Knowing how to proceed during a follow-up visit with a patient wearing a soft multifocal or an orthokeratology lens for myopia control is essential to the success of these lenses in controlling myopia. In acknowledging this, Julie Ott DeKinder, OD, FAAO, Diplomate, CCLRT, provided the specific protocols related to these lenses at follow-up appointments during her lecture, “Fundamentals: Contact Lens Fitting for Myopia Management,” which took place yesterday at 
9 a.m.

“The biggest message I want attendees to get from this lecture is that all optometrists can easily fit contact lenses to slow myopia progression in children,” Dr. DeKinder said, of the lecture.

Soft multifocal
If the soft multifocal-wearing patient has < 0.50 D myopia progression at their one-year follow-up visit, Dr. DeKinder recommended a refraction check and axial length measurements at a subsequent six-month visit to keep a watchful eye on the condition. Additionally, she suggested the optometrist consider increasing the lens’ add power, adding low dose atropine, or switching the patient to an orthokeratology lens if they present with >0.50 D at their one-year follow-up visit.

Orthokeratology
Should the orthokeratology wearer present at their six-month follow-up appointment with a >0.50 D refraction change or >0.2 axial length elongation, Dr. DeKinder recommended changing the lens parameters to hinder further myopia progression.

Additional pearls
Dr. DeKinder also discussed the importance of specific technology, as well as baseline data to achieve a successful initial fit with either lens type. This technology: A-scan and topography. The baseline data: manifest refraction, slit lamp exam, measurement of corneal HVID, pupil size measurement, baseline A-scan and baseline corneal topography. OM