How Optometrists Diagnose and Manage Myopia | SpecSMART Eye Clinic

Optometrist | Eye Clinic SpecSMART

Myopia, or nearsightedness, is a common refractive error where individuals can see nearby objects clearly, but distant objects appear blurry. This condition has become more prevalent worldwide, particularly in children and adolescents. As a result, effective diagnosis and management strategies are essential in mitigating the progression of myopia and enhancing patients' quality of life.

At SpecSmart Eye Clinic Ikoyi and Ikeja Lagos, a leading provider of optometry services, a systematic approach to diagnosing and managing myopia helps patients gain better control over their vision. This essay will explore how optometrists at SpecSmart Eye Clinic Ikoyi and Ikeja Lagos diagnose and manage myopia using advanced diagnostic tools, treatment options, and preventive strategies.

Myopia - Parkes Phoenix

Diagnosis of Myopia at SpecSmart Eye Clinic Ikoyi and Ikeja Lagos

The process of diagnosing myopia at SpecSmart Eye Clinic Ikoyi and Ikeja Lagos involves a comprehensive eye examination, where optometrists employ both traditional and cutting-edge diagnostic tools. These tools help them identify the degree of myopia, its progression, and any associated eye health concerns. The primary methods for diagnosing myopia at SpecSMART Eye Clinic Ikoyi and Ikeja Lagos include:

  • Patient History and Visual Symptoms

The first step in diagnosing myopia is a detailed patient history. Optometrists at SpecSmart Eye Clinic Ikoyi and Ikeja Lagos begin by asking patients about their symptoms, such as difficulty seeing distant objects, squinting, or eye strain. Understanding the patient's age, lifestyle, and family history is also crucial, as myopia often runs in families. In children, myopia may develop gradually, so recognizing early signs can help in preventing further deterioration of vision.

  • Visual Acuity Test

One of the primary tests for diagnosing myopia is the visual acuity test, where patients are asked to read letters from a Snellen chart at a distance of 20 feet. This test helps optometrists determine the clarity of a patient's vision at various distances. If distant objects appear blurry, it is indicative of myopia. A visual acuity test may be performed both without correction (natural vision) and with the patient wearing their current prescription glasses or contact lenses.

  • Refraction Test

A refraction test helps determine the degree of myopia and establishes the appropriate prescription for corrective lenses. Using a device called a phoropter, the optometrist will show the patient a series of lenses with different strengths and ask which ones provide the clearest vision. This test provides a more accurate measure of the refractive error and is crucial in prescribing glasses or contact lenses for the patient.

  • Autorefractor and Retinoscopy

At SpecSmart Eye Clinic Ikoyi and Ikeja Lagos, optometrists also use an autorefractor, an automated instrument that measures the eye's refractive error. This instrument provides an initial estimate of the prescription needed for the patient. Retinoscopy, a manual test where the optometrist shines a light into the patient's eye and observes the reflection, is also used to evaluate the refractive error and refine the prescription. Both tests help in determining the level of myopia.

  • Corneal Topography and Axial Length Measurement

Advanced diagnostic tools such as corneal topography and axial length measurement are used to evaluate the structural health of the eye. Corneal topography maps the curvature of the cornea and helps identify any abnormalities that may contribute to refractive errors. Axial length measurement, done using an optical biometer, measures the length of the eyeball from the front to the back. An increase in axial length is often associated with the progression of myopia, making it an essential factor in diagnosing and tracking the condition over time.

  • Pupil Dilation

In some cases, the optometrist may dilate the patient’s pupils to gain a better view of the retina and optic nerve. This is particularly helpful in identifying any signs of retinal complications that could arise from untreated myopia, such as retinal thinning or detachment. Pupil dilation allows the optometrist to fully examine the eye's internal structures and rule out other conditions that may mimic myopia symptoms.

Management of Myopia 

Once myopia has been diagnosed, the next step is to develop a personalized management plan aimed at improving visual acuity and slowing down the progression of the condition. At SpecSmart Eye Clinic Ikoyi and Ikeja Lagos, optometrists use a combination of corrective lenses, advanced therapies, and lifestyle modifications to manage myopia effectively.

  • Prescription Eyeglasses and Contact Lenses: 

The most common and immediate treatment for myopia is the use of corrective lenses in the form of eyeglasses or contact lenses. At SpecSmart Eye Clinic, optometrists provide tailored prescriptions to match the specific refractive error of the patient. Eyeglasses are the preferred option for patients of all ages, as they are easy to wear, cost-effective, and non-invasive. For patients with an active lifestyle or those who prefer the convenience of contacts, the optometrist may prescribe contact lenses as an alternative.

For children and young adults, who are at a higher risk of myopia progression, special types of contact lenses may be prescribed. These include multifocal or bifocal lenses, which can help reduce the strain on the eyes while focusing on near objects and may slow the rate of myopia progression.

  • Orthokeratology (Ortho-K)

Orthokeratology, or Ortho-K, is a non-surgical method of managing myopia that involves wearing specially designed contact lenses overnight to reshape the cornea. This approach temporarily corrects refractive errors, allowing patients to see clearly without the need for glasses or contact lenses during the day. At SpecSmart Eye Clinic, Ortho-K is offered as an option for patients who want to avoid the daily use of corrective eyewear. It is particularly beneficial for children and teenagers, as studies have shown that Ortho-K can slow the progression of myopia.

  • Atropine Eye Drops

Atropine eye drops, at low concentrations, have been shown to be effective in slowing the progression of myopia in children. These drops work by temporarily relaxing the eye’s focusing ability, which reduces the strain that contributes to myopia progression. SpecSmart Eye Clinic Ikoyi and Ikeja Lagos incorporates this treatment into their management plans for children at high risk of myopia progression. While atropine drops do not correct vision, they can help prevent the condition from worsening over time.

  • Myopia Control Lenses 

At SpecSmart Eye Clinic Ikoyi and Ikeja Lagos, myopia control lenses, such as the MiSight contact lenses, are available for children and adolescents. These lenses are designed with special modifications to help control the growth of the eye, which is a key factor in the development of myopia. Research has demonstrated that these lenses can notably slow the progression of myopia compared to conventional single-vision lenses. By using these lenses regularly, patients can achieve clearer vision while also slowing the elongation of the eye that leads to worsening myopia.

  • Lifestyle Modifications and Education

In addition to medical treatments, optometrists at SpecSmart Eye Clinic educate patients and their families about lifestyle changes that can help manage myopia. Encouraging children to spend more time outdoors, limiting screen time, and promoting activities that involve focusing on distant objects are important strategies in preventing or slowing the onset of myopia. Furthermore, regular eye exams are advised to track the progression of the condition and make necessary adjustments to the treatment plan.

Myopia is a growing concern, especially among children and young adults, but with early diagnosis and effective management strategies, it can be controlled and its progression slowed. At SpecSmart Eye Clinic Ikoyi and Ikeja Lagos, optometrists use a combination of advanced diagnostic tools, corrective lenses, innovative treatments like Ortho-K and atropine, and lifestyle education to provide comprehensive care for myopic patients.

By adopting a holistic approach SpecSmart Eye Clinic Ikoyi and Ikeja Lagos ensures that individuals living with myopia can maintain optimal vision and minimize the risks associated with the condition. Through continuous advancements in myopia management, the clinic plays a critical role in improving eye health and enhancing the lives of its patients.