MYOPIA aka nearsighted

  Myopia commonly known as nearsightedness results from progressive lengthening of the eye. As light enters the eye it causes objects in the distance to appear blurry. As the eye grows longer, the prescription increases. This elongation increases the likelihood of ocular diseases such as retinal detachment, maculopathy, glaucoma, and cataracts. Myopia is a multifactorial condition. Genetics can cause elongation of the eye and excessive amount of near work . Fortunately, there are now three evidence-based methods that can be utilized to slow down the progression of myopia.  


Myopia control is a treatment plan implemented by an eye care doctor to help slow down the progression of myopia. The ogla of treatment is to decrease progression of myopia by 30-90%. At Eyecon Optometry, our doctors are trained to implement a variety of evidence based options that will best fit the patient’s lifestyle. During your eye exa, all options will be discussed to determine the plan of action that is best for you and your child.


1. Orthokeratology

Orthokeratology is a corneal reshaping lens that is worn at night time. The lenses allow for a reversible change in the shape of the front surface of the eye. At night, tissue of the top layer of the cornea is moved from the center of the eye to the periphery and allows the wearer to see during the day without additional lenses or glasses. The tissue moved to the periphery creates plus power leading to peripheral blur that serves a signal to the retina to stop myopic eye growth. Studies show that orthokeratology lenses have a 40-60% reduction in myopia progression. Orthokeratology lenses are good for patients with low to moderate myopia and astigmatism. Orthokeratology lenses are FDA approved and safe for children and adults of all ages.

2. Multifocal Soft Lenses

Multifocal contact lenses are worn during the day and taken off before bedtime. However, multifocal lenses differ from normal soft lenses. In addition to the center power that has the patient prescription, it also has additional plus power in the periphery of the lens that causes peripheral blur. This peripheral blur works similarly to orthokeratology and serves a cue for the retina to stop myopia progression. Multifocal contact lenses are an excellent option for patients already wearing soft contact lenses or patients with prescriptions too high to be fit in orthokeratology lenses. High astigmatism patients are also a good candidate for multifocal lenses. Multifocals have a similar reduction in progression to orthokeratology at 40-50%. It is important to note that myopia control is only occurring when the lenses are on the eye so it is recommended that contact lenses be worn daily for at least 10 hours. It is never advised to sleep, shower, or swim in soft contact lenses. For kids and teenagers, it is recommended to be fit in daily disposable contact lenses to prevent infection.

3. Low Concentration Atropine

Low concentration atropine has also been found to prevent myopia progression. Atropine drops are applied once a day and normal correction (glasses or contact lenses) is worn throughout the day. Low dose atropine is an excellent alternative for patients who are not yet ready to be in contact lenses. It can also be added to other myopia control treatment options if progression is still occurring with one of he other treatment options. Low dose atropine has been found to be very effective in slowing down myopia progression with a reduction of 30-50%.


If your child displays one or more of the following habits, he or she should be evaluated for myopia:

  • Persistent squinting

  • Needing to sit closer to see

  • Holding books very close while reading

  • Seeming to be unaware of distant objects

  • Excessive blinking

  • Rubbing eyes frequently

  • Poor grades or falling behind in school


Side effects of low concentration Atropine are very minimal due to the low dosage. With any drop, allergy and allergic red eye can occur, but studies show that it is rare. With higher dose Atropine, sun sensitivity, dilation, and difficulty seeing up close are side effects, but these are not seen in studies when lower doses are used.

Yes, the drops do not change the prescription so normal glasses wear is needed. Contact lenses can be worn as well, but it is recommended to wait 10 minutes after instilling drops.

Yes, but it is recommended to start one treatment first to determine the effectiveness of the treatment. After 6 months have passed, a second treatment can be added to increase effectiveness. Studies have shown that atropine and orthokeratology is additive in terms of effectiveness.

Yes, this is definitely something that can be done. Before discontinuing the drops, we recommend having completed the orthokeratology fitting. Our doctors will evaluate every 6 months to ensure that the new orthokeratology treatment is effective.

It is possible to discontinue Atropine treatment at any time if the treatment is not effective or is not well tolerated by the patient. However, it is very important to discuss this with your optometrist before doing so. A new myopia control treatment plan needs to be set before discontinuing any drops. The drops are only effective when used. If the drops are discontinued, myopia will continue to progress. For most patients with myopia, progression does not stop until after college. 

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Eyecon Optometry

📞 818-345-2010

📠 818-345-2070

📌 7217 Reseda Blvd.,

     Reseda, CA 91335

Mission Hills

📞    818-361-4020

📌 15336 Devonshire st., Suite 4, 

        Mission Hills, CA 91345

Mon-Friday: 8:30-5:00pm

Saturday: 8:00am-4:00pm

Closed : Wednesday, Sunday

Opening Hours

Monday - Thursday : 9:00 am - 6:00 pm

Friday-Saturday : 8:30 am - 5:00 pm

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