Myopia Control: Practical Tips and Proven Solutions for Children

Myopia (short-sightedness) is becoming increasingly common worldwide, especially among children in Asia. Beyond blurry distance vision, progressive myopia increases the risk of serious eye conditions later in life, such as retinal detachment, glaucoma, and myopic maculopathy. The good news is that myopia progression can be slowed with the right combination of habits, monitoring, and clinical interventions.

Why Early Myopia Control Matters

Myopia usually progresses fastest during childhood and teenage years. The higher the degree of myopia, the greater the long-term risk to eye health. Slowing progression early can significantly reduce future complications, even if myopia cannot be completely prevented.


Everyday Habits That Help Slow Myopia

1. Increase Outdoor Time

Studies consistently show that children who spend at least 2 hours outdoors daily have a lower risk of developing and progressing myopia. Natural light plays a role in healthy eye growth.

Tip: Outdoor time doesn’t need to be sports—simple play, walking, or reading outside helps.

2. Manage Near Work

Prolonged close work is a major contributor to myopia progression.

Best practices:

  • Follow the 20-20-20 rule: Every 20 minutes, look at something 20 feet away for 20 seconds
  • Maintain proper reading distance (about forearm length)
  • Avoid reading while lying down or in moving vehicles

3. Limit Screen Time (Especially for Young Children)

Digital screens encourage prolonged near focus and reduced blinking.

Recommendations:

  • Avoid unnecessary screen use for children under 6
  • Set clear screen-time limits
  • Encourage breaks and proper viewing distance


Clinical Myopia Control Solutions

Lifestyle changes alone are often not enough once myopia has started progressing. Evidence-based clinical options include:


1. Myopia Control Spectacle Lenses

Specially designed lenses help reduce eye elongation while providing clear vision.

Advantages:

  • Easy to use
  • Good for younger children
  • No direct contact with the eye

2. Myopia Control Contact Lenses

Includes soft defocus lenses and orthokeratology (Ortho-K).

Benefits:

  • Effective in slowing progression
  • Suitable for active children
  • Ortho-K provides clear daytime vision without glasses

Important: Requires good hygiene and regular professional follow-up.

3. Low-Dose Atropine Eye Drops

Low-concentration atropine has been shown to significantly slow myopia progression with minimal side effects.

Key points:

  • Used once nightly
  • Minimal impact on pupil size and near vision at low doses
  • Often combined with optical treatments for better results


Regular Eye Examinations Are Essential

Myopia control is not one-size-fits-all. Regular eye checks allow:

  • Monitoring of prescription changes
  • Measurement of eye growth
  • Timely adjustment of treatment strategy

Children with rapidly progressing myopia may require combination therapy for optimal results.


A Long-Term Approach

Myopia control is a marathon, not a sprint. Consistency, regular reviews, and adapting strategies as a child grows are key to long-term success. With the right approach, it is possible to slow myopia progression significantly and protect a child’s future eye health.


Final Thought

Early intervention makes the biggest difference. If your child is squinting, sitting close to screens, or experiencing frequent prescription changes, it’s time for a comprehensive myopia control assessment.