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Myopia Control

 

Is your child myopic?

If your child can see near objects clearly but distant objects appear blurry, he/she is most likely to be myopic or short-sighted.

 

In the EyeClinic, we have a team of both ophthalmologist and optometrists working together to ensure each individual child is well taken care of.

Orthokeratology (also known as Ortho-K/overnight contact lenses) uses an extremely high oxygen permeable contact lens to temporarily reshape the cornea. The contact lenses are worn while sleeping and taken out upon wakening. This means that your child’s sight will be good during the day hence allowing him/her to go to school, exercise, and swim without needing glasses or contact lenses.

For adults who are interested in wearing Ortho-k lenses, you can visit here for more information. 

Bad reading habits, handphone use and increasing amount of school work cause myopia/short-sightedness to increase even up to -1.00D per year.
Uncorrected vision due to underpowered glasses makes the myopia increase even more quickly.
So, your optometrist/optician is correct to ask you to change glasses. We understand your frustrations.
Stopping myopia from progressing means saving money from changing glasses so frequently and even more importantly has health benefits too.
Let us tell you more about how to stop myopia from increasing so you do not have to change glasses frequently.

The higher the myopia, the greater the risk of blindness.
So, start taking care of your kid’s future now. 

There is now a spectacles alternative for parents and children who are not comfortable using Atropine eye drops and Ortho-k contact lenses. These special spectacle lenses are designed to slow down the progression of myopia by an average of 30% compared to traditional spectacle lenses. 

Children's eyes absorb more harmful ultraviolet (UV) radiation than adults. The crystalline lens in children's eyes are totally transparent and they have lesser protective pigments than adults. Children's eyes also have larger pupils hence allowing more entry of harmful rays into the eye. The younger your child is, the more vulnerable their eyes are to UV damage.

A) We offer both Atropine eye drops and Ortho-K contact lenses

At The EyeClinic, we believe that no one standard method works for everyone. Every child has different needs and lifestyles, hence requiring different forms of myopia control. By offering both options, we can have an unbiased discussion on which is better suited for your child and tailor a program for each individual child.

B) We customize your Ortho-k lenses

To achieve good results, the lens should be specially fitted for you taking into consideration the shape of your cornea. This also means we can correct a wider range of prescription. 

C)We have a dedicated myopia control team

This means that you are personally taken care of by a doctor and optometrists who are reachable and accountable to you. 

D) Our Optometrists wear Ortho-K. 

This means we understand what you are going through and know how to make your journey easier. 

Dr Lee: Ortho-K wear for me is a commitment. As most are wearing it for myopia control, we want the child to be able to continue wearing for many years. The commonest reason for stopping ortho-k wear is dry eyes and infections. The risks of dry eyes and infection are not worth taking as they can have sight threatening consequences and yet can be easily prevented. 

1. Dry eyes 
It has been proven that ortho-k lenses affects the tear osmolarity which means dry eyes. The consequences range from minor irritation to the inability to wear contact lenses and an increased risk of corneal inflammation and eye infections. We would suggest research proven esterified Omega three to prevent the problems and this will be discussed and advised during your visit.

2. Infection 
The causes are dirty contact lens cases and we advised on strict and effective cleaning regimen. Bacteria cling to the eyelashes which are in close contact with the ortho-k lenses and Blephex procedure (in-clinic) can be done to remove organisms and dirt from the eyelashes.

I started the myopia clinic because I wanted ortho-k to be co-managed by a doctor and an optometrist. Our optometrists have experience customising lenses for you. In fact they wear ortho-k lenses themselves which means they understand your needs. As an eye doctor, I understand your eye health and issues are treated preemptively and promptly. 

 
MiSight® 1 dayThe first soft contact lens proven to slow myopia progression in children1
At a glance, MiSight :
  • Corrects myopia and also reduces myopic progression
  • Reduces the chance of developing high levels of myopia (-6.00D or more) which may lower the incidence of eye diseases associated with short-sightedness such as retinal detachment and glaucoma
  • May improve the self-esteem of children and teenagers in terms of their ability to participate in sporting activities and their social acceptance
  • Does not requires any cleaning, disinfection or worrying about lost lenses as they are daily disposable lenses
  • Has low dehydration rates, delivers suitable oxygen transmission for daily wear and provide good all-day comfort and eye health
MiSight daily disposable contact lenses minimize the progression of myopia by combining MiSight contact lenses with ActivControl™ Technology and strategies for better eye health.
 
1Data on file, CooperVision.
 

MiSight™ and ActivControl™ Technology

  1. Designing and making a soft contact lens that gives clear vision and can control the rate of progression is a major scientific and technological breakthrough and, in the majority of cases, finally offers a simple, comfortable way to treat the progression of myopia.
  2. ActivControl™ Technology results in a soft contact lens that gives clear vision and can control the rate of progression, in the majority of cases⁵.
  3. MiSight™ is a soft, daily disposable contact lens in the proven Proclear® material. The benefits of using soft daily disposable lens include comfort with no need for cleaning or disinfecting the lenses. The Proclear® material has been shown to have low dehydration rates, good all day comfort and it has a Dk/t (36.6) greater than the Holden Mertz criteria for daily wear (24).
  1. A daily disposable lens, such as MiSight™, is ideal for even young children. Not having to clean the lenses and with lost or damaged lenses easily replaced daily disposable lenses are the ideal option for even young children. A daily disposable lens, rather than a lens replaced every two or 4 weeks, can also reduce the occurrence of eye infections and symptoms related to ocular allergies⁷.
  2. MiSight™ uses ActivControl™ Technology which results in clear distance, intermediate and near vision while the peripheral treatment zones of the lens creates myopic retinal defocus that has been shown to control the rate of progression of myopia⁵.
  3. Children may be aware of a slight shadowing of images when first introduced to ActivControl™ Technology, most of those fitted report the shadowing decreases over the first week of wear⁸.
Data on file, CooperVision 2009 (DIMENZ study report)
Rose KA, Morgan IG, Smith W, Burlutsky G, Mitchell P, Saw SM. (2008) Myopia, lifestyle, and schooling in students of Chinese ethnicity in Singapore and Sydney. Arch Ophthalmol. 2008 Apr;126(4):527-30
Walline JJ, Long S, Zadnik K. (2004) Daily Disposable Contact Lens Wear in Myopic Children. Optom Vis Sci. 2004 Apr;81(4):255-9.
Data on file, CooperVision 2009

MiSight and Ortho-k lenses are both effective in controlling myopia progression. 

However, both treatment options are different from each other. 

At The EyeClinic, we will find the best suitable treatment options for your child based on their lifestyle habits.

For more information on Ortho-k, click here.

For more information on MiSight, click here.

GOOD NEWS!

Home – The EyeClinic by Dr Cheryl Lee

Our centre is also one of the healthcare institutions registered with the Ministry of Social and Family Development (MSF) under the Baby Bonus Scheme.  This means that your savings in the Child Development Account (CDA) may be used to pay for your children's eye check and myopia control program (orthokeratology contact lenses/Atropine Eye drops/Special Spectacle Lenses)!

CHILDREN EYE SCREENING @ $120

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