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What Are My Child's Myopia Control Options?
Choosing the right myopia treatment for your child can be confusing.
There are many effective options, and no single treatment is right for every child.
Our doctors consider your child's age, level of myopia, rate of progression, eye growth and individual needs to help you understand the choices and recommend the treatment we believe is most appropriate—and explain why.
The important question isn't simply which treatment to choose, but how well it is actually working for your child.
We Understand
As parents who are both highly myopic, we understand the challenges that myopia can bring to everyday life. Our own four children wore Ortho-K from a young age.
That personal experience shapes how we care for your family—with the same thoughtfulness and concern we would want for our own children.
Experience that helps us care for your Child
Our doctors have cared for patients and families since 1983 and continue to invest in advanced diagnostic technology, professional education and specialized clinical training.
Why does that matter?
It helps us evaluate your child more carefully, recognize when myopia is progressing, recommend appropriate treatment and adjust the plan when needed.
Understanding helps you make Better Decisions
We believe parents and children should understand their choices.
Our doctors will explain the benefits and limitations of each appropriate option, what we recommend and why. We then carefully monitor your child's response because every child responds to treatment differently.
Our goal is not simply to start myopia treatment.
It is to achieve the best control we reasonably can for your child.
Your Child's Myopia Control Options 近視控制
Myopia Management Procedures 近視控制
AOK Ortho-K • OK 鏡 35-85% *
Ortho-K is one of the treatments we often recommend for suitable children because it combines myopia control with clear daytime vision—without glasses or daytime contact lenses.
AOK Eye Braces® (Accelerated Orthokeratology) are individually designed Ortho-K lenses worn during sleep and removed in the morning.
Ortho-K is well studied for slowing myopia progression in children.
Why families often choose AOK:
- Helps slow myopia progression and excessive eye growth
- Clear daytime vision without glasses or daytime contact lenses
- Freedom for sports, swimming and everyday activities
- Reversible and adjustable as your child's needs change
- Quality of life — greater freedom and confidence for many children
Lens design matters. Ortho-K is not simply one standard lens. Individualized design and careful monitoring can influence how well treatment works for your child.
Our goal is not simply to use Ortho-K, but to measure how well it is controlling your child's myopia and adjust treatment when needed.
Learn more about AOK Eye Braces® →
Daytime Myopia Control Contact Lenses or Glasses 30–72% *
Specially designed myopia-control contact lenses and glasses can provide clear vision while also helping slow myopia progression. Studies have reported approximately 30–52% myopia control, depending on the lens design, child and study.
Daytime Myopia-Control Contact Lenses
Dual-focus or multifocal contact lenses use different optical zones to provide clear vision while creating peripheral treatment signals that help slow excessive eye growth. Daily disposable and other lens options are available for suitable children.
Myopia-Control Glasses
Newer spectacle-lens designs such as DIMS and other myopia-control technologies provide clear vision while incorporating treatment zones designed to slow myopia progression.
Why families may choose these options:
- Effective myopia control without overnight lens wear
- Glasses provide a simple, non-contact-lens option
- Daytime contact lenses provide freedom from glasses
- Useful alternatives when Ortho-K isn't suitable or preferred
Our doctors can help determine which lens design is most appropriate for your child's age, prescription, lifestyle and rate of progression.
Atropine Rx drops 阿托品處方 35-50%*
Low-dose atropine eye drops can help slow myopia progression and excessive eye growth in children. Different concentrations, 0.01% to 0.05% , may be used depending on the child's age, progression, response and side effects.
Atropine is usually used once daily, typically at bedtime. Because it does not correct blurry vision, children still need their usual glasses or contact lenses.
Why atropine may be recommended:
- Simple once-daily treatment
- Can slow myopia progression and axial elongation
- Different concentrations can be tailored to the child's response
- Can be combined with Ortho-K or other optical treatments when additional control is needed
- Treatment can be monitored using prescription and axial-length measurements
Low-dose atropine is generally well tolerated. Some children may experience larger pupils, light sensitivity or mild difficulty focusing up close. Higher concentrations generally provide greater myopia-control efficacy but may also produce more side effects.
The LAMP trial demonstrated a concentration-dependent response, with 0.05% outperforming 0.025% and 0.01% over the first year.
Every child responds differently. We monitor both myopia progression and eye growth and adjust the concentration—or consider combination treatment—when needed.
Combined Treatment Therapy
Reduce Unnecessary Screen Time
Sometimes one treatment alone may not provide enough myopia control. When this happens, combining treatments may provide additional benefit.
The strongest evidence currently supports combining low-dose atropine with Ortho-K. Studies have shown that this combination can slow axial eye growth more than Ortho-K alone in some children.
Every child responds differently. We monitor your child's prescription and axial length to determine how well treatment is working.
When additional control is needed, our doctors may consider:
- Adding low-dose atropine to AOK Eye Braces® / Ortho-K, Myopia Control Day AOK or myopia-control glasses
- Adjusting the atropine concentration when appropriate
- Modifying the optical treatment
- Considering other or combined myopia-control strategies
Our goal is not simply to add more treatment. It is to find the treatment—or combination of treatments—that provides the best myopia control while supporting your child's comfort, daily activities and quality of life.
outdoor time
Reduce Unnecessary Screen Time
Reduce Unnecessary Screen Time
Outdoor time
Spending more time outdoors is one of the simplest things families can do to help reduce the risk of developing myopia. The benefit appears greatest in children who are not yet myopic or are at risk of becoming myopic (“pre-myopes”).
Research suggests that exposure to the much brighter natural light outdoors may play an important role. Outdoor environments may also provide different visual experiences and less prolonged near work, although exactly how outdoor time protects against myopia is still being studied.
It is the time outdoors that matters—not looking at green plants or avoiding “blue light.”
Before myopia develops:
Outdoor time can help reduce or delay the onset of myopia.
Once a child is already myopic:
Outdoor time remains important, but usually does not replace active myopia-control treatment when treatment is needed.
Reduce Unnecessary Screen Time
Reduce Unnecessary Screen Time
Reduce Unnecessary Screen Time
Screens are part of school, work and everyday life—but reducing unnecessary screen time and prolonged near work is a healthy habit for
both children and adults.
For children at risk of myopia, we encourage families to:
- Limit unnecessary recreational screen time
- Take regular breaks from prolonged near work
- Avoid holding devices too close
- Balance screen time with more outdoor time and physical activity
Long periods of near work and less time outdoors are associated with a greater risk of developing myopia. It is more accurate to think about a child's overall visual environment than to say that screens alone cause myopia.
Why Reduce Unnecessary Screen Time?
It isn't only about myopia.
Excessive screen time can affect:
- Vision — more prolonged near work
- Digital Device Addiction — devices can become difficult to put down
- Relationships — less conversation and time together
- Physical health — less exercise, outdoor activity and sleep
Our advice is practical: use screens when they are helpful or necessary—but don't let unnecessary screen time replace outdoor activity, exercise, sleep and time together.
Understanding Ortho-K • OK鏡
conventional glasses & contact lenses increase myopia
Why Myopia-Control Optics Are Different
Conventional single-vision glasses and contact lenses are designed to make vision clear,
but they are not designed to slow myopia progression.
Research now clearly show conventional glasses & contact lenses causes hyperopic defocus on the peripheral retina. This induces elongation of the eye whi
Why Myopia-Control Optics Are Different
Conventional single-vision glasses and contact lenses are designed to make vision clear,
but they are not designed to slow myopia progression.
Research now clearly show conventional glasses & contact lenses causes hyperopic defocus on the peripheral retina. This induces elongation of the eye which cause myopia to progress.
CONVENTIONAL GLASSES & CL
create peripheral hyperopic defocus,
causing the eye to lengthen to worsen myopia
MYOPIA CONTROL CORRECTION
create myopic defocus,
slowing down the lengthening in myopia
How Does Ortho-K Work?
Ortho-K (orthokeratology) uses specially designed, highly oxygen-permeable lenses that are worn while your child sleeps. During sleep, the lens and tear layer gently and temporarily reshape the front surface of the cornea by redistributing its outer epithelial layer.
This central flattening and peripheral steepening of the cornea changes
Ortho-K (orthokeratology) uses specially designed, highly oxygen-permeable lenses that are worn while your child sleeps. During sleep, the lens and tear layer gently and temporarily reshape the front surface of the cornea by redistributing its outer epithelial layer.
This central flattening and peripheral steepening of the cornea changes how light focuses in the eye, creating a myopic defocus effect that helps
slow excessive eye growth.
The lenses are removed in the morning, allowing your child to see clearly during the day without glasses or daytime contact lenses.
• Vision improvement begins after the first night for many patients.
• Full correction usually develops over several days to a few weeks, depending on prescription, corneal shape, ocular rigidity and individual response.
•The effect is temporary and reversible, so the lenses are worn regularly at night to maintain the treatment.
• For children, the lens design can be individualized to optimize myopia control.
• Once the desired correction is achieved, AOK lenses are worn regularly at night as retainer lenses to maintain the corneal shape and clear daytime vision.
• Annual lens replacement helps maintain optimal vision, lens condition and eye health.
Is My Child Too Young?
Is Overnight Ortho-K Safe?
Parents are often surprised to learn that young children can successfully wear Ortho-K lenses. In our clinic, we have successfully managed many children beginning at 4–5 years of age.
Dr. Ng's four children also began Ortho-K at an early age.
Starting myopia management early can be especially important because younger children may have m
Parents are often surprised to learn that young children can successfully wear Ortho-K lenses. In our clinic, we have successfully managed many children beginning at 4–5 years of age.
Dr. Ng's four children also began Ortho-K at an early age.
Starting myopia management early can be especially important because younger children may have many more years for their myopia to progress. Studies support starting myopia control early, when there is greater opportunity to slow progression during the years of fastest eye growth.
Age alone does not determine whether a child is ready for Ortho-K. We consider their rate of myopia progression, eye health, maturity, hygiene, parental involvement and individual risk factors. Studies have demonstrated successful overnight Ortho-K wear in young children, including children 8–11 years old.
For a young child with rapidly progressing myopia, waiting simply because of age may allow more myopia to develop.
Our goal is to determine whether your child is ready for Ortho-K and whether starting treatment now is appropriate for their individual needs..
Is Overnight Ortho-K Safe?
Is Overnight Ortho-K Safe?
Yes !
Research has shown Ortho-K to have a high safety profile in children when properly fitted, cared for and monitored.
A major review by researchers from UC Berkeley and Peking University evaluated 170 publications on Ortho-K safety and concluded there was sufficient evidence to support Ortho-K as a safe option for myopia correction an
Yes !
Research has shown Ortho-K to have a high safety profile in children when properly fitted, cared for and monitored.
A major review by researchers from UC Berkeley and Peking University evaluated 170 publications on Ortho-K safety and concluded there was sufficient evidence to support Ortho-K as a safe option for myopia correction and control.
Research in children has reported the risk of microbial keratitis—an uncommon but serious eye infection—at approximately 1–2 cases per 2,000 patient-years of Ortho-K wear, a safety profile similar to daily-wear soft contact lenses in children.
Safe Ortho-K depends on good care. The research emphasizes:
- Proper lens fitting
- Careful lens cleaning and hygiene
- Regular follow-up examinations
- Prompt attention to any problems
Water should never come into contact with Ortho-K lenses, including during cleaning, because water exposure can increase the risk of eye infection.
Overnight Ortho-K lens designs have been FDA approved since 2002.
Your child's eye health and safety are always our first priority.
Same-day emergency appointments are available for our Ortho-K patients when needed.
A Parent's Guide to Choosing Ortho-K • OK鏡
Why We Often Recommend Ortho-K
Why We Often Recommend Ortho-K
1. Myopia Control — The Most Important Reason
Ortho-K can help slow myopia progression and excessive eye growth in many children.
2. Clear Daytime Vision
No glasses or contact lenses during the day—giving children greater freedom for school, sports, swimming and everyday activities, with less daytime lens dryness or discomfort.
3. Quality
1. Myopia Control — The Most Important Reason
Ortho-K can help slow myopia progression and excessive eye growth in many children.
2. Clear Daytime Vision
No glasses or contact lenses during the day—giving children greater freedom for school, sports, swimming and everyday activities, with less daytime lens dryness or discomfort.
3. Quality of Life — Now & Later
Freedom from daytime glasses or contacts can improve confidence, comfort, self-image and participation in activities.
Keeping myopia lower also benefits long-term eye health and may preserve more future vision-correction options, such as LASIK, SMILE or PRK, and may improve future surgical options and outcomes.
MORE THAN A LENS
Why We Often Recommend Ortho-K
Myopia Management Is a Program
Ortho-K is much more than fitting a contact lens.
Effective myopia management requires experience, expertise, individualized lens design and careful ongoing monitoring as your child's eyes grow and change.
Regular follow-up
allows our doctors to measure your child's response and adjust treatment to help mainta
Myopia Management Is a Program
Ortho-K is much more than fitting a contact lens.
Effective myopia management requires experience, expertise, individualized lens design and careful ongoing monitoring as your child's eyes grow and change.
Regular follow-up
allows our doctors to measure your child's response and adjust treatment to help maintain:
• Effective, individualized myopia control
• Precise lens fit and stable vision
• Optimized lens design — specialized Ortho-K designs may improve myopia-control effectiveness
• Healthy corneas and comfortable lens wear
• Long-term eye health and safety
Every child responds differently. Regular assessments help us determine whether the lens design or treatment needs to be adjusted.
Not Sure What Is Right for Your Child?
Start with a Myopia Control Consultation.
We'll help you understand:
- your child's myopia,
- how quickly it is progressing,
- their individual preferences and risk factors, and
- which treatment options may be most appropriate.
Our doctors will consider your child's
prescription, axial eye growth, eye health, lifestyle and individual needs
befor
Start with a Myopia Control Consultation.
We'll help you understand:
- your child's myopia,
- how quickly it is progressing,
- their individual preferences and risk factors, and
- which treatment options may be most appropriate.
Our doctors will consider your child's
prescription, axial eye growth, eye health, lifestyle and individual needs
before making a recommendation.
Our highest priority is to protect your child's eye health with safe, personalized, evidence-based myopia management and careful monitoring throughout their years of growth.
Experience Ortho-K Before You Decide
If Ortho-K appears suitable, your child can experience AOK Eye Braces® with an
overnight evaluation
before your family decides whether to proceed.
This allows your child to experience Ortho-K firsthand and gives parents an opportunity to see how their child responds. For many children, waking up to clearer vision the next morning and dis
If Ortho-K appears suitable, your child can experience AOK Eye Braces® with an
overnight evaluation
before your family decides whether to proceed.
This allows your child to experience Ortho-K firsthand and gives parents an opportunity to see how their child responds. For many children, waking up to clearer vision the next morning and discovering that overnight lens wear was comfortable can provide valuable reassurance.
More importantly, the overnight evaluation gives our doctors valuable clinical information. We can assess your child's vision, corneal response, lens fit, comfort and eye health after actual overnight wear.
The overnight evaluation helps us confirm that Ortho-K is appropriate for your child—and helps your family make a more informed and confident decision.
Your Ortho-K Myopia Control Consultation
Medical & Myopia History
Biomicroscopy Eye Health Exam
Biomicroscopy Eye Health Exam
Every child's eyes are different.
We review your child's prescription history, rate of myopia progression, family history, lifestyle and individual risk factors to understand not simply how myopic your child is today, but
how likely their myopia is to progress.
We also consider your child's past myopia management, and both your and your child's preferences and comfort with the different treatment options.
Together with our clinical testing, this helps us develop a personalized treatment plan
that is right for your child.
Biomicroscopy Eye Health Exam
Biomicroscopy Eye Health Exam
Biomicroscopy Eye Health Exam
A detailed biomicroscope examination evaluates your child's cornea, eyelids and tear film to identify any eye-health concerns before starting Ortho-K or other treatment.
Regular examinations also help us detect changes early and maintain healthy, safe and comfortable lens wear,
while identifying other eye-health conditions such as allergies, dry eye or inflammation.
Corneal Topography Analysis
Biomicroscopy Eye Health Exam
Computerized corneal mapping measures over 102,000 points across the corneal surface to create a precise three-dimensional model
of your child's cornea.
This detailed 3D map helps us custom design and fit the Ortho-K lens,
evaluate the treatment-zone size and position, and monitor how the cornea responds over time.
The goal is not simply clear vision, but to optimize the lens design for the best myopia control we reasonably can achieve.
Axial length with IOL®Master
The IOLMaster® optical biometer measures the length and growth of your child's eye.
Why does axial length matter?
- The goal of myopia control is to slow excessive eye elongation.
- A longer or faster-growing eye is associated with greater risk of myopia progression and myopia-related eye disease later in life.
- Rapid axial length growth may require earlier or more intensive treatment.
- With Ortho-K or other myopia-management treatments, continued excessive eye growth can indicate that myopia is still progressing.
Axial length monitoring is included in your child's first-year Treatment Plan.
Consultation and Treatment Plan
Our AOK Guarantee : Your Peace of Mind
Which myopia-control treatment is best for your child?
Our doctors use their many years of experience in pediatric care and myopia management to bring together your child's history, prescription, eye health, corneal topography, axial length, lifestyle and preferences to recommend an individualized treatment plan.
The best treatment is one that:
- Effectively controls your child's myopia
- Can be used consistently
- Fits your child's individual needs and lifestyle
We will discuss the recommended treatment, expected results and
follow-up plan with you and your child.
Still unsure?
If Ortho-K is suitable, an Overnight Ortho-K Evaluation can help you and your child decide.
Our AOK Guarantee : Your Peace of Mind
Our AOK Guarantee : Your Peace of Mind
We want you and your child to love your AOK Eye Braces® experience.
If AOK Eye Braces® are not suitable for your child, the response is not optimal,
or you or your child simply decide not to continue, you may stop the program.
We will refund your payment,
less the initial fitting fee.
No questions. No objections.