This paper reports a literature review to discuss the environmental considerations and treatment options that can prevent the progression of myopia, including time spent outdoors, reduction of near vision activities, spectacle types, contact lens type and pharmacological treatment. The review was undertaken with literature from 2000 to 2016. Atropine was reported to show the largest dose-related effect on myopia progression control – low dose provided effective control with minimal side-effects and rebound. Bifocal soft CLs also show effect but to a lesser extent and with some compliance issues. There is a lack of long-term data for rebound effects of orthokeratology lenses. 

Interventions to reduce myopia progression in children.
Tay SA, Farzavandi S, Tau D.
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Fiona Rowe (Prof)

Institute of Population Health, University of Liverpool, UK.

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