Myopia Control
Understanding Myopia in Children
Protecting Your Child's Vision Future
MiSight Daily Contact Lenses
MyoSmart Spectacle Lenses by Hoya
Mylo Device and Lifestyle Guidance
Book Your Child's Myopia Assessment
Frequently Asked Questions
What is myopia control and why does my child need it?
Myopia control refers to clinical interventions that slow the progression of short-sightedness in children, protecting their long-term eye health and reducing the risk of serious vision-threatening conditions in adulthood. At Vision in the Village Opticians our optometrists provide specialist myopia management because childhood myopia is not simply an inconvenience requiring stronger glasses each year. Progressive myopia means the eye continues elongating abnormally during childhood and adolescence, and this excessive axial length growth significantly increases the lifetime risk of retinal detachment, glaucoma, myopic macular degeneration, and early cataract development.
Research published in peer-reviewed journals demonstrates that higher levels of myopia correlate directly with greater risk of these sight-threatening complications, with moderate to high myopia substantially increasing the probability of developing conditions that can cause permanent vision loss even with treatment.
Myopia control treatments work by slowing the rate at which the eye elongates, meaning your child reaches adulthood with lower myopia and consequently lower risk of associated complications. Standard single vision glasses or contact lenses simply correct blurred distance vision but do nothing to slow the underlying progression, whereas myopia control interventions like MiSight daily contact lenses and MyoSmart spectacle lenses have been proven in clinical trials to reduce progression by approximately 60% on average. This reduction translates to meaningful clinical benefits over the years of childhood development. For example, a child whose myopia would have progressed to minus 6.00 dioptres without intervention might only reach minus 3.00 dioptres with effective myopia control, substantially lowering their lifetime risk profile.
Early intervention achieves the best outcomes because myopia typically progresses fastest during the early years after onset, so starting treatment when your child first becomes myopic or shows signs of rapid progression maximises the protective effect.
Children most likely to benefit from myopia control include those diagnosed with myopia at young ages (under 10 years), those showing rapid progression (more than 0.50 dioptres increase per year), those with moderate to high myopia already, and children with family history of myopia, particularly if parents have high myopia. Our experienced optometrists conduct comprehensive assessments including axial length measurement, which provides the most accurate method of monitoring eye growth and myopia progression over time, allowing us to track treatment effectiveness objectively.
How do MiSight contact lenses work for myopia control?
MiSight daily disposable contact lenses, available at Vision in the Village Opticians for children aged 8 and above, represent the first soft contact lens specifically designed and clinically proven to slow myopia progression whilst simultaneously correcting distance vision. These innovative lenses use ActivControl Technology, which incorporates concentric treatment zones within the lens design. The central optical zone corrects your child’s myopic refractive error, providing clear distance vision for school, sports, and daily activities, exactly like standard contact lenses.
Surrounding this central zone are alternating concentric rings of correction and treatment zones that create myopic defocus on the peripheral retina. Scientific research has established that peripheral hyperopic defocus (where the image falls behind the peripheral retina) acts as a stimulus for eye elongation, whereas myopic defocus (where the image falls in front of the peripheral retina) signals the eye to slow its growth.
MiSight lenses deliberately create this myopic defocus in the periphery whilst maintaining clear central vision, effectively reducing the stimulus for axial elongation. Clinical trials conducted over multiple years and published in respected optometry journals demonstrate that children wearing MiSight lenses experience an average of 59% reduction in myopia progression and 52% reduction in axial length growth compared to children wearing standard single vision contact lenses. Importantly, this effect is sustained over years of continuous wear, with the treatment remaining effective throughout childhood development.
MiSight lenses are daily disposables, meaning your child wears a fresh sterile lens each day and discards them after use, eliminating cleaning routines and storage concerns. This daily replacement schedule provides excellent hygiene, significantly reducing infection risks compared to monthly lenses, which is particularly important for younger wearers. Children typically find MiSight lenses comfortable and straightforward to use once they complete the initial training. At Vision in the Village, we provide comprehensive fitting appointments where your child learns insertion and removal techniques under supervision, and we ensure they feel completely confident before taking lenses home. Most children aged 8 and above adapt quickly to lens handling, and studies show high levels of satisfaction and successful wear.
What are MyoSmart glasses and how effective are they?
MyoSmart spectacle lenses by Hoya, fitted at Vision in the Village Opticians offer clinically proven myopia control for children through innovative lens technology called D.I.M.S., which stands for Defocus Incorporated Multiple Segments. These specialised lenses provide an effective alternative for families who prefer spectacles over contact lenses or for children who are not suitable candidates for contact lens wear.
The lens design features a central optical zone that corrects your child’s myopic prescription, providing clear sharp vision for all everyday activities including school work, reading, and distance viewing. Surrounding this central zone is a treatment area covering the mid-periphery of the lens, containing hundreds of tiny segments arranged in a honeycomb pattern. Each segment has additional positive power that creates myopic defocus simultaneously with the clear corrected image, meaning that whilst your child sees clearly through the central zone, the peripheral retina receives defocused images that signal the eye to slow its elongation. This simultaneous vision approach ensures your child benefits from myopia control throughout all wearing hours without compromising visual clarity or comfort.
The lenses look like regular glasses from the outside, with the honeycomb treatment zones being virtually invisible to observers, allowing children to wear them confidently at school and during activities without feeling different from their peers or attracting unwanted attention. MyoSmart lenses are made from impact-resistant polycarbonate material, making them durable and safe for active children. For optimal effectiveness, your child should wear MyoSmart glasses throughout waking hours, as myopia control benefits are dose-dependent, meaning more wearing time produces better results.
At Vision in the Village, we fit MyoSmart lenses in age-appropriate frames that your child feels comfortable wearing consistently, and we provide guidance on proper wearing schedules. Regular monitoring appointments every six months allow our optometrists to measure axial length growth, assess progression rates, and confirm the treatment is working effectively for your individual child.
How much does myopia control treatment cost at Vision in the Village?
Myopia control services with us involve initial assessment costs, ongoing treatment expenses, and regular monitoring appointments, with pricing structured to reflect the specialist clinical expertise, advanced diagnostic equipment, and long-term commitment required for effective myopia management.
The initial myopia control assessment, which includes comprehensive eye examination, detailed discussion of your child’s visual history and family history, axial length measurement using specialized equipment, myopia risk assessment, and consultation about suitable treatment options, typically costs between £80 and £120. This appointment usually takes 60 minutes and provides the foundation for your child’s personalised myopia management plan.
For MiSight daily disposable contact lenses, the initial fitting appointment including lens training, trial lenses, and follow-up visits costs approximately £60 to £100, with the lenses themselves priced at around £65 to £75 per month or £700 to £850 annually depending on your child’s prescription. This annual cost includes daily fresh lenses for continuous wear throughout the year, providing both vision correction and myopia control in a single convenient solution.
Many families find the investment worthwhile considering that MiSight provides proven 59% reduction in progression, potentially saving thousands of pounds in future healthcare costs associated with high myopia complications.
For MyoSmart spectacle lenses by Hoya, the lenses cost approximately £250 to £350 depending on prescription complexity and any additional lens treatments such as anti-reflection coating or photochromic options, fitted into frames that typically range from £50 to £150 depending on style and brand preferences. The total initial cost for MyoSmart glasses is therefore usually between £300 and £500.
Regular monitoring appointments, recommended every six months for all children receiving myopia control treatment, typically cost £50 to £80 and include axial length measurement, progression assessment, eye health checks, and treatment effectiveness evaluation. These appointments are essential for confirming your chosen intervention is working effectively and allowing treatment adjustments if needed.
Vision in the Village offers flexible payment options and can discuss treatment costs in detail during your child’s assessment, helping you choose the most appropriate and affordable solution for your family circumstances.