Myopia Management
Custom Treatment Options to Slow Vision Worsening in Children
Myopia Management
Providing Custom Options for Each Child to Slow the Worsening of their Vision
Myopia Management Specialists in Raleigh
Where Advanced Technology Meets
Compassionate Care
At the Raleigh Contact Lens Institute, one of our primary areas of expertise is myopia management and slowing myopia progression. Our doctors are passionate about providing effective treatments because they see the dramatic improvements in children’s vision, quality of life, and overall well-being with proper care.
If you have questions on myopia management, we can be reached at (919) 850 5910 or hello@raleighcontactlens.com. More information on myopia management can also be found below.


Looking for More Information on Myopia Management?
Myopia (nearsightedness) is a common vision condition where nearby objects appear clear, but distant objects look blurry. This condition is becoming increasingly common among children, often linked to excessive screen time, more schoolwork, less outdoor activity, and genetics.
Childhood myopia doesn’t just affect eyesight—it can also impact school performance, reduce self-confidence, and even be associated with higher risks of mental health challenges according to some studies.
When myopia begins at a young age, it often progresses quickly. This rapid worsening can result in greater dependence on glasses or contact lenses and a higher risk of long-term eye complications.
That’s where myopia management plays a vital role. By using advanced treatments, we can slow down the progression of myopia in children, protecting their vision and supporting their academic success, self-esteem, and long-term eye health. With the right approach, your child can enjoy clearer vision and reach their full potential.
One of the most frequent questions parents ask is: “Why haven’t I heard about myopia management until now?” The reality is that myopia (nearsightedness) is becoming far more common in children today compared to previous generations. While increased “screen time” is a major contributor, genetics and lifestyle factors also play a role.
Genetics are a strong risk factor for myopia, and the condition is particularly common among Asian populations. About 45 years ago, only around 25% of Americans aged 12 to 54 had myopia. However, a 2009 study showed that number had nearly doubled, with 42% of this age group affected. Researchers now estimate that by 2050 nearly 5 billion people worldwide—about half the global population—will have myopia. If myopia were life-threatening, it would be called an epidemic, highlighting the urgency of this trend.
The positive news is that in the past decade, research on myopia has grown tremendously. New FDA-approved myopia management treatments are now available, and the success rate of these treatments has improved significantly.
In short, if you haven’t heard much about myopia before, you’re not alone. But with the right treatment plan, children with myopia can enjoy better vision and a brighter future.
If you’re considering myopia management options for your child, we are happy to provide a free phone consultation at (919) 850 5910 or hello@raleighcontactlens.com.
There are three primary myopia management treatments that have been shown to help slow the worsening of a child’s vision:
- MiSight Daily Lenses – FDA-approved daily disposable contact lenses designed specifically for myopia control.
- Orthokeratology (Ortho-K / OK Lenses) – Special overnight contact lenses that gently reshape the cornea while your child sleeps.
- Atropine Eye Drops – A low-dose drop used nightly to slow myopia progression.
Choosing the right treatment depends on factors such as your child’s prescription, age, motivation, maturity, time spent outdoors, sports activities, and school schedule. In many cases, atropine may be combined with specialized contact lenses (such as Ortho-K or MiSight) for even greater effectiveness.
During a myopia management consultation, our doctors take time to understand your child’s needs, lifestyle, and vision goals before recommending the most suitable treatment option.
The good news is that with today’s advanced treatment options—Orthokeratology, MiSight daily lenses, and Atropine eye drops—nearly all children with myopia can benefit.
Our doctors will meet with you and your child to carefully review prescription details, lifestyle habits, and long-term vision goals. Together, we’ll create a personalized plan that not only protects your child’s eyesight but also supports their confidence, school performance, and active lifestyle.
It’s normal for parents to wonder whether their child is ready for contact lenses. Multiple clinical studies have shown that children are often safer and more responsible contact lens wearers than teens or adults.
Starting myopia management early provides significant long-term benefits. Since myopia tends to progress most rapidly between ages 6 and 9, early intervention can help prevent large prescription changes and keep nearsightedness as low as possible.
Additionally, research shows that contact lens wear can boost self-esteem in children, improving their confidence in school, sports, and social settings.
At the Raleigh Contact Lens Institute, our doctors schedule regular follow-ups to carefully monitor your child’s eye health, provide ongoing support, and ensure safe contact lens handling at every stage.
Your child’s initial myopia management exam includes a series of advanced tests to ensure accurate diagnosis and a personalized treatment plan:
- Refraction – Measures your child’s most up-to-date prescription.
- Ocular Health Exam – A thorough evaluation of the front and back of the eye to confirm candidacy for myopia management treatments.
- Corneal Topography – Maps the unique shape of the cornea to guide the best contact lens fit.
- Binocular Vision Assessment – Ensures both eyes are working together correctly.
- Meibography – Evaluates the meibomian glands, which are essential for keeping contact lenses comfortable and preventing dry eye symptoms.
These advanced tests allow us to customize the safest and most effective treatment option for your child.
If your child is new to contacts, don’t worry — we provide a comprehensive training session. During this class, your child will learn how to safely insert, remove, and care for their lenses, as well as proper hygiene habits to keep their eyes healthy.
The learning process doesn’t end there. Children are encouraged, supported, and “quizzed” on their skills until they feel confident.
We also schedule a 1-week follow-up to address any challenges, recheck ocular health, and ensure that contact lenses are fitting safely and comfortably.

An Introduction to Orthokeratology (Ortho-k)
Orthokeratology (commonly called Ortho-k) is a safe and effective treatment option for children who don’t want to wear glasses or daytime contact lenses.
Ortho-k lenses are worn only at night while sleeping. These specially designed contact lenses gently reshape the cornea so that your child can enjoy clear vision throughout the day without glasses or lenses.
In addition to providing clear sight, Ortho-k has been proven to slow the progression of myopia (nearsightedness), helping protect your child’s long-term eye health.
Countless studies have confirmed that orthokeratology (Ortho-k) lenses are safe and effective (9,10,11). They are often the preferred option for children who are active in sports, enjoy swimming, or simply want freedom from glasses and daytime contacts.
An added benefit is that Ortho-k lenses are worn only at night and never leave the home, allowing parents to closely monitor lens care, hygiene, and handling to ensure safe use.
Orthokeratology works by gently reshaping the surface of the cornea while a child sleeps. The custom-designed lenses rest on the tear film of the eye and gradually adjust corneal shape overnight.
When the lenses are removed in the morning, the child can see clearly without glasses or daytime contacts. This temporary corneal reshaping not only provides clear vision throughout the day but also helps reduce the rate at which myopia progresses. Most children enjoy more than 24 hours of improved vision, though wearing the lenses nightly is recommended for consistent results.

An Introduction to MiSight
MiSight daily disposable contact lenses are the first and only FDA-approved contact lenses specifically designed for myopia control in children. While other options such as orthokeratology (Ortho-k) are FDA-approved for vision correction and have also shown success in slowing myopia progression, MiSight lenses remain the only option with direct FDA approval for this purpose.
Worn comfortably during the day, MiSight contact lenses have been clinically proven to reduce the average progression of myopia by up to 59%, helping children maintain clearer vision and healthier eyes as they grow.
Yes — MiSight lenses have been extensively tested for safety and effectiveness. In a six-year FDA clinical trial, no serious adverse events were reported. Children not only adapted easily but also showed excellent comfort and handling skills when learning to insert and remove their lenses.
At the end of the 6-year trial, an impressive 23% of children experienced complete stability of their myopia, demonstrating the long-term benefits of this treatment option.
MiSight contact lenses look and feel like regular soft contacts but have specially designed optics that help slow down abnormal eye growth. By controlling this elongation of the eye, MiSight effectively reduces the progression of myopia in children while still providing clear, comfortable vision.

An Introduction to Atropine
Atropine eye drops are a trusted treatment option for slowing myopia progression in children. At the Raleigh Contact Lens Institute, we prescribe low-dose atropine (0.05%), which has been shown to provide the best balance of effectiveness and safety for long-term myopia control.
Atropine is often recommended for children who are not yet ready for contact lenses, or as a combined treatment option for kids with faster or more aggressive myopia progression. Since atropine does not correct vision on its own, children will still need to wear glasses during the day. Clinical studies have demonstrated that low-dose atropine can slow myopia progression by more than 50%, making it one of the most effective non-lens options available.
Yes — low-dose atropine is generally very well tolerated by children. The most common side effects include mild light sensitivity or slight blur in near vision. In most cases, these effects resolve naturally within two weeks. If symptoms persist, the dosage can be adjusted to ensure comfort and continued treatment success.
Parents can feel confident knowing atropine eye drops have been researched extensively and are considered safe for long-term use under the guidance of an eye care professional.
Myopia progresses when the eye grows longer than normal. Atropine is believed to work by acting directly on the layers of the eye responsible for this abnormal growth, helping to slow down or even stabilize the progression of nearsightedness. By targeting the root cause, atropine allows children to maintain healthier vision as they grow.
Why Choose the Raleigh Contact Lens Institute
for Myopia Management in Raleigh?

The Team
The team at the Raleigh Contact Lens Institute have experience with offering myopia management treatment for hundreds of children, and are experts in options for myopia management.

Advanced Technology
Our office is one of a few practices in the country that is equipped with the Pentacam AXL Wave and Optovue Solix OCT, which greatly aid in managing myopia and monitoring progression over time.

Unlimited Answers
We allow for enough time for thorough comprehensive exams, and plenty of time for answering questions. No rushing in and out here.

We Focus on Myopia
Myopia Management is one of our two key focuses of our entire practice. We receive referrals from many different doctors in Raleigh because we specialize in myopia management.

Access to the Doctor
Our doctors are available to answer questions you have after your exam, and will make sure you have the information needed in order to ensure the best possible outcome.

Affordability
We keep our overhead costs low and offer very competitive prices as a result. We have monthly payment options available and also accept CareCredit™, HSA, & FSA.

Summary
Our doctors are nationally recognized for their expertise in myopia management, including ortho-k, and MiSight. Our doctors regularly present at both local and national meetings and conferences, where they share their knowledge and insights to audiences of 10 to hundreds of doctors.
MiSight and ortho-k are the most recommended options for myopia management, and atropine is also prescribed in some situations. One of the benefits of visiting the Raleigh Contact Lens Institute is the amount of one-on-one time with the doctor, which allows for plenty of time to ask questions and evaluate all possible options.
Citations for Scientific Reviews on
Myopia Management
- Modjtahedi, Bobeck S., et al. “Reducing the global burden of myopia by delaying the onset of myopia and reducing myopic progression in children: the Academy’s Task Force on Myopia.” Ophthalmology 128.6 (2021): 816-826.
- Huang, Juerong, et al. “Myopia and Depression among Middle School Students in China—Is There a Mediating Role for Wearing Eyeglasses?.” International journal of environmental research and public health 19.20 (2022): 13031.
- Hu, Yin, et al. “Association of age at myopia onset with risk of high myopia in adulthood in a 12-year follow-up of a Chinese cohort.“ JAMA ophthalmology
- Dias, Lynette, et al. “Myopia, contact lens use and self-esteem.“ Ophthalmic and Physiological Optics 33.5 (2013): 573-580.
- Chalmers RL, Wagner H, Mitchell GL, et al. Age and Other Risk Factors for Corneal Infiltrative and Inflammatory Events in Young Soft Contact Lens Wearers from the Contact Lens Assessment in Youth (CLAY) Study. Invest Ophthalmol Vis Sci 2011;52:6690-6.
- Chalmers, Robin L., et al. “Adverse event rates in the retrospective cohort study of safety of paediatric soft contact lens wear: the ReCSS study.” Ophthalmic and Physiological Optics 41.1 (2021): 84-92.
- Chamberlain P, Peixoto-de-Matos SC, Logan NS, et al. A 3-Year Randomized Clinical Trial of Misight Lenses for Myopia Control. Optom Vis Sci 2019;96:556-67.
- Chua, Sharon YL, et al. “Age of onset of myopia predicts risk of high myopia in later childhood in myopic Singapore children.“ Ophthalmic and Physiological Optics 36.4 (2016): 388-394.
- Bullimore, Mark A., et al. “The risks and benefits of myopia control.“ Ophthalmology 128.11 (2021): 1561-1579.
- Bullimore, Mark A., and Noel A. Brennan. “Myopia control: why each diopter matters.” Optometry and Vision Science 96.6 (2019): 463-465.
- Si, Jun-Kang, et al. “Orthokeratology for myopia control: a meta-analysis.” Optometry and Vision Science 92.3 (2015): 252-257.
- Chamberlain, Paul, et al. “Long-term effect of dual-focus contact lenses on myopia progression in children: a 6-year multicenter clinical trial.“ Optometry and Vision Science 99.3 (2022): 204-212.
- Yam, Jason C., et al. “Three-Year Clinical Trial of Low-Concentration Atropine for Myopia Progression Study: Continued Versus Washout Phase 3 Report.”