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Myopia Management for Children

Is your child’s nearsightedness getting worse?

Stronger glasses may correct the blur—but they don’t address the reason the prescription keeps changing. Learn what progressive myopia can mean for your child’s long-term eye health, and what can be done to slow things down.

4.9★ from 343 reviews Axial length measurement Corneal topography Boca Raton
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Start with a few questions.

Concerned that your child’s eyesight is getting worse? Tell us a little about your child below. We’ll use this information to help determine the appropriate next step and contact you about a consultation.

The part many parents never hear

Stronger glasses aren’t the real problem. They’re a symptom.

When a child’s eyesight keeps getting worse, it can be a sign that the eye is continuing to grow—becoming longer than it’s supposed to be. That physical change matters because the longer the eye becomes, the greater the lifetime risk of serious eye disease.

Myopia is just a fancy way of saying nearsighted. When nearsightedness keeps worsening over time, we call it progressive—or worsening—myopia.

Think beyond the prescription.

The prescription is what you notice. Eye growth is what we monitor.

Axial length comparison showing a normal eye and a longer myopic eye, including retinal focus and the importance of axial length measurement
Why slowing progression matters

The longer the eye becomes, the more long-term risk can increase.

Higher levels of myopia are associated with increased lifetime risk of conditions that can threaten vision later in life.

Retinal Detachment

Stretching of the eye can place additional stress on retinal tissue.

Glaucoma

Myopia is associated with a greater lifetime risk of glaucoma.

Cataracts

Higher myopia is associated with increased cataract risk.

Myopic Macular Degeneration

Severe elongation can damage the central retina responsible for detailed vision.

The good news

We can do more than just give your child thicker glasses.

We have proven ways to slow things down. That approach is called Myopia Management, and treatment is tailored to the individual child rather than forcing every patient into the same plan.

Specialized contact lenses

Soft myopia-control lenses can be used for appropriate children to reduce progression while correcting vision.

Orthokeratology (OrthoK)

Custom overnight lenses gently reshape the cornea while your child sleeps and may also be used as part of a myopia-control plan.

Low-dose atropine

Prescription eye drops may be considered when appropriate, either alone or as part of a combined approach.

Myopia-control spectacle lenses

Specialized eyeglass lens designs may be an option for children who prefer glasses or are not ready for contacts.

Why Total Family Eyecare

Measure what matters. Explain what it means.

Myopia management is not just about checking whether the eyeglass prescription changed. We can track the eye itself and use those measurements to help guide treatment decisions.

Axial length measurements with a biometer
Corneal topography
Multiple treatment options
Personalized follow-up
Education-first consultations
Boca Magazine Top Doctor recognition
★★★★★

4.9 stars from 343 reviews

“Dr. Sheiner is an excellent Doctor. He takes the time to give a thorough examination, and he is willing to answer questions and address concerns. I never feel as though my appointments are rushed.”
— Patient review
What happens next?

A free consultation is a conversation—not a commitment.

The first step is understanding what is happening with your child. We’ll talk about their vision history, answer your questions, and explain which options may make sense. If additional measurements are needed, we’ll tell you exactly what comes next.

1

Tell us what you’re seeing

Has the prescription been changing? How quickly? What concerns do you have?

2

Get clear answers

We’ll explain progressive myopia in plain English and discuss what can be done to slow progression.

3

Decide what’s right

If your child may benefit, we’ll discuss the next measurements and treatment options. No pressure.

Common questions

What parents usually want to know

What age should myopia management begin?

Earlier evaluation is generally better once worsening nearsightedness is identified, because the goal is to slow progression while the eye is still growing. The right timing depends on the individual child.

Does my child have to wear contact lenses?

No. Depending on age, prescription, eye measurements, lifestyle, and comfort level, options can include specialized contacts, OrthoK, low-dose atropine, myopia-control spectacle lenses, or a combination approach.

What if my child is nervous?

That is common. We take time to explain each option, answer questions, and help children become comfortable before moving forward with any treatment.

How often will my child need follow-up visits?

Myopia management requires ongoing monitoring. The exact schedule depends on the treatment chosen and how your child responds. We’ll explain the follow-up plan before you commit.

What does treatment cost?

Fees vary depending on the treatment plan. We’ll review costs and payment options clearly before treatment begins so there are no surprises.

Does a consultation obligate me to start treatment?

No. The consultation is simply an opportunity to ask questions, understand what may be happening, and determine whether your child could benefit from myopia management.

Every parent deserves to know their options.

My hope is that you’ll never have to ask, “Why didn’t anyone ever tell me this?” If your child’s eyesight keeps getting worse, start with a conversation.

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Total Family Eyecare · Boca Raton, FL
(561) 391-3334 · totalfamilyeyecare.com