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Combination Myopia Management Therapies

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Author: Jason Higginbotham
BSc (Hons) MCOptom Prof Cert Glau Prof Cert Med Ret Prof Cert LV FBDO MBCLA

What are Combination Therapies?

There are many different myopia management therapies. However, various clinical papers and studies have suggested that in some cases at least, combining more than one form of myopia management therapy can be more effective, safer, more accessible or just more convenient for the child and the family. 

 

For example, it may be as simple as having myopia management soft contact lenses providing most of the therapy on most days but having backup myopia management glasses to allow the eyes to rest. However, with some myopia therapies, like Atropine 0.01%, some have suggested combining this with other treatment options, like Ortho-K, for example.  These studies have shown an improvement in the slowing of eyeball growth, but some argue that the value of Ortho-K masked the limited effect of Atropine 0.01%, for example. 

It's important to note that combination therapies should only be prescribed and overseen by qualified eye care professionals who specialise in myopia management. The effectiveness of each combination can vary depending on individual factors, and regular eye examinations are necessary to monitor progress and adjust treatments as needed.

TL;DR Key Points
  • Combining different myopia management therapies can lead to improved effectiveness, safety, accessibility, and convenience.

  • An example is using myopia management soft contact lenses with backup myopia management glasses

  • Studies have shown that combining Atropine with Ortho-K enhances eyeball growth reduction.

  • Debates exist on therapy masking effects in certain combinations.

  • Qualified professionals should prescribe and oversee this therapy.

  • Effectiveness of each combination depends on individual factors, requiring regular eye examinations for monitoring and adjustments.

FOCUS
POINT

 

Covid-19 has meant more time indoors, less social interaction and more time staring at screens, whether it be a smartphone tv, laptop, or tablet, which is especially true for children. In many parts of the world, particularly in Southeast Asia, this produced a strong correlation with a marked increase in the rate, prevalence of myopia and amount of myopia and its progression in children. 

Combonation Therapies

Advantages 

  • Combining treatment modalities can improve effectiveness

  • Synergistic effects can result from the combination of specific treatment methods

  • Tailoring treatment approaches to individual patients' needs

  • Comprehensive management approach by addressing multiple factors simultaneously

Disadvantages

  • Multiple treatment modalities can make the management process more complex

  • Higher costs 

  • Potential side effects and risks

  • Limited evidence available on efficiency and safety

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