Myopia management options
An impartial overview of optical, medication-led and everyday-behaviour components that may be discussed for progressing childhood myopia.
General patient information
On this page
Myopia management is not one product. It is a clinical process that confirms the prescription, estimates progression, discusses evidence-informed options and reviews the child's response. The aim is to slow progression while providing clear day-to-day vision.
Optical approaches
Depending on local availability and suitability, options may include specially designed spectacle lenses, dual-focus or multifocal soft contact lenses, and orthokeratology. Each has different fitting needs, evidence, handling demands and risks. Standard single-vision correction may remain appropriate when a management option is unsuitable or declined.
Medication-led care
Low-concentration atropine is used in some myopia pathways, but prescribing arrangements, formulations and evidence differ by country and service. It requires an appropriately authorised prescriber and discussion of possible side effects and monitoring. Eksteen Optometrists should confirm its own referral or co-management pathway before publishing service-specific statements.
Everyday habits and realistic expectations
Regular outdoor time is encouraged for children and may be associated with a lower chance of myopia developing. Sensible breaks from prolonged close work can support visual comfort. These habits do not replace correction or a clinically indicated intervention, and no option can guarantee that myopia will stop, reverse or be cured.
Choosing and reviewing
A shared decision considers age, progression history, prescription, eye health, family routine, the child's preferences and ability to use an option safely. Reviews assess vision, adherence, eye health and progression measures. A plan can be changed if benefits, tolerance or practical demands are not satisfactory.