WRITER Rayleen Tamblyn

Eye care professionals now have more tools than ever to help slow the progression of myopia. And the goal is no longer to simply correct blurry vision with traditional ‘minus lenses’. Rather, the aim is to actively slow axial eye growth and protect long-term eye health. In this article Rayleen Tamblyn provides an outline of the myopia control spectacle lenses and contact lenses available, and provides tips for fitting lenses into frames to optimise the myopia control effect.

The risks of myopia progression are lifelong and significant, as discussed by optometrists and ophthalmologists in mivision’s special annual myopia issue. Put simply, increasing levels of myopia increase the risk of potentially blinding eye conditions later in life, including retinal detachment, glaucoma, cataracts, and myopic macular degeneration.

While eye care professionals were once confined to prescribing traditional single-vision lenses that only corrected blurry distance vision, now we can potentially slow myopia progression using highly technical, evidence-based spectacle and contact lenses, sometimes in combination with other treatments.

As Madeline Crow, an optometrist from New South Wales Central Coast said, “It’s amazing that we have access to a variety of effective options that can fit different lifestyles and preferences. It’s so rewarding to not only be able to correct children’s vision but help to slow the progression and reduce the risks associated with high myopia.”

THE EVIDENCE FOR SPECTACLE LENSES

The spectacle lenses currently approved in Australia by the Therapeutic Goods Administration slow myopia progression by manipulating how light enters the eye.

Clinical studies have shown that these lenses can slow myopia progression by around 50 to 70% in many children, making them one of the most exciting developments in paediatric eye care in recent years.

The scientific evidence supporting these designs is exceptionally strong, as described in the following product contributions.

MyCon2

Rodenstock MyCon 2 is designed for myopia correction and control. MyCon 2 lenses offer improved imaging properties by customising the lens to the fit of the frame and thus to the child’s unique face. MyCon 2 considers centration values (corneal vertex distance, wrap and tilt). By using these parameters, improved imaging properties can be achieved in the focus area of the lens while maintaining the effect of myopia control in the periphery.

Rodenstock MyCon 2 lenses are available in index 1.5, 1.6, 1.67, and 1.74 in clear, tinted, polarised, and ColorMatic, which make the lenses both thinner and sleeker than many other myopia lenses on the market and well suited to high prescriptions.

Contact: Rodenstock Account Manager

MyoEase and MyOnic

Opticare’s myopia management portfolio is built around tailored care, with two distinct lens solutions designed to support growing eyes and unique fitting needs.

MyoEase (pictured) uses micro-transparent pinholes arranged in a ring-shaped defocus area to achieve peripheral retinal defocus while maintaining clear central vision through an 8 mm optical zone.

MyOnic uses a freeform design with an uninterrupted central zone and simultaneous peripheral hyperopic defocus across the functional lens zone, with +2.00 to +3.00D of positive defocus.

Available in indices 1.5, 1.6, 1.67, and 1.74, both solutions are backed by a comprehensive warranty that gives practitioners and parents added peace of mind when choosing myopia management lenses.

Contact: Opticare (AUS) 1800 251 852 or visit opticare.com.au

MiyoSmart iQ

Since its launch in 2018, MiyoSmart has helped transform myopia management, with more than 15 million spectacle lenses purchased by parents across 50+ countries.

Building on this success, MiyoSmart iQ marks the next evolution in myopia control. Clinical results at 12 months showed no myopia progression in children aged 4–12, with eye elongation comparable to or lower than that of non-myopic eyes.1 Importantly, MiyoSmart iQ is the first defocus incorporated multiple segments (DIMS) technology-based spectacle lens to demonstrate efficacy in children as young as four years old,1 reinforcing HOYA Vision Care’s commitment to advancing

innovative solutions that help protect children’s vision and shape a future with less myopia.

Contact: HOYA Account Manager or visit hoyavision.com/au

Reference available at mivision.com.au.

Essilor Stellest 2.0

Essilor Stellest 2.0 lenses† are Essilor’s most effective myopia management spectacle lens to date.‡1 Powered by highly aspherical lenslet target (HALT)* Max technology, which has higher power§ and higher efficacy.¶1 They incorporate lenslets with increased mean power and asphericity, creating twice the depth of volume of non-focused light positioned further from the retina compared to Essilor Stellest lenses.# This generates a stronger optical signal that helps further slow myopic eye growth and manage myopia progression.¶1

In a 12-month randomised clinical trial, Essilor Stellest 2.0 lenses† significantly slowed axial elongation compared to Essilor Stellest lenses.§1 Eye growth in myopic children was 1.88 times slower with Essilor Stellest 2.0 lenses† than with Essilor Stellest lenses.# **

Contact: EssilorLuxottica Account Manager.

Reference and footnotes available at mivision.com.au.

MyoMe and MyoStock

As myopia rates continue to rise, CR Labs offers independent optometry practices two innovative solutions to support myopia management.

MyoMe utilises Myo-Freeform technology, combining peripheral treatment zones and near vision support to help manage childhood myopia while maintaining clear, comfortable vision. According to CR Labs, clinical trials have demonstrated a 39% reduction in axial elongation.

MyoStock uses hexagon implicated defocus segment (HIDS) technology to create myopic defocus across the lens. Designed to offer myopia management at a competitive price point, MyoStock provides an accessible option for families.

Together, MyoME and MyoStock provide practitioners with flexible myopia management options to meet the diverse needs of children and their families.

Contact: CR Labs (AUS) 03 8795 9111 or visit crlabs.au

ZEISS MyoCare

ZEISS MyoCare lenses are proven to significantly slow the progression of myopia, now supported by three-year data,1 while delivering clear and comfortable vision at any angle. It stands out as one of the only lenses of its kind available in thin, high-index materials (up to 1.67), which has a major aesthetic and weight advantage for children with higher prescriptions.

Contact: ZEISS Customer Care

Reference available at mivision.com.au.

CONTACT LENSES FOR MORE THAN VISION CORRECTION

For children who are active, play sports, or simply prefer not to wear glasses, we now have contact lenses that offer brilliant, evidence-based alternatives.

Orthokeratology: The Overnight Solution

One of the most fascinating approaches to myopia management is orthokeratology (OK).

These custom-designed, rigid, gas-permeable contact lenses are worn while sleeping.

Overnight, the lenses gently and temporarily reshape the front surface of the eye. When the contact lens is removed in the morning, the wearer can enjoy clear vision all day long, with no glasses or day-wear contacts required.

In addition to the convenience factor, OK has been shown to slow eye growth and myopia progression in many children.

For active children who dislike wearing glasses during the day, it can be a great option. However, good hygiene, careful monitoring, and a high level of commitment from both the child and parents are essential.

Ocular Surface Management

Managing the health of the ocular surface is essential for successful contact lens wear. Contact lenses, OK, and solutions to protect the ocular surface are listed in the following pages.

Acuvue Abiliti 1 Day

Acuvue Abiliti 1-Day soft therapeutic lenses for myopia management are powered by novel RingBoost technology,1 a specialised optical design that includes two +7.00D ring focus myopia treatment zones, combined with a +10.00D central boost myopia treatment zone,1 to provide strong myopia treatment while maintaining vision quality.1

Over a three-year period, 55% of all children’s eyes fitted with Acuvue Abiliti 1-Day showed no clinically meaningful myopia progression,*2 and the lens was shown to reduce axial elongation by 0.31 mm, onaverage.^2 Abiliti 1-Day is inspired by the paediatric eye,†3 with a small diameter for easy insertion and removal,†3 and designed to provide the comfort you expect from Acuvue Oasys 1-Day contact lenses.¥4

Contact: Johnson & Johnson Vision Care (AUS) 1800 736 912 or (NZ) 0800 466 172

2026PP11580 

References and footnotes available at mivision.com.au.

MyDay MiSight 1 day

CooperVision has expanded its myopia management portfolio with MyDay MiSight 1 day, a silicone hydrogel soft contact lens for children. It combines ActivControl technology with the MyDay material to improve oxygen transmissibility, comfort, and handling while maintaining the same optical design used in MiSight 1 day.*1-3‡§◊ The lens builds on the established use of MiSight 1 day, worn by over 250,000 children worldwide.†4,5 Clinical evaluations report high fitting success and visual acuity better than 6/6 under study conditions.***,†††,‡‡‡,2 The lens also includes a UV inhibitor.¶

Contact: CooperVision (AUS) 1800 655 480 or (NZ) 0800 606 060

References and footnotes available at mivision.com.au.

Wave Topography Guided Software

Wave topography guided software forms a key part of Gelflex’s myopia management offerings. The Wave orthokeratology (OK) system provides a fully customisable OK solution, using topography-guided data to deliver highly accurate corneal reshaping.

Wave places control in the hands of the optometrist, with practitioners able to determine lens parameters, treatment zone profiles, and overall design strategy based on clinical objectives. This enables a highly personalised approach to myopia management, particularly for patients with unique corneal profiles or more complex needs.

The design incorporates hyperopic OK principles, delivering excellent outcomes.

Contact: Gelflex (AUS) 08 9443 4944 or (NZ) 09 443 0072

Biotrue Multi-Purpose Solution

Biotrue Multi-Purpose Solution incorporates a lubricant also found in the eyes and is balanced to match the pH of healthy tears. Biotrue Multi-Purpose Solution cushions and rehydrates lenses for comfortable wear. It helps prevent certain tear proteins from denaturing for clean lenses, and inhibits the formation of deposits that can cause discomfort and shorten lens wearing time. By keeping lenses hydrated and clean, Biotrue Multi-Purpose Solution makes wearing contact lenses comfortable all day.1

Contact: Bausch & Lomb (AUS) 1800 251 150 or (NZ) 09 969 0734 

References and footnotes available at mivision.com.au.

Alcon Solutions

Opti-Free PureMoist is a multi-purpose disinfecting solution designed for soft contact lens care. Compared to standard saline solutions that will only rinse the contact lens,^ Opti-Free PureMoist thoroughly cleans contact lenses for all day comfort.†1 Aosept Plus with Hydraglyde uses the bubbling power of a hydrogen peroxide-based solution to ensure a deep clean2 for a fresh, comfortable lens wearing experience.3 Plus, its preservative-free formula is suitable for sensitive eyes.3

Both solutions feature a unique HydraGlyde Moisture Matrix, which surrounds the contact lenses in a cushion of moisture, providing hydration and comfort from morning until night.*†1,4-5

Contact: Alcon (AUS) 1800 224 153 or (NZ) 0800 101 106

ANZ-OFM-2600007 

References and footnotes available at mivision.com.au.

FRAMES MATTER

Naturally it’s easy to get caught up on lens technology when discussing myopia control spectacles. However, equally important is the frame to carry the lenses. To ensure lens efficacy, it must be comfortable, functional, and durable.

Myopia control lenses rely on the treatment zones being carefully positioned. If the frame is poorly fitted or constantly slipping down the child’s nose, these treatment areas may not align correctly with the eyes.

A suitable frame should sit comfortably and securely, provide adequate lens depth, and maintain stable positioning throughout the day. Medium-sized frames with good coverage are ideal. Most need at least 10 mm above the pupil position to work in conjunction with a myopia control lens design.

In short, the frame isn’t just a fashion accessory – it’s part of the treatment. And, because the majority of myopia control will be implemented during a patient’s most active childhood and adolescent years, it needs to survive playground adventures, sports activities, and the occasional accidental drop.

THE IMPORTANCE OF GOOD DISPENSING

Myopia control dispensing requires more precision than traditional spectacle dispensing.

Accurate measurements, careful frame selection and attention to fitting details all play a role in achieving the best outcomes. Optical dispensers need to ensure that lenses are correctly centred and that frames remain stable during normal daily activities. Small adjustments can make a significant difference.

One of the most important aspects of myopia management is communication and education. Working together with families will get the best outcomes.

Involving children with clear and simple explanations about how their glasses or contact lenses are helping their eyes stay healthier can improve willingness to wear. Remember that these products work best when worn consistently. Encouraging full-time wear and helping children feel comfortable and confident in their glasses is key to long-term success.

Finally, while advancements in optical treatments have transformed myopia management, lifestyle factors still play an important role. Combining outdoor time, regular screen breaks (the 20-20-20 rule), and advanced optical options gives children the absolute best defence against progressing short-sightedness.

Some top distributors of kids’ eyewear include augie Eyewear, LIPO, and Little 4 Eyes. For kids who need patching, Kids Eye Gear offers fun solutions that can engage your youngest patients in their treatment, as you’ll see in the following product contributions.

Dilli Dalli boasts a uniquely comprehensive flexible frame range that’s available between sizes 34–54 for any child requiring comfortable, well-fitting, and lightweight frames. Virtually unbreakable, ergonomic, and screw-less designs with flexible IntelliFlex hinges meet a rainbow of colours to ensure every child can feel comfortable and confident in their myopia control lenses.

Contact: Little4Eyes (AUS) 03 9448 8932 or visit little4eyes.com.au

augie frames are crafted with myopia management in mind. Full-rim acetate construction provides the stability required for myopia control lenses, while adjustable tips and flexi hinges ensure a precise, consistent fit – critical for lens performance. The range offers deeper nosepads to ensure the frame sits right where it needs to, and equally importantly, augie has a colour and style for every kid.

Available in sizes for little kids through to teens, augie grows with your patients as their management journey evolves.

Contact: augie Eyewear (AUS) 1300 391 440 or visit augieeyewear.com.au

LIPO Aster represents the next generation of myopia control eyewear, designed to complement advanced myopia management lenses by encouraging consistent daily wear and sustained therapeutic exposure to myopic defocus treatment zones. Integrating intelligent wear-time monitoring with a lightweight, child-friendly frame design, it supports compliance, treatment efficacy, and long-term visual outcomes in young patients.

Contact: Asia Contacts 1 (AUS) 0413 243 782 or visit asiacontacts1.com

Kids Eye Gear

For kids who require patching, Kids Eye Gear is dedicated to the cause. Making wearing patches and glasses fun for kids, this one stop shop includes SpecStoppers ear hooks, Blinx charms, glasses holders, and straps, as well as a colourful and practical adhesive patch range.

Contact: Kids Eye Gear shannon@kidseyegear. com.au or visit kidseyegear.com.au

Rayleen Tamblyn is an optical trainer and assessor with the Australasian College of Optical Dispensing (ACOD). As well as being a qualified optical dispenser and trainer, she is a retail manager with Specsavers.