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Understanding Myopia Management Options: MiSight and Orthokeratology

MiSight lenses showed a 59% reduction in refractive progression and a 52% reduction in average axial elongation over a 3-year period vs single vision contact lenses, according to a study, and ortho-k lenses flatten the central cornea to correct the patient’s refractive error while creating peripheral steepening that leads to myopic defocus.

By: Patricia Fulmer, OD, FAAO
Optometric Management December 8, 2025

Clinical Scorecard: Understanding Myopia Management Options: MiSight and Orthokeratology

At a Glance

CategoryDetail
ConditionMyopia
Key MechanismsMiSight lenses create myopic defocus to slow axial elongation; ortho-k lenses flatten the central cornea to correct refractive error and induce myopic defocus.
Target PopulationChildren aged 8 to 12 years for MiSight; children needing myopia control for ortho-k.
Care SettingOptometry practices offering myopia management solutions.

Key Highlights

  • MiSight lenses reduce refractive progression by 59% and axial elongation by 52% over 3 years.
  • MiSight lenses utilize ActivControl technology for effective myopia correction.
  • Ortho-k lenses are worn overnight and provide temporary, reversible refractive correction.
  • Ortho-k lenses can correct between 5 D and 6 D of myopia and moderate astigmatism.
  • Practitioners should consider vendor policies and certification when selecting ortho-k lenses.

Guideline-Based Recommendations

Diagnosis

  • Assess refractive error and axial length in children to determine myopia management needs.

Management

  • Consider MiSight lenses for children aged 8 to 12 years.
  • Evaluate ortho-k lenses for children needing overnight wear solutions.

Monitoring & Follow-up

  • Regularly monitor refractive progression and axial elongation in children using these interventions.

Risks

  • Temporary effects of ortho-k lenses; potential for discomfort or complications with lens wear.

Patient & Prescribing Data

Children aged 8 to 12 years with myopia.

MiSight lenses correct refractive errors from -0.50 to -7.00; ortho-k lenses vary by brand.

Clinical Best Practices

  • Engage with CooperVision for MiSight fitting resources and training.
  • Evaluate multiple ortho-k vendors for best fit and patient needs.

References