Separate evidence for specific structures
Myopia control research includes dual-focus soft lenses and selected multifocal designs. A regular corrective single vision lens is not automatically a progression-suppressing intervention.
The design combines vision correction with an additional defocus signal. MiSight and the lenses tested in BLINK are different interventions, with different solutions and parameters.
MiSight was evaluated in a multicenter RCT, and BLINK compared various additions to single vision lenses. We do not combine them in a fictitious, directly comparative study.
Go to full timelineThe three-year MiSight RCT showed slower refractive error and ocular axis growth with daily disposable dual-focus lenses tested.
Examination of a specific lens; 109 of 144 participants are three years old. It is not proof for every soft lens.
Publication, Authors and RestrictionsIn BLINK, soft lenses with high addition + 2,50 D inhibited progression more strongly than the tested single vision and medium addition lenses.
The result relates to the tested structure and addition; is not a comparison to the MiSight disposable lens.
Publication, Authors and RestrictionsThe review is not a substitute for checking a specific intervention. The publication date and query end date may vary.
A review of prospective studies of soft lenses in children estimated microbial keratitis at 2,7 per 10 000 patient-years.
95% CI: 0,5–15 ; 3752 patient-years and one case. Wide uncertainty. We do not transfer this indicator to orthokeratology.
Publication, Authors and RestrictionsIMI 2025 organizes optical, pharmacological, environmental and lighting strategies and the state of research on their effects.
Mature technologies and emerging methods have a different evidence base. The inspection is not an individual clinical eligibility assessment of the child.
Publication, Authors and RestrictionsBoth key RCTs in the registry span three years. Post-RCT extensions and follow-up wear answer further questions, but do not automatically represent further years of the same randomized comparison.
Lenses require clean hands, proper use and avoidance of contact with water. Microbial keratitis is rare but potentially serious. Prospective pediatric data indicate a low rate of such events under the wearing conditions studied.
We do not transfer the risk of soft lenses to night orthokeratology. Progression percentages from different studies are not a common scale for product effectiveness.
They may be considered when the child and caregiver are ready for the rules of use and the examination allows for the selection of a lens. Eligibility is not determined by age alone or the power of the glasses alone.
This is a framework for a conversation with a specialist, not an individual treatment plan.
ESO and IMI present a framework for the selection of management, prevention and monitoring of myopia progression.
The guidelines require reference to current knowledge, local availability and the specific patient.
Publication, Authors and Restrictions