Myopia Management Solutions for Children & Teens

Myopia Management for Children & Teens: Practical, Effective Ways to Slow Nearsightedness
Nearsightedness (myopia) is becoming more common in kids and teens. This page, guided by the expertise of Dr. Amy Catalano Boyer, OD, FAAO, explains safe, evidence-based options that can slow myopia’s progression and protect long-term vision. As a Fellow of the American Academy of Optometry with extensive experience in pediatric eye care, Dr. Catalano Boyer provides clear information on what causes pediatric myopia, signs to watch for, and the FDA‑approved treatments we offer. We also cover why comprehensive eye exams matter and simple lifestyle steps that help. With these tools, parents can take confident, practical steps to safeguard their child’s eyesight, benefiting from Dr. Catalano Boyer’s specialized knowledge in myopia management.
What Is Pediatric Myopia and How Does It Affect Children?
Pediatric myopia is a common refractive error: distant objects look blurry while near objects remain clear. It usually starts in childhood and can speed up during growth periods. Beyond needing stronger glasses, progressing myopia can affect school, sports, and daily life. Current data show roughly 42% of children in the United States are myopic, and that rate is expected to climb — so awareness and early care are important. As Dr. Amy Catalano Boyer emphasizes, “Early detection and intervention are crucial. The sooner we can identify and manage myopia, the better we can protect a child’s vision for their future.” Professional organizations like the American Academy of Ophthalmology provide valuable resources for understanding and managing pediatric myopia.
What Causes Myopia in Children and Teens?
Myopia results from both genes and environment. Kids with one or more myopic parents are at higher risk, and modern lifestyle factors contribute as well. Too much close work, long screen sessions, and not enough time outdoors are all linked to rising myopia rates. Dr. Catalano often advises, “Simple changes in daily habits, combined with clinical treatments when appropriate, can make a meaningful difference in slowing myopia progression.”
Growing evidence shows that lifestyle habits — especially less outdoor time and more near work — play a major role in increasing myopia rates among children.
Pediatric Myopia Control: Lifestyle, Pharmaceutical, and Optical Strategies
Myopia is a common refractive condition where light focuses in front of the retina, causing distance blur. Over recent decades, rates of myopia in children and adolescents have risen, linked to reduced time outdoors, extended near activities, and heavier screen use. This narrative review brings together current evidence on lifestyle, drug-based, and lens-based approaches to slow myopia progression in young patients.
Contemporary Strategies for Myopia Control in the Pediatric Population: A Narrative Review of Lifestyle, Pharmacological, and Optical Interventions, 2025
What Are the Symptoms and Risks of Untreated Myopia?
Typical signs include trouble seeing the board at school, frequent squinting, and recurring eye strain — especially after reading or screen use. If myopia progresses to higher levels, it raises the lifetime risk of eye problems like retinal detachment, glaucoma, and cataracts. That’s why early detection and ongoing management matter for preserving vision over decades. Dr. Amy Catalano Boyer consistently educates parents on these risks, stating, “It’s not just about needing stronger glasses; high myopia significantly increases the risk of serious eye conditions later in life. Proactive management is key to long-term eye health.”
Which FDA-Approved Myopia Management Treatments Are Available for Kids?

Several FDA‑cleared options can help slow myopia in children. As Dr. Amy Catalano Boyer explains, “Each approach has strengths and trade-offs, and we’ll review what to expect so you can choose the best fit for your child’s unique needs and lifestyle.” Her expertise ensures a personalized recommendation for every patient.
Clinical research consistently supports orthokeratology as an effective option for slowing childhood myopia when managed properly. Dr. Catalano Boyeroften highlights the importance of adherence and regular follow-ups for optimal results with any chosen treatment.
Orthokeratology’s Role in Slowing Childhood Myopia Progression
Objective: To assess how orthokeratology affects myopia progression. Multiple controlled studies in school‑aged children were included in this meta‑analysis. Outcomes focused on axial length and vitreous chamber depth. The pooled result showed the ortho‑k group had 0.27 mm less axial length change (95% CI: 0.22, 0.32) than controls.
Orthokeratology to control myopia progression: a meta-analysis, 2015
How Do Myopia Control Glasses Like Essilor Stellest Work?
Lenses such as Essilor Stellest use specialized optics to reduce peripheral defocus — a visual signal linked to eye growth. In practical terms, these glasses provide clear central vision while creating a beneficial focus pattern in the periphery that can slow eye elongation. Dr. Amy Catalano Boyer has observed, “Many parents notice better comfort and fewer complaints from kids who switch to these lenses, making them a great option for children who prefer glasses.”
Recent regulatory approvals underscore the growing evidence for these novel spectacle lenses.
FDA Authorization for Stellest Spectacle Lenses in Pediatric Myopia Control
The FDA has authorized marketing of the Stellest (Essilor) spectacle lenses as a device to slow myopia progression. Stellest is cleared to correct myopia, with or without astigmatism, and to slow progression in children who begin treatment between ages 6 and 12.
Myopia Correction Spectacles Receive Marketing Authorization From US FDA





