Myopia Management Eye Examination

You might be wondering how a myopia management examination differs from a regular eye examination. There are a few keys difference that are crucial in diagnosing and managing myopia correctly.

 

So let’s talk you through the steps of a myopia management examination:

  1. Lifestyle and genetics questionnaire

The first part of the process is gathering information about your child and your family. Genetics plays a strong role in myopia development and progression. As such we need to understand whether mum and dad are myopic or not, and to what degree.

We will also be asking questions about your child’s lifestyle. How much time is spent playing outdoors? How much time is spent conducting near work such as reading or use of digital devices? All these factors are taken into account when calculating the risk of your child’s likely myopia progression.

  1. Cycloplegic Refraction

To understand your child’s prescription fully and accurately we must conduct a cycloplegic refraction. This involves placing some eye drops in your child’s eyes, waiting 30-45 minutes for the drop to take effect. The drop will cause the pupils to grow in size and will relax the focussing system in the eye allowing a more accurate baseline measure of your child’s prescription.

  1. Binocular vision assessment

A more detailed assessment of how your child’s eyes work as team will be conducting. We have two system that work in tandem – the focussing system and the aiming system. Discrepancies between these two systems can lead to visual problems and may influence which myopia treatment is best for your child.

  1. Axial Length measurement

Arguably the most important metric in tracking myopia progression is the axial length measurement. We use an Oculus Myopia Master which use interferometry to measure the length of your child’s eye. If the eye is growing too quickly it will likely lead to progression of myopia and can lead to increased risk of visual problems later in life. Axial length is 5 times more sensitive in measuring a change in myopia progression than spectacle prescription. It is also the best way to track the success of any myopia management treatment intervention.

  1. Corneal Topography

We will map the shape of the cornea in 3D using a corneal topographer – Oculus K5 Keratograph. This is useful in screening children for corneal conditions such as keratoconus, but also important when fitting contact lenses to ensure we achieve the optimal fit. This is crucial when fitting orthokeratology contact lenses as we design the bespoke contact lens using the 3D map of the cornea.

  1. Ultra-widefield retinal photography

As myopia increases the risk of retinal detachment, myopic maculopathy, and glaucoma it is useful to obtain baseline pictures of the eye using our super high definition ultra-widefield retinal camera – Zeiss Clarus 500. We can then compare images over the years for any subtle changes that may emerge.

  1. Optical coherence tomography

Similarly capturing cross sectional, 3D images of the retina using High-Definition Optical Coherence Tomography allows us to take accurate baseline measurements of the back of the eye. We can again compare these images over the years to look for subtle changes in the eye.

  1. Myopia Report

We then provide you with a myopia report detailing your child’s risks factors, spectacle prescription, axial length and treatment recommendations. We can then track changes in prescription and axial length over time using or Myopia Software.