Forum: Multifaceted approach to myopia management in children

The report “Local study shows long-term safety of atropine eye drops used to treat myopia in children” (Feb 4) highlighted the safety of atropine eye drops, a common remedy for childhood myopia. It also touched on surgical procedures for correcting myopia.

However, these surgical procedures are not proven to impede myopia progression during childhood. They are typically recommended for adults with stable, non-progressing myopia.

A review article in Eye, a peer-reviewed journal of the Royal College of Ophthalmologists in the United Kingdom, in September 2023 confirmed the safety and efficacy of optical methods in controlling myopia. These include orthokeratology treatment, and specially designed spectacle lenses and soft contact lenses.

In addition, the Singapore Optometric Association encourages parents to explore a range of interventions for their children, including outdoor activities and taking frequent breaks, as a combination of these behavioural approaches is also proven to help.

The review, spanning three years and encompassing large sample sizes, showed these treatments have significantly demonstrated their efficacy in slowing down myopia progression in children.

The findings underscore the multifaceted approach to myopia management in Singapore. Besides pharmaceutical options, children should have the opportunity to use safe and effective optical options tailored to their needs, fostering improved vision and long-term eye health.

Lee Kang Lian
President
Singapore Optometric Association

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