Childhood myopia has increased significantly in recent decades, also in Barcelona. Myopia control is a set of clinical strategies (Ortho-K, specific soft lenses, low-dose atropine) aimed at slowing progression during growth, not just compensating it with glasses.
Childhood myopia tends to progress during school years. That's why many families in Barcelona look for myopia control solutions that allow for professional follow-up and a good fit with the child's day-to-day life.
Ortho-K can be an especially interesting option for children and teenagers who play sports, don't want to wear glasses during the day or have progressing myopia. A prior assessment and regular check-ups are always required.
Higher myopia is not just a stronger prescription: it means a longer eyeball. In adulthood this increases the risk of serious complications such as retinal detachment, myopic maculopathy, glaucoma and early cataracts. Acting early can have a long-term impact on adult visual health.
Family genetics matter, but so does lifestyle: long hours of near vision (screens, study, reading) and limited daylight exposure are linked to faster progression. Spending time outdoors (ideally 1-2 hours per day), taking visual breaks every 20-30 minutes and keeping good lighting are recognised protective habits.
(1) Ortho-K or orthokeratology, overnight lenses that reshape the cornea and also generate a peripheral defocus linked to slower eye elongation; (2) specific soft contact lenses for myopia control, worn during the day; (3) glasses with control technology (lenses with defocusing rings or segments); (4) low-dose atropine drops, prescribed by ophthalmology.
It's one of the most studied and used options in selected children and teenagers. Worn only at night, it fits very well with school and sports routines: during the day the child sees without glasses or contacts. Available studies show significant reduction of myopic progression versus standard glasses in many cases.
The sooner progressing myopia is detected, the sooner control can be considered. There is no magic age: the decision depends on age of onset, speed of progression, current prescription and family history. The assessment reviews these factors and proposes (or not) a specific strategy.
A detailed initial assessment (refraction, ocular health, corneal topography, axial length when equipment is available), follow-up every few months, training on lens handling and hygiene, and ongoing communication with the clinic. Consistency and family involvement are key to results.
it does not fully stop it in every case, nor does it 'cure' existing myopia. The decision must be individualised and shared with the family after clearly explaining expectations, benefits, limitations and alternatives.
Beyond the chosen clinical strategy, it's worth insisting on visual breaks, proper distance from screens and paper, good lighting and outdoor time. These are no-cost measures with proven effect.
Content reviewed by Elena Sentís, optometrist (registration no. 18568) and owner of Looptica Poblenou. Specialist in advanced contact-lens fitting, Ortho-K and myopia control.
