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Home » Your Eye Health » Children’s Vision » Controlling Nearsightedness in Children

Controlling Nearsightedness in Children

Childhood myopia or nearsightedness is a common condition that causes blurred distance vision and can usually be easily corrected with either glasses or contact lenses. Unfortunately, simply getting a pair of glasses doesn’t always solve the problem, because often myopia is progressive which means that every year the vision gets worse. This usually continues until sometime around the child’s 20th birthday when his eyes stop growing and eyesight levels off.

It can be worrisome and quite disconcerting for both the parent and the child when each visit to the eye doctor results in a higher prescription. There could be a number of factors involved in progressive myopia, involving hereditary factors as well as possible environmental or behavioral factor such as frequent close-up tasks such as reading or using an electronic device. In fact, studies show that children that spend more time outdoors playing have a lower incidence of myopia. Much research is currently being done into treatments for slowing or stopping myopia progression in children. Here are some of the treatment options currently being offered:

Orthokeratology (Ortho-k)

Ortho-k is a process that uses specially designed rigid gas permeable contact lenses worn at night to gently reshape the cornea, eventually allowing clear vision during the day. The lenses are worn every night or every couple of nights depending on the results of the individual. Ideal for mild to moderate myopia, ortho-k usually takes a few weeks to show results, during which time the patient may need to temporarily continue wearing glasses or contact lenses.

Studies show that the use of ortho-k can permanently reduce the progressive lengthening of the cornea which is responsible for nearsightedness and can therefore slow or stop the childhood progression of the condition. Therefore, in addition to being used for myopia correction, it is now also being offered as a therapeutic treatment to halt myopia progression in children.

Multifocal Eyeglasses or Contact Lenses

Bifocal or multifocal soft contact lenses or glasses have been shown in some studies to slow myopia progression. This therapy is based on the idea that the eye is strained from accommodating to see close up and that by providing multiple focusing powers, this allows the eye to relax when doing near work, which reduces the progression of the refractive error. This treatment has been shown to delay or slow the advancement of myopia in some children.

Atropine Drops

Treatment with atropine drops is another therapy that is used to relax the eye from “focusing fatigue” which may be a culprit in myopia progression. Research is still being done but some studies show that daily use of low doses of atropine drops do slow the progression of myopia. Atropine drops dilate the pupil which temporarily prevents the eye from being able to focus, thereby allowing this mechanism to relax. Research is still being done to determine dosages, but the results are promising.

If your child has progressive myopia, seek out a pediatric optometrist who is knowledgeable about the options available. Finding the right treatment could give your child the gift of better eyesight for life.

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Dear patients,

As your eye care professionals, your well-being is important to us! After careful consideration of the most recent recommendations of the CDC, AOA and FDA regarding the current COVID-19 situation, we feel that it is best for you, our team, and our community to limit our physical interactions with one another until the threat of the virus has passed. Therefore, we will be closing the office on Friday, March 20 at 12:00 noon and will remain closed until at least March 27, but most likely longer.

In the meantime, if you have a true ocular emergency, please call 850-216-2020 to reach the doctor on call. We will be doing our best to manage all urgent eye problems in such a manner as to limit any possible spread of the virus.

For those patients with appointments scheduled for the week of March 23, we will be calling to reschedule your appointments once we have a better estimate regarding when we will reopen. Because our schedule is already quite full for the next several weeks and because we realize that many of you have already waited several weeks for an appointment, we will be adding additional time slots to the weekly schedule as we attempt to accommodate each of you in a timely manner. We ask for your patience and your flexibility in this matter.

In addition, if it appears to still be reasonable, we plan to be open briefly on Wednesday, March 25 from 10:00am -12:00 pm to allow our patients to pick up any previously-ordered glasses and contact lenses. Please call the office when you arrive and we will deliver your eyewear to your car.

If you need to order contact lenses during this time please email the office at

contacts@tallahasseeeyecenter.com. Be sure to include your contact information and someone will reach out to you. We will do our best to monitor this email daily.

Online ordering is also available at www.tallahasseeeyecenter.com

We will be closely monitoring the situation and will notify you as soon as we make the decision to reopen. It is our hope that we will soon be on the other side of this situation and that our community will remain healthy and strong.

Stay well, Drs. Whaley, Strickland and Hough