
If your child seems to need stronger glasses every year, their myopia may be progressing. Myopia, or nearsightedness, usually begins during childhood and can continue worsening as the eyes grow. For active Encinitas kids who spend their days moving between school, sports, beach activities, and outdoor play, simply updating glasses may not be the only option. At Encinitas Vision Optometry, we provide pediatric eye care and advanced myopia management designed to slow progression while keeping children’s lifestyles in mind.
Myopia commonly begins between ages 6 and 14. It usually occurs when the eye grows too long from front to back, causing distant images to focus in front of the retina rather than directly on it. As the eye continues growing, a child may need increasingly stronger prescriptions to maintain clear distance vision.
Signs that myopia may be progressing include:
Squinting to see classroom boards or distant signs
Moving closer to televisions or screens
Saying current glasses no longer seem clear
Needing stronger prescriptions at repeated eye exams
Struggling to see balls, teammates, or distant targets during sports
Holding devices or reading materials unusually close
Regular pediatric eye exams help us compare these changes over time and determine whether a child may benefit from myopia control.
Traditional glasses correct blurry distance vision, but standard lenses are not designed to slow the underlying progression of myopia.
That matters because higher levels of myopia are associated with greater lifetime risks of retinal detachment, glaucoma, cataracts, and other eye complications. Slowing progression during childhood may help reduce how severe nearsightedness becomes later in life.
Myopia management does not guarantee that a child’s prescription will stop changing completely. The goal is to reduce the rate of progression while the eyes are still developing.
Encinitas Vision Optometry offers Ortho-K as one approach to childhood myopia management. These customized gas-permeable contact lenses are worn overnight to temporarily reshape the cornea. After removing them in the morning, appropriate patients can experience clear daytime vision without relying on glasses or daytime contacts.
That can be especially convenient for Encinitas children involved in sports and other active pursuits. However, the corneal reshaping effect is temporary and requires continued prescribed wear. Because Ortho-K involves overnight contact lens use, careful hygiene and follow-up are important.
MiSight 1 day is another myopia management option available at Encinitas Vision Optometry. These soft daily disposable contacts correct distance vision while using a specialized optical design intended to slow myopia progression.
In the United States, MiSight is FDA-approved for initiating treatment in children ages 8 through 12 with healthy eyes, myopia between -0.75 and -4.00 diopters, and no more than 0.75 diopters of astigmatism. Each lens is discarded after removal and should not be reused or slept in.
Low-dose atropine eye drops may also be considered for some children with progressing myopia. The drops are generally used on a prescribed schedule and require ongoing monitoring. Encinitas Vision Optometry includes atropine among its current myopia management options.
The best treatment depends on your child’s age, prescription, progression rate, eye health, lifestyle, and ability to follow the recommended routine. There is no single myopia control method that is ideal for every child.
Outdoor activity is a healthy part of childhood, and children who spend more time outdoors are less likely to develop myopia. However, outdoor time does not replace prescribed myopia treatment once nearsightedness is progressing.
If your child’s prescription keeps becoming stronger, schedule a pediatric eye exam and myopia management evaluation with Encinitas Vision Optometry at 282 N. El Camino Real, Suite F, Encinitas, CA 92024, or call 760-454-4055 to discuss a personalized approach to protecting their developing vision.