Myopia Management

Helping Children See Clearly

Today and for the Future Myopia, or nearsightedness, causes blurry distance vision and can be corrected in a variety of ways. It most often begins in childhood and continues to progress until the late teens or early adulthood. Because myopia tends to worsen as children grow, early detection is especially important. Identifying myopia early allows us to help slow its progression, which may reduce the risk of serious eye diseases later in life. During your child’s eye exam, we can detect myopia early and offer personalized treatment options to help set your kids up for succes
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Myopia Management (Nearsightedness Control)


Slowing Myopia Progression in Children & Teens

Myopia (nearsightedness) is becoming increasingly common in children and tends to worsen as kids grow. Progressive myopia is more than a vision issue—it is associated with a higher lifetime risk of serious eye conditions, including retinal detachment, glaucoma, and myopic maculopathy.

At EyeSmile, we offer evidence-based myopia management designed to slow the progression of nearsightedness, not just correct vision.

Why Myopia Management Matters

Traditional glasses and contact lenses correct vision—but they do not slow myopia progression. Myopia management focuses on reducing the rate of eye growth, which helps lower long-term eye health risks.

Early intervention is key. The younger the child when myopia begins, the more important proactive management becomes.

Our Myopia Management Approach

Every child’s eyes are different. That’s why we begin with a comprehensive myopia evaluation, which may include:

  • Detailed refraction and binocular vision assessment

  • Corneal measurements and imaging

  • Axial length monitoring

  • Review of lifestyle and visual habits


Based on these findings, we create a customized myopia management plan tailored to your child’s needs, age, and lifestyle.

Myopia Management Options at EyeSmile


MiSight® 1 Day Contact Lenses

  • FDA-approved daily disposable contact lenses for myopia control

  • Designed specifically for children

  • Worn during the day like regular contacts

  • Helps slow myopia progression while providing clear vision

Orthokeratology (Ortho-K) — “The Night Lens”

  • Custom rigid contact lenses worn overnight while your child sleeps

  • Gently reshapes the cornea so your child can see clearly during the day without glasses or contacts

  • Clinically shown to slow myopia progression

  • Especially popular for active children and teens


Often referred to as the “night lens,” Ortho-K works while your child sleeps, providing clear daytime vision and myopia control without daytime eyewear.

Stellest™ Myopia Control Glasses

  • Specialized spectacle lenses designed to slow myopia progression

  • Worn like regular glasses

  • A great option for children not ready for contact lenses

Low-Dose Atropine Eye Drops

  • Prescription eye drops used once daily, typically at night

  • Proven to slow myopia progression in many children

  • Can be used alone or in combination with optical treatments


Combination Therapy

Some children benefit most from combination treatment, such as:

  • Atropine + Stellest

  • Atropine + MiSight

  • Ortho-K + lifestyle modification


Your doctor will recommend the most appropriate approach based on your child’s risk factors and progression rate.


Ongoing Monitoring & Care

Myopia management is not a one-time treatment. Children enrolled in our program receive:

  • Regular follow-up visits

  • Progress monitoring and adjustments

  • Education for parents and children

  • Long-term eye health guidance



Insurance & Billing Expectations

Myopia management is considered specialty care. While routine eye exams may be covered by insurance, myopia management evaluations, specialty lenses, medications, and ongoing monitoring are typically not covered, require out-of-pocket payment, and are often eligible for HSA/FSA use. All fees and options are reviewed in advance


Is Myopia Management Right for Your Child?

Your child may benefit if they:

  • Have increasing nearsightedness

  • Have one or both parents with myopia

  • Spend significant time on screens or near work

  • Were diagnosed with myopia at a young age

Schedule a Myopia Management Consultation

Early action can make a meaningful difference. A myopia management consultation at EyeSmile allows us to evaluate your child’s vision and design a personalized plan to help protect their long-term eye health.

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