MiSight 1 Day Contact Lenses for Myopia Control
A safe, easy and proven way to slow the progression of myopia in children
What is myopia?
Myopia is an eye condition, also known as short-sightedness or near-sightedness, which causes people to have difficulty seeing distant objects clearly. Children will struggle to see the board at school, or the TV or perform less well in sports activities due to not being able to see distant objects as clearly as they should. Myopia is usually progressive and as a result changes occur in the physical structure of the eye, elongating it. These changes, especially in individuals with high levels of myopia, can significantly increase the risk of retinal detachment, myopic maculopathy, cataracts and glaucoma, in turn leading to vision loss and blindness.
Myopia usually begins in childhood at school age from age 6 onwards and can worsen until early adult years. It can also occur in adults (ages 20 to 40) with no prior history of problems in childhood, termed early adult-onset myopia. Babies can also be born with high levels of myopia (congenital myopia). The level of myopia is influenced by both genetic and environmental factors. It is more common in children with a parent that is also myopic, although sometimes there is no family history. One parent with myopia increases the risk of a child being myopic by 3X and both parents 7X. Children who spend little time outside are also more at risk, including those spending prolonged periods performing near vision tasks such as reading or gaming and poor lighting can also contribute to myopia progression.1
Myopia incidence and levels of myopia are increasing worldwide, especially in East Asia with reports of 90% of Chinese teenagers and young adults being myopic. It is becoming a worrying public health issue.
Myopia is predicted to affect more than 50% of the global population by 2050. 2
Although there is no cure or quick fix for stopping myopia progression completely, it can now be slowed down with MiSight 1 day lenses, resulting in a child being less myopic, with less potential for complications, associated with high myopia. The earlier treatment is started the better the results.
Other treatment options
- Orthokeratology-Specialist rigid (hard) contact lenses worn overnight to reshape the front surface of the eye (cornea) and reduce the myopia. This is reversible once the lenses are stopped being worn.
- Soft multifocal monthly wear contact lenses- daily wear has shown to reduce the rate of progression but not as effective as MiSight
- Therapy with Atropine eyedrops, to affect the focussing. This treatment is currently although not available in optometric practice in the UK.
What is MiSight and how does it work?
MiSight is the first daily disposable contact lens that has been proven to slow the progression of myopia (short-sightedness) in children.
In a shortsighted eye, although the image is in focus in front of the retina , in the periphery the retina is less myopic. This is called relative hyperopic defocus and appears to be linked to an increase in myopia progression. Spectacles and traditional contact lenses correct the myopia at the centre of the retina making distance vision clear, but this in turn does not correct the relative hyperopia in the periphery and actually makes it worse which drives the myopia progression.
Dual focus contact lenses correct the central myopia but also move the peripheral focal point of the eye forward so it is in the front of the peripheral retina, not in front, reducing the hyperopic defocus, removing the stimulus for myopia progression.
- two treatment zones, creating myopic defocus in the periphery and
- two correction zones, correcting the myopia in all gaze positions, to ensure clear vision.
They are worn for a minimum of 10 hours a day, 6+ days per week, with a new pair being inserted each day. It is a commitment to wear lenses daily and is not available on the NHS. It is available on a planned monthly payment scheme, including all professional examination and fitting fees. Fitting is recommended as early as possible, when myopia first presents.
These lenses only cost a few more pounds than conventional soft contact lenses, which will not slow down the myopia progression. The fitting is charged at the same rate as for normal lenses.
Research and evidence
Studies have taken place at 4 sites across the world, involving myopic children aged 8 to 12 years old, over a 3 year period. The MiSight trials demonstrated a sustained reduction in myopia progression of 59% over this period of time when MiSight lenses were worn. 3
MiSight 1 day is designed for children who have a myopic prescription from -0.25D to -6.00D. The lenses were found to be easy to insert, comfortable to wear, easy to remove and the children reported having clear vision at a variety of distances during everyday activities. 9 out of 10 children said they preferred wearing their MiSight 1 day lenses to wearing their spectacles.
Click the link below to find out more about the research.
To book an appointment or find out more telephone the practice on 01606 836582
- Global trends in myopia management attitudes and strategies in clinical practice. Wolffsohn JS, Calossi A, Cho P et al. Cont Lens Anterior Eye. 2016 Apr;39(2):106-16. doi: 10.1016/j.clae.2016.02.005. Epub 2016 Feb 16.
- Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P, Wong TY, Naduvilath TJ, Resnikoff S, Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050, Ophthalmology, May 2016 Volume 123, Issue 5, Pages 1036–1042.
- Chamberlain P, Back A, Lazon P, et al. 3 Year Effectiveness of a Dual Focus 1 Day Soft Contact Lens For Myopia Control. Presented at the 40th British Contact Lens Association Clinical Conference and exhibition, 10 June 2017; Liverpool, UK.