How should myopia in children be treated?

Jun 07, 2022 Source: Cainiu Health
Dr. Chen You
Introduction
For children with myopia, cycloplegic refraction (performed after pupil dilation) must be conducted at a hospital to distinguish between true myopia and pseudo-myopia. In cases of true myopia, appropriately prescribed corrective lenses are essential. Wearing properly prescribed glasses ensures clear visual images. If a child with true myopia does not wear corrective lenses, the progression of myopia may accelerate.

It is reported that, with the widespread use of various electronic devices, the incidence of myopia among children has been rising sharply. Many children begin wearing glasses at a very young age. So, how should childhood myopia be treated?

How Should Childhood Myopia Be Treated?

Children diagnosed with myopia must undergo cycloplegic refraction (i.e., pupil-dilating refraction) at a hospital to determine whether the condition is true myopia or pseudo-myopia. In cases of true myopia, appropriately prescribed corrective lenses are essential. Wearing correctly powered glasses ensures clear visual input. Without proper correction, the progression of true myopia may accelerate. Children should undergo cycloplegic refraction every six months to monitor whether their myopic refractive error is worsening.

If myopia progresses, updated prescription glasses will be required. Daily eye health maintenance is crucial: take a break after every period of reading; ensure at least one hour of outdoor activity daily; avoid reading in dim lighting; and refrain from reading while in motion (e.g., in a moving vehicle).

The primary symptom following the onset of myopia is blurred distance vision. When a child is diagnosed with true myopia, the principal treatment approach is optical correction using appropriately prescribed myopic spectacles. Currently, two main types of corrective lenses are used clinically: conventional spectacles (frame glasses) and contact lenses (corneal contact lenses). Following diagnosis, the choice of corrective lens—whether spectacles or contact lenses—depends on the child’s specific refractive error and individual clinical circumstances. We hope this information proves helpful!