Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/89712
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dc.contributorSchool of Optometry-
dc.creatorJonas, JBen_US
dc.creatorAng, Men_US
dc.creatorCho, Pen_US
dc.creatorGuggenheim, JAen_US
dc.creatorHe, MGen_US
dc.creatorJong, Men_US
dc.creatorLogan, NSen_US
dc.creatorLiu, Men_US
dc.creatorMorgan, Ien_US
dc.creatorOhno-Matsui, Ken_US
dc.creatorPärssinen, Oen_US
dc.creatorResnikoff, Sen_US
dc.creatorSankaridurg, Pen_US
dc.creatorSaw, SMen_US
dc.creatorSmith, ELen_US
dc.creatorTan, DTHen_US
dc.creatorWalline, JJen_US
dc.creatorWildsoet, CFen_US
dc.creatorWu, PCen_US
dc.creatorZhu, Xen_US
dc.creatorWolffsohn, JSen_US
dc.date.accessioned2021-05-05T04:56:58Z-
dc.date.available2021-05-05T04:56:58Z-
dc.identifier.issn0146-0404en_US
dc.identifier.urihttp://hdl.handle.net/10397/89712-
dc.language.isoenen_US
dc.publisherAssociation for Research in Vision and Ophthalmologyen_US
dc.rightsCopyright 2021 The Authorsen_US
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. (http://creativecommons.org/licenses/by-nc-nd/4.0)en_US
dc.subjectMyopiaen_US
dc.subjectPathologic myopiaen_US
dc.subjectHigh myopiaen_US
dc.subjectAtropineen_US
dc.subjectContact lensesen_US
dc.subjectOrthokeratology, myopic macular degenerationen_US
dc.subjectMyopia-associated optic neuropathyen_US
dc.titleIMI prevention of myopia and its progressionen_US
dc.typeJournal/Magazine Articleen_US
dc.identifier.spage1en_US
dc.identifier.epage10en_US
dc.identifier.volume62en_US
dc.identifier.issue5en_US
dc.identifier.doi10.1167/iovs.62.5.6en_US
dcterms.abstractThe prevalence of myopia has markedly increased in East and Southeast Asia, and pathologic consequences of myopia, including myopic maculopathy and high myopia-associated optic neuropathy, are now some of the most common causes of irreversible blindness. Hence, strategies are warranted to reduce the prevalence of myopia and the progression to high myopia because this is the main modifiable risk factor for pathologic myopia. On the basis of published population-based and interventional studies, an important strategy to reduce the development of myopia is encouraging schoolchildren to spend more time outdoors. As compared with other measures, spending more time outdoors is the safest strategy and aligns with other existing health initiatives, such as obesity prevention, by promoting a healthier lifestyle for children and adolescents. Useful clinical measures to reduce or slow the progression of myopia include the daily application of low-dose atropine eye drops, in concentrations ranging between 0.01% and 0.05%, despite the side effects of a slightly reduced amplitude of accommodation, slight mydriasis, and risk of an allergic reaction; multifocal spectacle design; contact lenses that have power profiles that produce peripheral myopic defocus; and orthokeratology using corneal gas-permeable contact lenses that are designed to flatten the central cornea, leading to midperipheral steeping and peripheral myopic defocus, during overnight wear to eliminate daytime myopia. The risk-to-benefit ratio needs to be weighed up for the individual on the basis of their age, health, and lifestyle. The measures listed above are not mutually exclusive and are beginning to be examined in combination.-
dcterms.accessRightsopen access-
dcterms.bibliographicCitationInvestigative ophthalmology and visual science, Apr. 2021, v. 62, no.5, 6, p. 1-10en_US
dcterms.isPartOfInvestigative ophthalmology and visual scienceen_US
dcterms.issued2021-04-
dc.identifier.eissn1552-5783en_US
dc.identifier.artn6en_US
dc.description.validate202105 bcwh-
dc.description.oaVersion of Record-
dc.identifier.FolderNumbera0879-n02-
dc.description.fundingSourceOthers-
dc.description.fundingTextFunding acknowledgements: Supported by the International Myopia Institute. The publication costs of the International Myopia Institute reports were supported by donations from the Brien Holden Vision Institute, Carl Zeiss Vision, CooperVision, Essilor, and Alcon.-
dc.description.pubStatusPublished-
Appears in Collections:Journal/Magazine Article
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