What is myopia and why is it a concern for children?

Myopia (nearsightedness) is a vision condition where distant objects appear blurry while close objects remain clear. In children, myopia typically develops during school years and may progress over time. Managing myopia early is important because higher levels of myopia are associated with increased risk of certain eye health conditions later in life.

What treatments are available for myopia control?

Several evidence-based treatments are available to help slow myopia progression in children. These include specialty contact lenses (such as orthokeratology and multifocal soft lenses), low-dose atropine eye drops, and specialized spectacle lenses. A myopia control specialist can help determine the best option based on your child's individual needs.

How do I find a myopia control specialist?

Use our specialist directory to find eye care professionals who specialize in myopia management in your area. Look for optometrists or ophthalmologists with specific training and experience in pediatric myopia control treatments.

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Pediatric Contact Lens Fitting: Safety and Success

Dr. Pediatric Contact Lens Team

February 9, 2026

2 min read

Best practices for fitting contact lenses in children for myopia management.

Pediatric Contact Lens Fitting

Fitting contact lenses in children requires special considerations for safety and success.

Assessing Readiness

Child Factors

Maturity level
Motivation
Hygiene habits
Manual dexterity
Responsibility

Parent Factors

Ability to supervise
Commitment to follow-up
Understanding of risks
Support for compliance

Age Considerations

No strict minimum age
Individual assessment key
Younger children need more supervision
Maturity more important than age

Lens Selection

For Myopia Management

MiSight: FDA-approved 8-12
Ortho-K: typically 6+
Other soft multifocals: off-label
Consider child's needs

Fitting Considerations

Corneal health
Tear film quality
Lid anatomy
Prescription requirements

Training Protocol

Child Training

Insertion and removal
Proper handling
Hygiene procedures
Problem recognition

Parent Training

Supervision requirements
When to remove lenses
Emergency procedures
Follow-up importance

Practice Sessions

Allow adequate time
Patient approach
Positive reinforcement
Document competency

Safety Protocols

Hygiene Education

Hand washing technique
Solution use
Case care
No water contact

Warning Signs

Redness
Pain
Discharge
Vision changes
When to remove and call

Emergency Procedures

Remove lens immediately
Do not reinsert
Contact office
Seek care if severe

Follow-Up Schedule

Initial Period

Day 1 (Ortho-K)
Week 1
Month 1
Month 3

Ongoing

Every 6 months minimum
More frequent for Ortho-K
As needed for problems
Annual comprehensive

Documentation

Required Records

Informed consent
Training completion
Competency assessment
All follow-up visits

Compliance Tracking

Wear schedule adherence
Hygiene practices
Problem reporting
Parent involvement

Managing Complications

Common Issues

Discomfort
Dryness
Handling difficulties
Compliance lapses

Serious Concerns

Infection signs
Corneal changes
Persistent problems
Vision changes

When to Discontinue

Repeated infections
Non-compliance
Inadequate supervision
Patient/parent request