Myopia Management In Presbyopes

The phrase 'myopia management' typically brings to mind younger patients, but our presbyopic myopes have specific vision and eye health needs which we'll explore in this content release powered by Essilor. 

What should we consider if myopia progression is observed? How frequently do ocular health complications from myopia occur? How can previous history influence the current presentation? Learn all of this and more, below.

Clinical Article

Managing Myopia In Presbyopic Adults
Managing myopia in presbyopic adults has specific goals in achieving good vision correction and best eye health outcomes. What should we consider if myopia progression is observed? This article explores progression, the ideal optical correction and ocular health considerations in presbyopic myopes.

Clinical Case

How Should We Manage A Presbyopic Progressing Myope?
The myopia history in childhood can influence how an adult myope copes with their correction and even how their vision changes over time. Read more about this case of a 50-year-old progressing myope.

Science Snippets

Do Progressive Addition Lenses improve Quality of Life in Myopic Presbyopes?
This study utilized a questionnaire to evaluate the impact of level of myopia and type of visual correction on vision related quality of life (QOL) in a group of 149 presbyopes aged 41-75 years. Highly myopic subjects (SER<-5.00D) had significantly lower mean QOL scores (51.65) compared to low myopes (SER -0.50 to -4.99D) (65.24). Similarly, functionality scores were lower in the highly myopic group than the low myopic group, both with (49.38 vs 57.00) and without (29.12 vs 36.24) glasses. Highly myopic presbyopes wearing PALs had significantly better perception (61.2) than those who wore SVD lenses (46.9), and were less frustrated with their glasses (32% vs 71.4%). Similarly, low myopes wearing PALs had better QOL than SVD users. However, for both high and low myopes, no statistical differences were observed between correction type in all other subscales. Clinically, this advocates for PALs possibly being a superior option to improve QOL of our myopic presbyopic patients of various levels of myopia.

Yang A, Lim SY, Wong YL et al. Quality of Life in Presbyopes with Low and High Myopia Using Single-Vision and Progressive-Lens Correction. J Clin Med. 2021;10(8):1589. 

Helpful links from Essilor

Digital versus hard copy: differences in reading. With all the benefits of digitization comes the important questions of the reading, visual and cognitive impact of digital versus printed learning material. In this first of three articles, the relationship between visual and academic abilities is explored to review the possible differences arising from reading in both formats.n and Dr Jacinto Santodomingo). Select lectures are also available in Japanese.
Tackling childhood myopia through education and awareness Essilor and Myopia Profile’s educational partnership is designed to empower eye care practitioners with clinical knowledge, skills and practical resources in managing childhood myopia. Dr. Kate Gifford and Dr. Paul Gifford, Founders of Myopia Profile, weigh in on the importance of this partnership and talk through how it can benefit eye care practitioners worldwide. You can also watch the YouTube video here.
Essilor: Our Mission is Everyone’s Vision. This short, inspiring YouTube video describes Essilor’s mission to improve lives by improving sight.

Myopia Profile Academy learning platform update

Our world leading, completely free Myopia Management in Practice online course has been updated with a brand new look in our engaging, interactive new text-based format. The content has also been updated to include the latest research on efficacy and outcomes of myopia management interventions. Have you checked it out yet? 

Last week we also launched our newest online course Mastering Refraction for Kids. This two hour course will increase your knowledge, clinical skills and confidence in refraction techniques and prescribing decisions for children. Learn more about our courses and try out the first chapter(s) of any course for free here.

Our Resources to help you manage myopia

Courses Our world first, FREE Myopia Management in Practice course will get you started on your learning journey. Check out our additional courses on Binocular Vision Fundamentals, Orthokeratology Fundamentals, Contact Lenses for Kids and Mastering Refraction for Kids.
Managing Myopia Guidelines Infographics Designed to support your clinical communication with parents and young patients, our hugely popular infographics are free to download and available in eight languages with various options based on your region and scope of practice. Our public awareness website supports your in-room communications with fast facts, a risk survey, a detailed blog and 18 How-To videos to explain myopia to parents. All are freely available for you to link and share to your own website and social media accounts.
Instagram Follow MyopiaProfile for more links and learning experiences for eye care practitioners. Follow MyKidsVision for bite-sized, graphically appealing info on myopia and children's vision for parents which you can share to your own platforms.
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