activities that require clear distance vision, such as driving a car

Myopia Management

How is myopia examined?

An ophthalmologist or optician generally performs an eye test. Short-sightedness is tested using eye charts at a distance of five to six metres. First, the test is performed with the left eye covered, and the right eye is tested once without and once with corrective lenses. Then the other eye is tested using the same procedure.

If the eye test indicates the presence of myopia, consulting an ophthalmologist is recommended. To be on the safe side, the ophthalmologist determines whether other diseases or changes to the eye are present and treats them if necessary.

How is myopia treated?

There are three ways to treat short-sightedness. By wearing glasses, contact lenses or through surgery. Glasses for short-sighted people shift the point at which distant objects are in focus so that the focus is positioned directly in the retinal plane. Diffusing lenses with a negative refractive index are used. Eye surgery may be an option for people who cannot or do not want to wear glasses or contact lenses. Lasers are increasingly used for this surgery. Today, the main laser procedure used to correct short-sightedness is known as LASIK (Laser-Assisted In Situ Keratomileusis). Sufficient corneal thickness is an important prerequisite for LASIK surgery. In addition, the visual acuity should not have changed significantly in the past months.

In the case of more severe myopia and if the cornea is not thick enough, ophthalmologists can implant an artificial lens. These lenses are called ICLs (intraocular contact lenses). This procedure is preferably performed on younger patients. In older patients, myopia is often corrected as part of cataract surgery. In this procedure, the patient’s own lens is replaced with an artificial lens.

What is myopia management?

Myopia, also known as short-sightedness, is a common visual disorder that can affect people of all ages. Children in particular should be given special attention as the eye is still growing at a young age. Myopia management is a modern approach to slowing the progression of myopia and reducing the risk of eye diseases such as retinal detachment or macular degeneration.

Why is myopia management important?

More and more people are suffering from the consequences of myopia, especially due to the intensive use of digital devices. Occupational demands, such as working long hours at the computer, as well as changes in lifestyle can favour the progression of myopia. The increasing use of tablets and smartphones can also accelerate the development of myopia in children. The risk of eye diseases, such as damage to the retina, increases with the increase in short-sightedness. Early myopia management, especially in children, can slow down this progression and improve quality of life in the long term.

Advantages of myopia management

  • Early detection and treatment of myopia
  • Slowing down the progression of myopia, especially in children
  • Reduced risk of serious eye diseases
  • Improved quality of life through healthy eye development

Methods for myopia control

There are various scientifically proven methods to slow down the progression of myopia:

  • Optical corrections: special spectacle lenses or contact lenses for myopia control.
  • Drug treatments: Use of low-dose atropine to reduce eye growth.
  • Behavioural changes: Less screen time and more outdoor activities.
  • Regular check-ups: Bi-annual or annual examinations to monitor progress.

Holistic approach: What does myopia management involve?

Myopia management is a holistic approach that not only focuses on short-term improvements in vision, but offers long-term solutions to maintain eye health. It combines different techniques and technologies to slow down the progression of myopia and achieve the best results for patients:

  • An accurate determination of eye parameters (refraction, axial length, corneal curvature) is the first step in making an informed decision for the right treatment strategy – be it glasses or contact lenses.
  • Individual analysis: Taking into account genetic factors, lifestyle and occupational requirements, e.g. for adults with high screen usage or children with increased close work.
  • Adaptation of treatment: Regular checks and optimisation of measures based on individual progression.

OCULUS myopia software with growth control

Precisely determined, scientifically validated, clearly presented

Regular eye growth checks are an essential aspect of successful myopia management. The Myopia Master® software and Pentacam® AXL Wave show eye growth in detail and visualize the success of your treatment. The annual growth in eye length is calculated and documented. The software visualizes the success of the treatment measures, such as Ortho-K lenses or special myopia spectacle lenses. If the treatment does not have the desired effect, you can use the information to optimize your treatment. The documentation supports your communication with your customer.

In addition, you can also precisely predict how the myopia will develop in the future. Using the guided myopia software gives you greater security and creates a more convincing experience for the customer. Simply structured, intuitive to use, and incomparably precise. Your perfect start to treating an increasingly important issue! This simple and professional myopia management concept enables you to achieve satisfied customers in 5 simple steps:

  • Measurement
    All of the important data is recorded in just a single measurement process: axial length, refraction, and keratometry.

  • Data analysis
    The growth curves of the Brien Holden Vision Institute (BHVI) facilitate interpreting the data.

  • Risk assessment
    Questionnaire for visual behaviour, external influences, and customer education.

  • Myopia Report
    Evaluation-based treatment recommendations, clearly listed for the customer.

  • Growth analysis
    Annual eye length growth and treatment successes are clearly displayed.

OCULUS myopia software with growth control

Now, the myopia software is not only linked to the Myopia Master® but can also process data from the Pentacam® AXL Wave. This is a major advantage for you, as it allows you to expand or change your equipment without losing data. Progression data is the cornerstone of myopia management. That is why myopia software can be used simultaneously with both devices to further increase your flexibility and efficiency.

Case Reports & Best Practices

Case Report

Myopia Case Report – New standard of care in children

Author: Max Aricochi, Myopia Expert, Isser Optik, Innsbruck, Austria

With progressive myopia already experiencing an extreme increase over the past few years, this drastic situation is further fueled by the changing eye demands associated with the Covid-19 crisis. This Case Report shows how myopia management was performed in an 8-year-old exophoric patient.

Case Report

Myopia Management with Orthokeratology

Author: Jaume Pauné, PhD, Optometrist, Orthokeratology Specialist, Centro Médico Teknon, Barcelona, Spain

In myopia had been stated that avoid overcoming 26 mm of axial length or less of -6.00 D is of importance. Even more, if we know that every additional dioptre increases myopic maculopathy by 67 %. Today, orthokeratology (OK) is a gold standard for optical devices. Between them, Double Reservoir Lenses (DRL) easily allow customization, as changes in back optic zone diameter, for better myopia control in children.

Case Report

Myopia management for pre-myopia

Author: Dr. Philipp Hessler, M.Sc. Optometrie/Vision Science, CEO Optik Hessler, Erlenbach a. Main, Germany

The increasing myopia prevalence opens a new field for optometry. Educating parents and kids about risk factors, monitoring regimen and treatment options is an ethical responsibility as well as a new task for preventive optometry to identify those at risk for developing axial elongation along with severe eye health issues later in life.

Case Report

Alarming high myopia managed with multi focal contact lenses

Author: Stefan Schwarz FAAO, MCOptom, Diplomate in Cornea, Contact Lenses and Refractive Technologies, Hildesheim, Germany

Over the last years, myopia management has become a major focus in the practical work of many eye care specialists. Current management options typically involve contact lenses or atropine. This Case Report describes the approach taken in a pre-myopic patient.

Best Practice

Operations with the Myopia Master

Author: Dr. Sal Jivraj BSc (Hons) OD, MBA FAAO FEAOO FCOptom FBCLA, Calgary, Canada

I was initially introduced to the OCULUS Myopia Master® in 2019 (in the UK) and I was very excited to try out this new device which would enable me to measure axial length, refraction and keratometry, all at the same time. Previously there was no all-in-one device available for performing refraction, axial length measurement and keratometry in combination.

Interview

Professional myopia management in the eye clinic

Prof. Dr. Hakan Kaymak, ophthalmologist and specialist for surgeries on vitreous, retina, and macula

Get a first-hand introduction to the myopia management routines of an ophthalmological practice. Dr Hakan Kaymak will walk you through a typical examination from start to finish, explaining what the essentials of a routine examination are and why good cooperation with optometrists is important.

Two products, one innovative solution.

Learn more about the
OCULUS Pentacam® AXL Wave & OCULUS Myopia Master®.

OCULUS Pentacam® AXL

The next generation is here! The new Pentacam® AXL Wave is the first device to combine Scheimpflug tomography with axial length, total wavefront, refraction AND retroillumination.

OCULUS Myopia Master®

The Myopia Master® from OCULUS now enables optometrists and ophthalmologists to position themselves optimally for the future. The Myopia Master® combines the most important parameters, making myopia detection and management much easier and more reliable than ever.

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