What is myopia and why is it increasing in children?

Myopia, commonly known as short-sightedness or minus power in glasses, is a condition where distant objects appear blurry because the eyeball grows too long. Excessive screen use, close-up study in small spaces, and very little outdoor play put stress on children's growing visual systems. The WHO estimates that by 2050, half the global population will be myopic — making early myopia control intervention more critical than ever.

Is myopia just a glasses problem, or are there serious health risks?

Myopia is far more than a spectacle prescription issue. As minus power increases, so does the risk of vision-threatening complications in adulthood, including retinal detachment, myopic maculopathy, cataract, and glaucoma. A person with –5.00 D myopia is 4 times more likely to suffer a myopia-related complication than a contact-lens complication in their lifetime. The higher the minus power, the greater the risk — which is why controlling progression early is essential.

What is Orthokeratology (Ortho-K) and how does it control myopia?

Orthokeratology (Ortho-K) uses specially customised rigid contact lenses worn only at night while sleeping. They gently reshape the cornea so that when the child wakes up, they can see clearly throughout the day without glasses or daytime lenses. Ortho-K is the most widely used and most effective myopia control method globally, slowing progression by up to 90% in many cases. Saoji Vision Care was the first clinic in India to fit Paragon CRT Ortho-K lenses.

By how much can myopia progression be slowed?

With the right strategy — or a combination of strategies — myopia progression can be slowed by 40% to 90%. Results depend on the child's age, degree of myopia, family history, and the treatments chosen. The earlier treatment begins, the greater the benefit.

Are Atropine eye drops safe for children with myopia?

Low-concentration Atropine eye drops used once at night are generally considered safe and provide good myopia control. However, long-term safety data is still limited, and some studies suggest that while Atropine slows power increase, it may not significantly slow the actual elongation of the eyeball — which drives long-term complications. At Saoji Vision Care, we discuss these nuances carefully with every family before recommending Atropine.

What is the right age to start myopia control?

Myopia control is most effective when started as early as possible after onset. Children's eyes grow fastest between ages 6 and 14, which is when myopia typically progresses most rapidly. Starting treatment in this window offers the greatest opportunity to limit how high the final prescription becomes.

How do I know if my child needs myopia control treatment?

Your child may benefit from myopia control if they are already wearing glasses with a minus (–) prescription, are getting a stronger prescription each year, spend a lot of time on screens or close-up study, get very little outdoor activity, or have a parent or sibling with high myopia. We recommend a full baseline evaluation as soon as myopia is first detected.

What happens during the initial myopia control evaluation at Saoji Vision Care?

The initial consultation is a detailed 1 to 1.5 hour eye examination covering baseline refraction, corneal topography (a map of the cornea's shape), A-Scan axial length measurement (the actual physical length of the eyeball), eye muscle and binocular vision assessment, and a review of family and lifestyle history. All findings together help us design a personalised myopia control strategy for your child.

How often will my child need follow-up visits for myopia control?

After starting treatment, your child will be reviewed every 4 to 6 months. At each visit we re-measure the axial length and power to assess how well the strategy is working. If needed, we adjust or combine treatments. Regular monitoring is a non-negotiable part of effective myopia control.

Can lifestyle changes alone control myopia without medical treatment?

Lifestyle changes — particularly increasing outdoor time to at least 2 hours a day and reducing continuous near-work — can slow myopia onset. However, once myopia is established and progressing, lifestyle changes alone are rarely sufficient to achieve the 40–90% reduction in progression that clinical treatments offer. At Saoji Vision Care, lifestyle changes are always a foundational part of every myopia control programme alongside clinical intervention.

Why choose Saoji Vision Care for myopia control?

Saoji Vision Care has 35 years of optometry experience and some of India's highest qualifications in myopia management. We were the first clinic in India to fit Paragon CRT Ortho-K lenses and Rose K lenses for Keratoconus. We hold a Centre of Excellence award from David Thomas (UK) and are a recognised internship centre for Bharati Vidyapeeth University and Dr D Y Patil University, Pune. Every treatment plan is evidence-based and closely monitored.

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Factors

Near-work activities

Less times spent outdoors

The high value placed on education performance

Other lifestyle considerations

Indicates that the incidence of myopia will only increase.¹

1. Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P, Wong TY, Naduvilath TJ, Resnikoff S. Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. Ophthalmology. 2016 May;123(5):1036-42. doi: 10.1016/j.ophtha.2016.01.006. Epub 2016 Feb 11. PMID: 26875007.

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Examples of
near-work activities

Digital devices

Deskwork

Reading

Taking care ofYour Child's Eyesight

We advise these changes to our patients.

Spend time outdoors

Children should spend more time outdoors, minimum 2 hours a day.

More breaks from near work

Take breaks from long intensive screen time or near-work.

Mind the environment

It's important to keep your eyes healthy while doing near-work, so take note of proper lighting, posture, and recommended working distance.

Keep regular checks

Get regular eye check-ups to ensure that myopia or other vision problems are detected and treated early, reducing the worsening of vision, myopia progression and potential complications of high myopia.

The support you need.
To support your child.

Our Optometric Protocol

Prelimnary investigation

During the first visit, all visual functions of the child should be assessed to get a clear overview of the current status of Myopia.

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Patient's history

It is also essential to know the child and his/her parents' ocular and optical history.

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Visual Acuity

Right/Left eye and Both eyes at far and near without correction and with current spectacles.

Pupillary Examination

Ocular Motility Test

Essentials

Refraction

Visual Functions Assessment

Ocular Health Assessment

Other mandatory tests

We want to provide you with the Most Advanced Products to protect your child's vision.

Parents concerned about their children's health and well-being, who invest heavily in their kid's futures, will be at the forefront of an already vast and growing opportunities for myopia control.

Research studies

Free Myopia Risk Assessment for Your Child

Myopia in children is progressing at an alarming rate in India — and early detection makes all the difference. Conducted by India's only Lifetime FIACLE certified optometrist. In-clinic visits only. Not available online.

Assessment Fee

Catch Myopia Early.
Worth ₹3,000/- Completely Free for your child's first visit.

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Detect. Understand. Control.
Evidence-based myopia management.

More effective than standard spectacles at slowing myopia progression

What's Included
A comprehensive assessment covering all key myopia risk factors.

Assessment covers

Risk profiling & axial length

Progression analysis & counselling

Free for children

Myopia Control FAQ – Saoji Vision Care

Myopia Control Clinic · Nagpur

Your questions about
myopia control, answered.

Everything parents ask us before starting their child's myopia control journey — answered by our clinical team with 35 years of experience.

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Vision Over 40 (Presbyopia)