Myopia Management · Fox Run Eye Care

Myopia Management for Children and Teens

Help your child see clearly today—and protect their vision for the future. At Fox Run Eye Care in Greenland, NH — just minutes from Portsmouth — Dr. Amy Catalano Boyer and Dr. Susan Gallant-Behan offer FDA-authorized myopia control options designed to slow the progression of nearsightedness and support lifelong eye health.

Child wearing glasses, smiling and raising one finger, representing enthusiasm for myopia management and clear vision at Fox Run Eye Care in Portsmouth, NH.
Why Early Detection Matters

The Risks of Untreated Myopia

Nearsightedness isn't just about glasses — the more it progresses in childhood, the higher the lifetime risk to eye health.

Girl with curly hair holding a magnifying glass to her eye, emphasizing the importance of vision and eye care.

Why progression matters for the long term

Myopia means distant objects look blurry while near vision is usually clearer, and it often develops and progresses during the school years. It frequently occurs alongside astigmatism, which is why a prescription can include both a sphere and a cylinder value. Myopia is not limited to children, and it is not the same as presbyopia, the age-related difficulty with near focus.

Higher levels of myopia are associated with increased lifetime risk of retinal detachment, glaucoma, and macular degeneration. Early monitoring and structured management allow us to track eye growth and prescription changes during the years when progression is most active — which is why a comprehensive eye exam for your child is the first step.

Personalized Care Plans

Myopia Control Options Designed for Every Child

No two children progress the same way, so no two plans look the same.

A plan built around your child

At Fox Run Eye Care, we offer personalized myopia management plans that fit each child's needs and lifestyle. Depending on your child's age, eye health, and vision goals, our doctors may recommend Essilor® Stellest™ lenses (FDA-authorized for children starting treatment at ages 6–12) or MiSight® 1 day contact lenses (FDA-approved for children starting treatment at ages 8–12), both designed to slow myopia progression.

Your doctor will discuss both options during the exam and create a custom plan that best supports your child's comfort, vision, and long-term eye health.

Adults and children consulting in an eye care clinic, discussing myopia management options, with eyeglasses and a mirror visible on the table.
Treatment Approaches

Essilor® Stellest™ Lenses & Myopia Contact Lenses

Two evidence-based ways to slow eye growth: glasses that look like any other pair, or daily contact lenses for kids who are ready for them.

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Essilor® Stellest™ Lenses

Essilor® Stellest™ lenses are the first eyeglass lenses authorized by the FDA to slow the progression of myopia in children who begin treatment between ages 6 and 12. They look like ordinary glasses, correct your child's vision, and use a specialized optical design to help slow eye growth over time.

MiSight® 1 day Contact Lenses

A Flexible Option for Active Kids & Teens

For children who are comfortable handling lenses, your doctor may suggest MiSight® 1 day — daily disposable soft contact lenses FDA-approved to slow myopia progression in children who start treatment between ages 8 and 12. They correct vision while helping slow eye elongation, and once started, children continue wearing them through their teen years.

Daily Disposable lenses — fresh pair every day, no cleaning required
FDA Approved to slow myopia progression in children ages 8–12 at the start of treatment
Flexible Ideal for sport, outdoor activities, and active lifestyles

Stellest™ Lenses vs. MiSight® Contact Lenses at a Glance

Essilor® Stellest™ GlassesMiSight® 1 day Contacts
Best suited forChildren starting treatment at ages 6–12 (FDA-authorized range), including first-time glasses wearersChildren starting at ages 8–12 (FDA-approved range) who are ready to handle lenses responsibly
How it worksSpectacle lens with an optical design that helps slow eye growth while correcting visionSoft daily disposable lens that corrects vision and helps slow eye elongation
Daily routineAt least 10 hours a day, 6 days a week — ideally all day, every dayAt least 10 hours a day, 6–7 days a week; fresh pair each morning, discard at night; backup glasses for days off
Sports & activityFine for everyday play; some sports may need a strap or sports frameNo frames — well suited to swimming, contact sports, and active play
Parent involvementMinimal — just consistent wearSupervision with insertion, removal, and hygiene, especially at first
Follow-up visitsTypically every 6 months for both options, to track progression and adjust the plan

Your doctor will recommend the option that fits your child's age, prescription, and lifestyle. Many families start with one and switch as their child grows.

What to Expect

Your Child's Myopia Evaluation, Step by Step

A myopia evaluation happens as part of a regular eye exam — no separate appointment, no extra testing for your child. What takes a little longer is the conversation with you.

1

Comprehensive eye exam

Your child has the same thorough exam as any young patient, and the doctor checks how the prescription has changed since the last visit.

2

Options discussed with you

If the prescription is increasing, the doctor explains myopia management and which option fits your child: Stellest™ glasses or MiSight® contact lenses.

3

You decide, we plan

Our staff checks what your insurance plan may cover, and together you decide whether to start. Follow-ups are typically every 6 months.

How long does treatment last?

  • Start window: Stellest™ is FDA-authorized for children starting at ages 6–12; MiSight® for ages 8–12.
  • Active years: nearsightedness changes fastest between roughly ages 8 and 14, so your child stays in the lenses through these years.
  • Finish line: treatment continues until eye growth stabilizes and the prescription stays the same a few years in a row — usually in the mid-to-late teens.
  • In practice: a child who starts at 7 may wear the lenses for about 7–10 years; a child who starts at 11, about 4–6 years. After that, regular glasses or contacts are fine.

Daily wear — what it takes to work

  • Stellest™ glasses: at least 10 hours a day, 6 days a week (manufacturer minimum). Best results at 12–13.5 hours every day — on in the morning, off at bedtime, like full-time glasses.
  • MiSight® contacts: at least 10 hours a day, 6–7 days a week for the therapeutic effect. If your child takes a day off, they need backup glasses.
  • Insurance: some plans are starting to cover the glasses portion of myopia management; coverage varies by carrier and plan. HSA and FSA funds can be used. Our staff reviews your plan with you before you decide.

Already have a higher prescription? It's still worth starting.

Myopia management doesn't reverse a prescription — it slows how fast it gets worse. Any reduction in progression counts as a win, especially while your child is still growing and the prescription is still changing.

An example our doctors use: a child is at −3.00 in both eyes, and both parents are nearsighted — one at −4.50, the other at −7.00. Myopia clearly runs in the family. Starting treatment now helps keep the child closer to −3.00 as they grow. Waiting a year could mean −4.00 — and there's no going back to −3.00 — but starting then still helps slow the next increase.

Our Exam Technology

Precision and Comfort in Every Eye Exam

Child-friendly imaging, unhurried explanations, and a team that knows how to put kids at ease.

Group of smiling children in school hallway — Did You Know 80% — highlighting importance of vision care for kids

Quick, gentle, and informative

We use advanced, child-friendly imaging to make each eye exam quick, gentle, and informative. Each exam includes a personalized discussion about family history, vision habits, and risk factors to ensure your child receives the most complete and comfortable care possible.

Is My Child a Candidate?

Signs to Watch for at Home

Children with myopia usually have no complaints up close — they happily read, game, and use phones and tablets for hours. It's distance vision that goes blurry, and kids often don't say so. Watch for:

Squinting to see far away Sitting very close to the TV or screen Trouble seeing the board at school Headaches after school or homework Prescription going up at each visit One or both parents are nearsighted

If any of these sound familiar, schedule a children's eye exam — the myopia evaluation is built into it.

Your Myopia Management Team

Meet the Doctors Who Guide Your Child's Care

Both of our optometrists provide myopia evaluations and manage Stellest™ and MiSight® treatment plans, so your child can see either doctor at every follow-up visit.

Dr. Amy Catalano Boyer (left) and Dr. Susan Gallant-Behan (right), optometrists at Fox Run Eye Care in Greenland NH, smiling in front of the practice logo

Amy Catalano Boyer, O.D.

Optometrist · Founder
Founder of Fox Run Eye Care, Dr. Catalano Boyer has practiced optometry for over 25 years. She earned her Doctor of Optometry from Indiana University and is a lifelong New Hampshire resident, dedicated to personalized care with advanced eye-health technology for patients of all ages.

Susan Gallant-Behan, O.D.

Optometrist
Dr. Gallant-Behan joined Fox Run Eye Care in 2018 and has practiced optometry for over 25 years. A graduate of Hamilton College and the Pennsylvania College of Optometry, she is ABO Certified and a member of the New Hampshire Optometric Association — and a mom of two.

Medically reviewed by Dr. Amy Catalano Boyer, O.D., and Dr. Susan Gallant-Behan, O.D., Fox Run Eye Care, Greenland, NH.
Schedule Your Child's Myopia Evaluation

Protect Your Child's Vision — Starting Today

If your child's prescription is increasing or distant vision is becoming blurred, schedule a comprehensive myopia evaluation. Early monitoring allows us to determine whether structured management is appropriate.

At Fox Run Eye Care, our office was designed with comfort and calm in mind. From the moment you walk in, you'll find a welcoming, caring team ready to make your child feel at ease. Our eye doctors take the time to explain each step in simple, reassuring terms — so kids understand what's happening and parents feel confident in their care.

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Questions & Answers

Myopia Management FAQ

What is myopia and why does it progress in children?

Myopia (nearsightedness) occurs when the eye grows too long, causing light to focus in front of the retina rather than on it. In children, the eye continues to grow during childhood and teen years, which is why prescriptions can increase year over year.

What age should my child start myopia management?

Management is most effective when started early, during the years when the eye is growing most rapidly. We recommend a comprehensive myopia evaluation as soon as a prescription begins increasing year over year. Schedule an exam and our doctors will determine whether management is appropriate for your child.

What options are available at Fox Run Eye Care?

We offer Essilor® Stellest™ eyeglass lenses (FDA-authorized to slow myopia progression in children who start treatment at ages 6–12) and specialty daily disposable contact lenses designed to slow myopia progression. Your doctor will recommend the best option based on your child's age, prescription, and lifestyle.

How effective are Essilor® Stellest™ lenses?

In the two-year U.S. clinical study reviewed by the FDA, Stellest™ lenses slowed myopia progression by 71% and eye elongation by 53% compared with standard single-vision lenses. In September 2025 the FDA authorized Stellest™ as the first eyeglass lenses to slow myopia progression in children who start treatment between ages 6 and 12. Read the FDA announcement.

Are contact lenses safe for children?

MiSight® 1 day lenses are FDA-approved for children who start treatment between ages 8 and 12, and daily disposables mean a fresh, clean pair every morning. They're a good fit for children who are motivated and mature enough to handle lenses responsibly. Our doctors assess candidacy during the exam.

How long does a myopia evaluation take?

The same time as a regular eye exam — the evaluation is part of it. The discussion with parents about options can take a little longer, and then you decide whether to start treatment with Stellest™ glasses or MiSight® contacts.

Is myopia management covered by insurance?

Some insurance plans are starting to cover the glasses portion of myopia management, but it varies by carrier and plan. HSA and FSA funds can be used. Our staff checks what your plan may cover and goes over it with you before you decide.

How long will my child need to wear the lenses?

Until eye growth stabilizes and the prescription stays the same a few years in a row — usually in the mid-to-late teens. A child who starts at 7 may wear them for 7–10 years; a child who starts at 11, about 4–6 years. Stellest™ glasses need at least 10 hours a day, 6 days a week (ideally all day, every day); MiSight® contacts at least 10 hours a day, 6–7 days a week, with backup glasses for days off.

My child already has a high prescription. Is it too late to start?

No. Myopia management doesn't reverse a prescription, but it slows how fast it gets worse, and any reduction in progression is a win while your child is still growing. If a child is at −3.00 and both parents are strongly nearsighted, starting now helps keep them closer to −3.00 instead of following the family pattern.

How often will my child need follow-up visits?

We typically recommend follow-up visits every 6 months to evaluate progression, review the prescription, and adjust the care plan as needed. Consistent monitoring is an essential part of effective management.

How do I schedule a myopia evaluation?

Call our office at 603-828-9601 or use our online booking system. We are conveniently located at 603 Portsmouth Ave., Greenland, NH — just 5 minutes from Portsmouth.

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Early monitoring makes a difference. Fox Run Eye Care is just 5 minutes from Portsmouth — trusted by Seacoast families in Greenland, NH.

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