Myopia Management

Eye doctor, Dr. Rupa Wong examines a young child to start low dose atropine drops

Prevent nearsightedness from worsening

At Honolulu Eye Clinic, we’ve always been on the cutting edge of myopia treatment for our youngest patients. Our doctors were the first in the state to employ both prescription eye drops and special contact lenses to prevent the progression of myopia in our island keiki. Our comprehensive approach to myopia management utilizes non-invasive techniques and evidenced based medicine to provide the optimal outcomes for your child. During your initial consultation, our doctors will review all treatment options and create a customized plan for your child.

Are you concerned that your child might become nearsighted with distance learning and modern lifestyles? Take our myopia assessment to find out.

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Our Myopia Management Options

Daily Soft Contact Lenses

MiSight® is the first soft contact lens FDA approved to slow the progression of myopia in children aged 8-12 years old at the initiation of treatment. Honolulu Eye Clinic was the first clinic in the state to fit patients with the MiSight lens. The contacts are a convenient daily soft contact lens which children insert in their eyes in the morning and dispose of at night without the need to to store or clean them. Read More

Eye doctor inserts Misight contact lens on young boy

Prescription Eye Drops

Dr. Rupa Wong was the first in Hawaii to prescribe low dose atropine drops for her patients and has been using it since 2014. The drops are applied at night before bed and your child wears their usual glasses or contact lenses during the day. Study after study has demonstrated the effectiveness of atropine treatment to slow the progression of myopia in kids. Read More

Eye doctor puts low dose atropine drop in young child to prevent nearsightedness

F.A.Q.

What is involved in treatment?

Treatment typically lasts a minimum of 2 years. Progress visits will be scheduled every 6 months to check the length of the eye and prescription of the contacts/glasses. Adjustments will be made to the treatment accordingly for your child.

Is my child too young to wear contacts?

At Honolulu Eye Clinic, we spend a lot of time training kids on contact lens care. We find that the responsibility of wearing and caring for contact lenses is more dependent upon how responsible your child is versus their age. Many younger kids view wearing contacts as a privilege and most are even more compliant about how they care for them than our teenaged patients! In fact, with the increased parent supervision required for younger kids to wear contacts, the children in the original MiSight® study had no cases of microbial keratitis.

How successful are these treatments?

With hundreds of children now in myopia management using the treatments at Honolulu Eye Clinic, Dr. Wong and Bossert are the most experienced doctors in Hawaii. They will discuss the specifics of your child’s nearsightedness, as well as expectations, at the initial consultation.

What else can be done to slow my child’s nearsightedness?

Several studies have shown the benefits of outdoor time at slowing myopic progression. Being outdoors in the sunlight is protective. Kids who spent 1-2 hours/day outdoors, were on average a whole diopter less nearsighted than their peers who did not. That would mean -3.00 prescription instead of a -4.00 prescription. And, the more time kids spent indoors on devices made their myopia worse. Decreasing screen time and increasing outdoor time is beneficial.