Treatment of Rapid Progression of Myopia: Case Series and Literature Review

• Published in: Case reports in ophthalmology 2021-11, Vol.12 (3), p.875-881
• Main Authors: Erdinest, Nir, London, Naomi, Levinger, Nadav, Lavy, Itay, Pras, Eran, Morad, Yair
• Format: Article
• Language: English
• Subjects: atropine; Case Report; Case reports; Contact lenses; Myopia; myopia control; myopia progression; Parents & parenting; Pediatrics; peripheral defocus; soft contact lenses
• ISSN: 1663-2699; 1663-2699
• DOI: 10.1159/000519629

This retrospective case series demonstrates the combination of 0.05% atropine with MiSight ® 1 day (Cooper vision, Sar Ramon, CA, USA) in rapid progression of myopia of 4 children. MiSight ® 1 day is a peripheral defocus, center-distance soft contact lens and is effective at controlling moderate progression of myopia during the course of 1 year. The current case series included 2 females and 2 males with an average age of 9.68 ± 0.26 years and an average axial length of 24.81 ± 0.92 mm. Their myopic progression during the previous year was −1.45 ± 0.27 D. The children had not attempted any myopia control thus far. This relatively high increase prompted a combination treatment of daily instillation of 0.05% atropine and MiSight, a daily replacement soft contact lens. Cycloplegic refraction and a slit-lamp evaluation were performed every 6 months to confirm no adverse reactions or staining was present. The 8-item contact lens dry eye questionnaire (CLDEQ-8) score of these children was 10.66 ± 1.52. The average myopia progression at the end of 1 year decreased to −0.41 ± 0.11 D, and the average axial length increase was 0.28 ± 0.08 mm. To the best of the authors’ knowledge, this is the first published study showing a combination of 0.05% atropine and peripheral defocus soft contact lenses indicating efficacy at controlling moderate myopia progression.