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

5 Key Takeaways

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MiSight lenses reduce refractive progression by 59% and axial elongation by 52% over three years compared to single vision contact lenses.
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MiSight lenses were FDA approved in November 2019 for myopia control in children aged 8 to 12 years.
3

MiSight lenses utilize ActivControl technology to create myopic defocus, slowing axial lengthening by placing images in front of the retina.
4

Ortho-k lenses reshape the cornea overnight to correct refractive errors and create myopic defocus, slowing myopia progression.
5

Ortho-k lenses can correct 5 D to 6 D of myopia and moderate astigmatism, with various vendors offering different lens parameters.

Patricia Fulmer, OD

Practice Owner

Specialties: Optometry

Bio: Patricia Fulmer, OD, is an optometrist and practice owner who writes about staffing and management in optometric practice. In Optometric Management, she has discussed practical approaches to employee protocols, performance red flags, documentation, and termination decisions within an optometry practice setting.

PentaVision

Optometric Management

Understanding Myopia Management Options: MiSight and Orthokeratology

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