3 Topic Commentaries

Addressing the Unanswered Questions in Myopia Management

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  Lori Ann F. Kehler, OD; David K. Wallace, MD, MPH, OD; MD, MPH

  Ophthalmology & Visual Sciences

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  Vanderbilt Eye Institute, Vanderbilt University Medical Center

  Various interventions for slowing progressive myopia have been described, including antimuscarinic eye drops, bifocal spectacle lenses, multifocal contact lenses, novel special lens designs, orthokeratology, outdoor activities, and red light therapy, yet no singular treatment has emerged as a gold standard with lasting effects.

  Source
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  Michael X. Repka, MD, MBA, MD, MBA

  Pediatric Ophthalmology

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  Wilmer Eye Institute, Johns Hopkins University School of Medicine

  However, at this time, the reduction in rate of complications suggested from cross-sectional analyses has not been shown in randomized clinical studies of myopia, which will require decades to complete.

  Source
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  Lisa Ostrin, OD, PhD, OD, PhD

  Vision Science

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  University of Houston College of Optometry

  Red light therapy has shown excellent efficacy in controlling axial elongation and myopia progression in children; however, we must carefully assess its safety, as continuous exposure to high-intensity light could pose risks to the retina.

  Source