Book an AppointmentOrder Contact Lenses

Myopia Management

Myopia, also known as nearsightedness, is defined as being able to see clearly at near distances but objects viewed at a distance are blurry. It is associated with the elongation of the eyeball which can lead to irreversible vision loss in some patients. Eyeglasses or contact lenses must be worn to correct the vision. Progressive myopia leads to retinal thinning and can result in detachments, myopic macular degeneration (myopic maculopathy), and retinal bleeding. The younger a child is when they first develop myopia, the faster their myopia progresses. If your child needs eyeglasses to see clearly before they are 10 years old, then the option of myopia management is available at North Toronto Medical Optometry.

Myopia Management

Myopia may be managed by:

  • Spectacle Lenses: Specialized Eyeglasses are prescribed to prevent worsening myopia
  • Soft Contact Lenses: Specialized Multifocal Soft Contact Lenses are fit to minimize elongation of the eyeball
  • Orthokeratology: Specialized Hard Contact Lenses are customized to be worn overnight to supress eye growth and progression of myopia
  • Prescription Eyedrops: Atropine is prescribed to slow down the progression of myopia

Parental Checklist

If any of the following apply to your child, a Myopia Management program might be right for you and your child:

  1. One or both parents are nearsighted and are wearing eyeglasses or contacts
  2. Your child needs eyeglasses to see clearly before 10 years old
  3. Your child’s eyeglass prescription has increased significantly over the last 2 years
  4. Your child is unhappy wearing eyeglasses or contact lenses during the day
  5. You’re concerned about your child’s nearsightedness and eye health getting worse


What is Orthokeratology?

Orthokeratology is the use of overnight contact lens wear to temporary alter the shape of the corneas to allow for clear daytime vision without any contact lens use and to also slow down the progression of near-sightedness or myopia.


  • Customized: These lenses are created using a precise mapping technology that ensures they will be fitted specifically to your eyes.
  • No glasses or soft contact lenses: These lenses correct refractive errors overnight. They reshape the corneas to allow you to see clearly throughout the day without the need for glasses or contacts.
  • Non-Invasive: Ortho-k provides a non-surgical method of vision correction. This makes it great for patients who are reluctant to get surgery or who are not candidates.
  • Kids benefit greatly from Ortho-k: These lenses suppress eye growth and slow down or even halt the progression of myopia.
  • reats a variety of conditions: The technology has expanded to be able to treat conditions that include farsightedness, presbyopia, and astigmatism.

Who are good candidates?

A variety of people are good candidates for Orthokeratology- adults of all ages who want to correct their myopia and/or have low to moderate astigmatism or children who would like their high or progressing myopia to be managed. Orthokeratology is a good option for those who are not eligible for surgery, are reluctant to get surgery, or do not want to worry about glasses and contact lenses.

MiSight one day myopia

Myopia Management MiSight

The world’s first one-day soft contact lens clinically proven to substantially slow the progression of myopia in children.

More information

Need an eye exam? Request an appointment online.