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What are Myopia Control Lenses? Who makes them and Which works best?

Author : Dr Deepak Garg
Child with glasses

5 things to know about Myopia

  1. An estimated 5 billion people, or half the global population, could be affected by myopia by 2050
  2. Research shows that more time spent doing near work increases the likelihood of myopia
  3. In Asia almost 90% of young people develop myopia before the age of 20
  4. Studies show that high myopia may lead to severe vision impairment that can no longer be corrected through standard lenses
  5. Myopia progresses because of the increase in the length of the eyeball. Thus myopia progression is measured by 

What is myopia Control?

Myopia control is important because of the risks associated with increasing myopia. Here are 5 things one can do

  1. Reduce near-work
  2. Increase outdoor work
  3. Use low-dose atropine
  4. Use myopia control lenses
  5. Orthokeratology

Why is myopia control important

High myopia can lead to the following eye conditions

  1. Retinal detachment
  2. Glaucoma
  3. Myopia maculopathy

Myopia can also affect your child’s life

  1. Sporting ability
  2. Academic performance
  3. Self-confidence
Risks associated with myopia
Risks associated with myopia

What are myopia-control glass lenses?

These are lenses which are fit into regular glasses and reduce the risk of myopia progression. They are a relatively new technology and long-term studies are awaited. But we do know that these lenses are completely harmless and with our experience with about 76 patients we feel that myopia progression does slow down or almost stop. Many of our patients are on combination therapy and along with these lenses are also using low-dose atropine.

How do they work?

There are 2 technologies 

  1. DIMS – Defocus incorporated multiple segments
  2. HAL – Highly Aspherical Lenslet Target

What are DIMS and H.A.L.T. technology?

Essilor Vs Hoya
Essilor Vs Hoya
  1. Both DIMS and H.A.L.T. technology spectacle lenses are a step beyond the traditional spectacle to behave more like myopia-controlling lenses.
  2. Think of DIMS and H.A.L.T. technology as like a single vision lens for myopia correction, with an overlaying ‘treatment zone’ for myopia control.
  3. Each has a clear single-vision distance zone in the centre of the lens that corrects the child’s myopia. 
  4. Each has a surrounding zone of lens lets to create a differential myopic defocus across the retina i.e. the rays of light are bent in different ways as compared to normal spectacle lenses which reduce the stimulus going to the brain for myopia progression. 
  5. Each should fit like a single vision lens, with careful attention paid to measuring the fitting height and the centration of the lens to ensure the child makes the most of the clear central zone for the best acuity.
  6. Due to this design, their myopia control efficacy results are seeming to exceed any of the previous spectacle lens solutions, and equal that of dual-focus soft and orthokeratology contact lenses.
How miyosmart glasses are designed
How miyosmart glasses are designed

How do they compare for efficacy?

Both of these spectacle lens designs for myopia control have been shown to slow down myopia progression by about half – about 50%.

The Essilor Stellest and Hoya MiYOSMART spectacle lenses have been studied in children aged 8-13 years at the start of treatment, with evidence from two-year clinical trials. Both studies are now reporting 3-year data, indicating that these lenses can be presumed safe and effective in kids aged 8 to 16 years.

The SightGlass DOT lens has been studied in children aged 6 -10 years at the start of treatment. As the newest option, data has only been reported for one year so far. 

Special myopia control spectacle lens designs have been shown to slow down myopia progression by about half (about 50%) in their scientific studies. Learn more about this in Understanding expectations in myopia control.

Who makes myopia-control glass lenses?

Currently, the top 3 companies that make these are

  1. Hoya – Japanese
  2. Essilor – French
  3. Carl Zeiss – German
  4. Cooper Vision – British ( Not yet available at Eye Solutions )

What is the cost of these myopia-control glass lenses?

Both Hoya – MiYOSMART and Essilor – Stellest lenses are available for Rs 16500 for each pair of lenses. 

Carl Zeiss has a differential pricing based on eye power and ranges from Rs 7500 for a pair of lenses to Rs 16500.

Pro Tip: Hoya offers you a 6-month guarantee, which means that if the power increases by 0.75 in the first 6 months after getting the glasses then the company would give you new lenses for free.
On the other hand ziess offers a 12 month guarantee for all Eye Solutions patients enrolled in the myopia clinic.

Myopia-control Lenses at Eye Solutions

Hoya, Essilor and Zeiss lenses are available at Eye Solutions. Out of the three, we don’t really know which is the best because only long-term studies will reveal that answer. However, irrespective of the lens worn we have seen that myopia progression halts or slows down when these glasses are worn.

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41 comments on “What are Myopia Control Lenses? Who makes them and Which works best?”

  1. Hi
    could you pl suggest whether myopia control lenses will be of use for an adult of 24 years old? (having about -7. 0 diopters lenses)
    Thanks and regards,
    Dakshina Murty K M

      1. Myopia does progress in 25-40 age group too. Look up for such data.

        any experience in myopia glass usage in adult population?

  2. Dear Dr.
    My son, 18 having -10 number, I keep checking his eye twice a year since last ten years and do glass changes as needed, currently he is using high index glasses 1.67 for thinner frame look.. is there any way the number get in control? Will the similar condition can occur to his children as father has condition? any suggestion to use the brands mentioned in this article?

    1. -10 is a high number.
      His children may also get a high number but it is not necessary that they get a number. they just might.
      Your number wont go completely with laser or lasik and you will need what is known as ICL to get rid of glasses.

  3. hello

    I am a icl patient of ‐19 diopter now my glass power has increase again to -5 so what your advice to this matter

  4. Hi my son has high power of -12 myopia he is 8 years old and what would you suggest us to get rid of glasses.. how to control

    1. Dear Saba,

      You cant really get rid of his glasses. You can however control the number from increasing
      reduce screen time
      increase outdoor activity
      use diluted atropine eye drops
      Get special myopia control lenses

  5. Dear Doctor, A couple of questions
    1) Is using atropine 0.01% and myopia control lenses additive or are they to be used one at a time only?
    2) If to be used exclusively and not in combination – then which is more effective?
    3) Any studies on the effectiveness of the 3 brands of lenses?

    1. Hi srini,

      1) Yes I believe that the effect is additive. We currently have many children on both and we are seeing very good results.
      2) can be used in combination
      3) There are many studies available online. Myopia control lenses – hoya, zeiss, essilor.

  6. sir ,I want hoya miyosmart glasses for my 12 year old having power -6 with some cylindrical, where to get them in Jalandhar Punjab

  7. मेरी बेटी का उम्र 13 साल की है। और उसके आंखों का रिपोर्ट sph -1.75, cyl -0.50, Axis 90, and vision 6/6 और L/OS -1.50, -0.50, 90, 6/6 है। और डॉक्टर ने MYOPIA CONTROL LENS का सलाह भी दिया हैं। क्या करना चाहिए…????

  8. I want to inquire whether Myopia control contact lenses and spectacle lenses are exclusively sold through hospitals or only through prescriptions?

    Or, or can they also be bought at optical retail stores or online?

    Through which channel it is most commonly sold in India?

    1. Both are usually sold at eye hospitals, however the glass lenses are available at some optical shops. Myopia control contact lenses are not available in India. We are getting these for our patients by import.

      You are welcome to call Somnath – +91 82912 51241 if you want any of these. Please let him know that Dr Deepak has asked you to call him.

  9. Dear Sir.

    My daughter, 9 years old having -3 eye power, I always keep checking her eyes twice a year. If required I do glass changes as needed, currently she has the following power.
    RE – Dsph: -5.00, Dcyl: -1.00, Axis: 10
    LE – Dsph: -5.00, Dcyl: -2.00, Axis: 170

    Recently I checked and got the above power. Doctor prescribe for Myo-care/Myo-case(which one is correct I don’t know, please rectify me) glass for her eyes. Will it correct the power or will it be good for her, I asked it, just for a second opinion for my daughter.

    Thanks in advance.

  10. Hello,

    Can we order eye glasses online/phone order with just a prescription? How do we order and what kind of prescription is needed?
    We are looking for myopia control (stellest) eye glasses)
    My 9 year old has -5.75 and -5.25 powers.
    Thank you – Archana

  11. My son, age 10, have sph -13 myopia. I want to know whether myphio control glass are available with -13 number or we have to go with contact lenses -9 along with myphio control lenses with -4 combination. till now I don’t see any company making -13 myopia control lenses. please guide

  12. Namaste Dr Deepak
    My 10 year old daughter’s eye prescription is -3.5 in both eyes which increased by 1 in a year (it was -2.5 last year)

    for work reasons , I am in US and Myopia glasses are not approved here hence not available. Everyone is referring to contact lens, however we think glasses are more comfortable for 10 year old.

    Kindly advice
    regards
    Girish

  13. Namaste Dr Deepak
    My 10 year old daughter’s eye prescription is -3.5 in both eyes which increased by 1 in a year (it was -2.5 last year)

    For work reasons , I am in US and Myopia glasses are not approved here hence not available. Everyone is referring to contact lens, however we think glasses are more comfortable for 10 year old.

    Kindly advice
    regards
    Deeya

  14. Hi ,

    I will need to get Myopia control glasses for my son, aged 8 in Chandigarh. His power is -1.25 and -1.50. Would you be able to recommend where I can find them in Chandigarh. Also, would he need to use the Atropine drops? The doctor has not prescribed the drops, just Myopia control glasses to him.

    Thanks,
    Neha

  15. Hi, my son is 8 years old. He is very active and he plays sports very often. Would you recommend the Zeiss more as it offers good vision for all viewing angle compared to Hoya? Thank you so much!

  16. hello, my son is 9 year 6months year old. his number was -.75 6months before but now his number reached to -2.
    so please suggest me, is myopia lens will help him?
    if yes, then please suggest me which brand should I prefer..

  17. Hi , sir could you please suggest whether myopia control lenses will be use for an adult of 23 years old having about minus 2 lenses eyeglass.

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