mieyewear
Elevating
Myopia Management
WRITER Melinda Kozmin
A Practical Guide for Optical Dispensers
MyCon 2 by Rodenstock
By now we’ve all heard the sobering statistics and predictions that nearly half the world’s population will be myopic in a quarter of a century.¹ As optical dispensers, we are uniquely positioned to step up to this challenge and proactively support myopia management.
Spectacle lenses designed for myopia control are among the most accessible and non-invasive tools available. When paired with the right frames, they offer a practical, life-integrated solution that enhance outcomes for young patients.
What makes myopia control lenses different?
Unlike standard lenses, myopia control spectacle lenses are designed to address the root cause of myopia progression: axial elongation of the eyeball. Their unique optical designs manage peripheral defocus – a key driver of progression.
Each lens company has its own technology to achieve this aim.
HOYA MiyoSmart. Uses defocus incorporated multiple segments (DIMS) technology to create a myopic defocus effect while maintaining clear central vision.
Essilor Stellest. Incorporates highly aspherical lenslet target (HALT) technology to provide a “volume of focus”, effectively reducing axial elongation.
Rodenstock MyCon. Leverages peripheral defocus along the horizontal meridian, featuring three distinct zones: a central clear vision zone, a temporal zone increasing to +2.5D, and a nasal zone up to +2.0D.
ZEISS MyoCare. Uses cylindrical annular refractive elements (CARE) technology and ClearFocus design to reduce hyperopic defocus in the peripheral retina.
CR Surfacing MyoMe. Applies Myo-Freeform Technology, combining a central viewing zone with peripheral treatment areas and a reading addition for near-work comfort.
Opticare MyoEase and MyOnic. MyoEase features a mid-peripheral ring of highprecision, micro-transparent pinholes to induce peripheral defocus, while MyOnic uses para-central hyperopic defocus created via digital technology to reduce axial growth.
Tokai Myogen. Alters light direction to reduce eye elongation and support healthy ocular development.
Each brand offers unique strengths. Staying up to date with current technologies by reaching out to your lens account managers, ensures you can confidently guide clients to the most appropriate solutions and productspecific clinical study data.
TAILORING THE EXPERIENCE
Every client is different, and their lenses and frames should reflect that. It all begins with an open conversation with both the client and their parent or carer.
Parents often feel overwhelmed by their child’s diagnosis, the choices they must now make, and associated costs. Begin by educating them on the risks of unmanaged myopia and how these lenses, prescribed by the optometrist, can help slow its progression.
When left unaddressed, a myopic child’s vision may continue to blur during their school years, impacting quality of life and academic performance. High myopia also increases the risk of vision-threatening ocular conditions.2
Explain the technology using relatable analogies: for example, describe peripheral defocus as gently guiding the eye’s growth in the right direction, similar to how braces guide teeth.
“The right frame does more than hold lenses; it ensures they function correctly and keeps the wearer comfortable and compliant”
Help parents understand that myopia management is a long-term journey. Set realistic expectations and stress the importance of regular check-ups as recommended by the optometrist.
Dr Fiona Om, Professional Services Manager, CR Labs, said it is “helpful to explain that these lenses are designed to create slight peripheral blur” because that plays an important role in reducing the rate of axial length growth.
“Customers should be advised that a short adjustment period is normal as their eyes adapt to the new visual experience. Additionally, it’s valuable to encourage supportive lifestyle habits alongside lens wear. We recommend discussing the importance of managing prolonged near work activities and promoting regular outdoor time – both of which have been shown to contribute positively to slowing myopia progression.”
PRECISION MATTERS
Accurate dispensing measurements are essential for optimal lens performance. Always perform a final fitting before taking any measurements.
Use the best tools you have to take monocular pupillary distances and heights according to the centre of rotation rule. This is especially important for aspheric lens designs.
Check with your lens supplier for any additional fitting guidelines specific to its product.
Also consider the importance of dispensing impact-resistant lens materials like Polycarbonate or Trivex for active kids.
All lens suppliers agree: compliance is critical to success. The more consistently a child wears the lenses, the more effective the treatment. That’s why frame selection and fit matter so much.
THE IMPORTANCE OF THE RIGHT FRAME
The right frame does more than hold lenses; it ensures they function correctly and keeps the wearer comfortable and compliant.
Frame Fit Essentials Size. The frame should be appropriately sized for the child’s face. Oversized frames can cause lenses to sit incorrectly, reducing the effectiveness of the treatment.
Shape. The ideal frame is small and round(ish) to reduce decentration, with the optical centres as close as possible to the geometric centre of the frame.
Stability. Frames should not slide down the nose or sit too low, as this can move the treatment zone of the lenses and lead to blurred vision.
Children often have underdeveloped nasal bridges, so consider adjustable nose pads and remember to check for appropriate temple length to make those adjustments easier.
Adjustability. We should be emphasising the importance of returning for regular adjustments, given the importance of maintaining the correct position of wear for the treatment zone. A comfortable fit will also help boost compliance.
Start the frame selection process by discussing style preferences, then only show options that meet the fit and performance criteria. This will make for a stress free dispense that builds your client’s confidence.
CONTACT LENS OPTIONS
Soft myopia control contact lenses and orthokeratology (OK) are also highly effective options for myopia management, and can be particularly suitable for children who play sport.
The options are expanding and include CooperVision’s MiSight – a dual-focus soft contact lens, with studies demonstrating up to 59% effectiveness and excellent safety,3 and Johnson and Johnson’s newly approved Abiliti 1-Day contact lens. The latter employs RingBoost technology within a silicone hydrogel material. Promising results from a six-month clinical study indicate that Abiliti 1-Day is effective in reducing axial elongation. MYLO by mark’ennovy, is a monthly soft silicone hydrogel contact lens powered by the extended depth of focus patented technology of the Brien Holden Vision Institute to slow down myopia progression.
Consider recommending the use of both soft contact lenses and spectacles to help young patients make the most of their active lifestyles.
Worn overnight, OK rigid gas-permeable lenses temporarily reshape the cornea, eliminating the need for daytime vision correction. When appropriately fitted and closely monitored, the safety profile of OK is comparable to that of daily wear soft contact lenses.4
Gelflex’s proprietary OK contact lens uses WAVE contact lens design software. The company also distributes Paragon and Euclid OK lenses as well as NaturalVue soft lenses.
HELPING FAMILIES UNDERSTAND THE VALUE
One of the biggest challenges is helping families understand that myopia control lenses and frames are a worthwhile investment.
Be empathetic and use relatable explanations. Focus on value and not just cost.
While these solutions may require a higher upfront investment, they can significantly reduce the risk of severe eye conditions in the future. That’s a meaningful investment in a child’s lifelong visual health.
To find out more about the latest in myopia management offerings and kid-friendly frames, take a look at the products below.
Melinda Kozmin is a Trainer for the Australasian College of Optical Dispensing (ACOD). She is a qualified optical dispenser who has worked in Independent practice and in lens manufacturing.
References
1. Holden BA, Fricke TR, Resnikoff S, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050, Ophthalmology, 2016;123(5):1036-1042. doi: 10.1016/j. ophtha.2016.01.006.
2. World Health Organization, The impact of myopia and high myopia: report of the Joint World Health Organization–Brien Holden Vision Institute Global Scientific Meeting on Myopia. Geneva: WHO; 2017. Available at: myopiainstitute.org/wp-content/uploads/2020/10/Myopia_ report_020517.pdf [accessed Jun 2025].
3. Chamberlain P, Bradley A, Young G, et al. Longterm effect of dual-focus contact lenses on myopia progression in children: A 6-year multicenter clinical trial. Optom Vis Sci. 2022 Mar 1;99(3):204-212. doi: 10.1097/ OPX.0000000000001873.
4. Lee YC, Wang JH, Chiu, CJ. Effect of orthokeratology on myopia progression: twelve-year results of a retrospective cohort study. BMC Ophthalmol. 2017;17(1):243. doi: 10.1186/s12886-017-0639-4.
Framing Kids’ Visual Development
Augie Eyewear
Augie Eyewear frames are specifically suited for myopia control, with round eye shapes and built-up nose pads that ensure lenses are well-centred on the eyes.
Made from lightweight, durable acetate and with adjustable silicon tips, Augie frames offer the ideal fit and comfort for growing kids managing myopia.
Visit: augieeyewear.com.au
Tomato Glasses
Tomato Glasses are the original customfitted spectacle frames, enabling a perfect, non-slip fit for every child with adjustable temple lengths, nose bridge sizes and heights, and a large range of sizes in Tomato Glasses lightweight TR90 material. This ensures perfect centrage of DIMS lens technology. The range has now been expanded to include ‘Adolescents’ with sizes suitable for young adults.
Contact: Little4Eyes (AUS) 03 9448 8932
Lipo
Lipo myopia control eyewear combines Swiss EMS material and innovative design to combat progressive myopia. Featuring larger lenses for enhanced peripheral defocus, adjustable nosepads and temples, and a lightweight, durable frame, Lipo eyewear ensures comfort and effectiveness for active children and teenagers.
Contact: ProOptics (AUS) 02 8007 6041
Centrostyle
Active frames by Centrostyle are suitable for babies as well as children up to 14 years of age. For early childhood, Active frames are made of lightweight, soft, safe materials, often without metal parts, to allow freedom of movement while keeping the correct optical centre.
Each frame is supplied with a cord. Most models for ages six and over are suitable for myopia control lenses.
Contact: Aviva and Mann (AUS) 1300 850 882
Random
ProOptics built and designed Random eyewear, with the help of optometrists, to withstand the random daily antics of little humans. The frames are so lightweight and ergonomic that they’re barely noticed on the face, and they can be sized up to follow kids as they grow into teens.
This bright, fun and functional eyewear has been rigorously tested by youngsters across the globe to ensure the frames not only meet but exceed every expectation. Handcrafted in Korea, they come with a two-year warranty.
Contact: asiacontacts1 (AUS) 0413 243 782
STEPPER Start
Correctly fitted frames are essential for proper lens positioning, especially with myopia management lenses. Poorly fitted frames can negate the lenses’ effectiveness and even accelerate myopic progression.
STEPPER Start frames – designed in collaboration with leading dispensing optician Alicia Thompson – are injectionmoulded to meet exacting requirements for facial parameters, such as bridge profile, frame wrap, and pantoscopic angle. Adjustable temple lengths address common issues with traditional children’s frames, ensuring comfort and usability.
Contact: Optique Line (AUS) 03 9853 0796
Lenses for Myopia Control
MyoMe and MyoStock by CR Labs
CR Labs’ innovative MyoMe and MyoStock lens offerings provide comprehensive options for myopia management.
MyoMe (pictured) is designed to slow myopia progression by using advanced MyoFreeForm technology, which helps reduce peripheral hyperopic defocus and limit axial length growth. These lenses feature a central clear zone, specialised treatment zones that consider retinal asymmetry, and a near addition to support visual needs.
MyoStock, on the other hand, incorporates hexagonal implication defocus segments (HIDS) technology to effectively manage myopia progression.
Both are non-invasive, affordable solutions focussed on enhancing visual quality and supporting long-term eye health.
Contact: CR Labs (AUS) 03 8795 9111
Stellest
Essilor Stellest lenses are a breakthrough in myopia management, and have been proven to slow myopia progression by 67% on average.^1 In a six-year clinical study, Stellest lenses demonstrated sustained efficacy by slowing myopia progression by 1.95D on average, and axial length elongation by 0.81 mm, with the lenses showing continued efficacy up to the age of 19.2
Stellest by EssilorLuxottica
Contact: EssilorLuxottica Account Manager
^Compared to single vision lenses, when worn 12 hours per day every day for two consecutive years. * Compared to the 60-month progression of the extrapolated control group (predicted average annual decrease in SER by 9.7% based on the initial two-year control group, Smotherman C, et al. IOVS 2023;64:ARVO E-Abstract 811) and compared to the 60-month progression of the extrapolated control group (predicted average annual decrease in AL by 15% based on the initial two-year control group, Shamp W, et al. IOVS 2022;63:ARVO E-Abstract A0111).
References
1. Bao J, et al. JAMA Ophthalmol. 2022. doi:10.1001/ jamaophthalmol.2022.0401.
2. EssilorLuxottica. Myopia control efficacy of spectacle lenses with highly aspherical lenslets: results of a 6-year follow-up study. 2025. Data on file.
Gelflex
As a leading local manufacturer, Gelflex offers its own orthokeratology design, enhanced by the precision of WAVE contact lens design software.
In addition, Gelflex is the exclusive distributor of the well-established and trusted Paragon and Euclid orthokeratology lenses as well as the highly effective NaturalVue soft lenses.
This commitment to a diverse product range is supported by the company’s outstanding and growing technical support team, ensuring practitioners receive expert guidance every step of the way as they engage in myopia management.
Contact: Gelflex (AUS) 1800 335 559
MiyoSmart by HOYA
MiyoSmart gives eye care professionals the confidence to manage myopia with one of the most extensively studied technologies in the world. Powered by defocus incorporated multiple segments (DIMS) technology, the award-winning1 MiyoSmart spectacle lenses have been shown to slow myopia progression by 60% in children aged 8–13.2
Now, the latest results from the world’s longest-running clinical study on myopia management spectacle lenses confirm sustained effectiveness over eight years,3 with continuous wear significantly reducing myopia progression (-1.00D ± 0.41D) and axial elongation (0.42 ± 0.18 mm).
This evidence demonstrates that wearing MiyoSmart spectacle lenses continuously, and for the long term, may improve myopia management outcomes.
MiyoSmart is available in clear lenses, sun options including MiyoSmart Chameleon photochromic lenses which rapidly adjust to light, and MiyoSmart Sunbird polarised lenses for additional protection from glare.
Contact: HOYA Account Manager
References
1. Winners: 2018 Exhibition’s grand prix. Inventions Geneva. N.D. available at: inventions-geneva.ch/en/winners; 2020 SILMO Paris available at: silmoparis.com/SILMO-d-OR/SILMO-d-Or-Awards/2020-Winners#; Best lens design 2023. OMEGA Melbourne available at: odma.com.au/odma-general-news/odma-2023awards-for-excellencewinners [accessed Nov 2024].
2. Lam CSY, et al. Br J Ophthalmol. 2020. doi: 10.1136/bjophthalmol-2018-313739.
3. Leung TW, et al. Comparison of myopia progression in individuals wearing Defocus Incorporated Multiple Segments (DIMS) spectacle lenses for eight years versus shorter durations. Poster number A0113. ARVO 2025.
MyCon 2 by Rodenstock
Rodenstock MyCon 2 lenses correct and control myopia by customising the lens to the child’s face and frame fit. By factoring in centration values like corneal vertex distance, wrap, and tilt, MyCon 2 enhances clarity in the focus zone while maintaining myopia control in the periphery.
Available in indices 1.5, 1.6, 1.67, and 1.74, and in clear, tinted, polarised, and ColorMatic options, MyCon 2 lenses are thin, sleek, and ideal for high prescriptions.
Easy to clean and keep clean, child-friendly coatings offer scratch resistance, making them perfect for everyday use.
Contact: Rodenstock (AUS) 02 9748 0988
MyoCare and ZEISS Insights
The ZEISS Myopia Insights Hub is your ultimate destination for comprehensive information on myopia management. This all-in-one resource provides access to the latest clinical findings, indepth research, and expert insights to help you stay informed about advancements in myopia care. Explore detailed product information on
ZEISS MyoCare lenses, designed to effectively manage myopia progression while delivering exceptional vision quality. Whether you’re seeking educational materials, clinical tools, or product updates, the ZEISS Myopia Insights Hub has everything you need to support your practice and enhance patient outcomes.
Visit: zeiss.com/myopia
MyoEase and MyOnic by Opticare
Opticare offers a comprehensive line of lenses designed to correct and control myopia in young patients with MyoEase and MyOnic.
These premium lenses each have unique approaches to managing the progression of myopia while providing optimal vision, which is crucial for children’s cognitive and physical development.
MyoEase and MyOnic lenses by Opticare combine peripheral retinal defocus with central correction and are available in a range of material indices and lens coatings – MyEase is available up to -16.00D and MyOnic up to -20.00D.
Visit: opticare.com.au
Mylo by mark’ennovy
Mylo by mark’ennovy is a monthly soft silicone hydrogel contact lens now in both spheres and toric designs.
Designed and registered with the Therapeutic Goods Administration for myopia management, Mylo is an individually crafted soft contact lens designed for myopia management. This contact lens is powered by the extended depth of focus patented technology of the Brien Holden Vision Institute to slow down myopia progression.
Available in the following parameters: base curves (mm) 7.10 to 9.80 (0.3); light disturbance 13.50 to 15.50 (0.50); spheres -0.25 to -15.00 (0.25); cylinders -0.75 to -8.00 (0.25) and axes all 1°.
Contact: Capricornia Contact Lens (AUS) 1300 650 994
MiSight 1 Day by CooperVision
MiSight 1 day from CooperVision is the first contact lens to be approved by the United States Food and Drug Administration for slowing the progression of childhood myopia.
Now available in higher prescriptions, the range covers -0.25D to -10.00D (0.50D steps after -6.00D), allowing even more children to benefit from myopia management.
CooperVision’s landmark MiSight 1 day study – the longest-running soft contact lens myopia management trial to date – is now backed by seven years of data, the findings from which confirm what many optometrists see in practice: MiSight 1 day offers sustained, effective, and safe myopia control in children.1
Contact: CooperVision Account Manager
Acuvue Abiliti by J&JVC
Acuvue Abiliti 1 day soft therapeutic contact lenses for myopia management are the first daily disposable silicone hydrogel lenses designed specifically for slowing the progression of myopia in children.*1 Acuvue Abiliti 1 day lenses have been shown to be twice as effective at managing myopia compared to a dual focus lens.*2 Furthermore, the lenses slow axial elongation by 0.25 mm, on average, over a two-year period.**2 With a paediatric eyeinspired design, Acuvue Abiliti 1-Day lenses are comfortable,‡3 easy to handle,§3 provide clearvision,^3 and can improve quality of life and confidence compared to glasses.4
Contact: Johnson and Johnson Vision Care Account Manager
* Based on publicly available information as of 3 December, 2021.
‡ ClinicalTrials.gov is a website maintained by the NIH. The six clinical studies evaluated subjective comfort as a primary or secondary endpoint for Acuvue Oasys 1 day with HydraLuxe Technology brand family contact lenses vs competitors’ products. Review conducted as of 30 April, 2025.
§ JJV Data on File 2021. Top three box = extremely easy, very easy, easy.
^ Measured using LogMAR visual acuity where 0.00 LogMAR is equivalent to 20/20 vision.
References
1. JJV Data on File 2021. Development of optical design of Acuvue Abiliti 1 day soft therapeutic lenses for myopia management.
2. JJV Data on file, 2021. Efficacy of Acuvue Abiliti 1 day soft therapeutic lenses for myopia management: comparative claims vs single vision and dual focus lenses.
3. JJV Data on File 2021. Stand-alone performance claims - Acuvue Abiliti 1 day soft therapeutic lenses for myopia management.
4. Rah MJ, Walline JJ, Jones-Jordan LA, et al. Vision specific quality of life of pediatric contact lens wearers. Optom Vis Sci. 2010;87(8):560-566.
Biotrue Multi-Purpose Solution
Biotrue multi-purpose solution incorporates a lubricant also found in human eyes, and is balanced to match the pH of healthy tears. Biotrue multi-purpose solution cushions and rehydrates lenses for comfortable wear. The formulation helps prevent certain tear proteins from denaturing for clean lenses and inhibits the formation of deposits that can cause discomfort and can shorten lens wearing time. By keeping lenses hydrated and clean, Biotrue multi-purpose solution makes wearing contact lenses comfortable all day.1
Contact: Bausch and Lomb (AUS) 1800 251 150
Reference
1. Biotrue multi-purpose solution instructions for use.